%0 Journal Article %T Evaluation of "UNDER VISION TOTAL TUBELESS PCNL" as a Novel Technique in Comparison to TOTAL TUBELESS PCNL %J Translational Research in Urology %I Urology Research Center, Tehran University of Medical Sciences %Z 2717-042X %A Rakebi, Mohammad Mehdi %A Mohammadi, Abdolreza %A Fakhr Yasseri, Alimohammad %A Ahmadi Pishkuhi, Mahin %A Maroufi, Seyed Farzad %A Guitynavard, Fateme %D 2022 %\ 11/01/2022 %V 4 %N 4 %P 173-179 %! Evaluation of "UNDER VISION TOTAL TUBELESS PCNL" as a Novel Technique in Comparison to TOTAL TUBELESS PCNL %K Renal stone %K PCNL %K Fluoroscopy %K Under Vision %K Stone Free Rate %K Kidney Stones %R 10.22034/tru.2022.368587.1133 %X Introduction: This study aims to evaluate Under Vision Total Tubeless PCNL (TT-PCNL) as a novel technique in reducing surgeon exposure to X-rays compared to the standard Total Tubeless PCNL. Percutaneous nephrolithotomy (PCNL) has been widely welcomed as a less-invasive medication for kidney stones. However, because it is usually performed using fluoroscopy, the endourologist is at risk of chronic X-ray exposure.Methods: The number of 76 consecutive patients who were candidates for PCNL surgery was randomized into two groups: 38 patients experienced TT-PCNL, and 38 patients underwent Under Vision TT-PCNL. The results were compared with fluoroscopy time and surgeon satisfaction.Results: The fluoroscopy time in the Under Vision TT-PCNL group was lower than in the Total Tubeless PCNL group (0.02). Surgeon satisfaction was higher in the Under Vision Total Tubeless PCNL group than in the TT-PCNL group (P-value=0.001). The mean total duration of surgery in the TT-PCNL under the Vision group was lower than the Total Tubeless PCNL group (P-value=0.04). There was no significant difference between the two groups' complications.Conclusion: The Under Vision TT-PCNL is compared to the normal PCNL in safety and effectiveness, but also it can significantly reduce the use of a fluoroscope. Moreover, surgeon satisfaction is better compared to the standard technique. %U http://www.transresurology.com/article_160216_e13a670e2f1b1536cfdca7accdcfba09.pdf