Ep. 84 Novel approach to PCNLs with Dr. Jason Wynberg

In this episode of BackTable Urology, Dr. Jose Silva interviews Dr. Jason Wynberg, director of endourology at NYU Langone Health in Brooklyn, about his percutaneous nephrolithotomy (PCNL) technique and innovations. --- CHECK OUT OUR SPONSOR ReviveRX https://reviverx.com/urology/ --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/LmSqn0 --- SHOW NOTES First, Dr. Wynberg explains his workup for a potential PCNL patient. He considers stone size, stone density, preexisting comorbidities, and patient preferences. He uses CT scans, retrograde pyelograms, and flexible ureteroscopy to study the anatomy of the patient. Next, he explains how he gets his own access through retrograde access while the patient is in the supine position. Then, he discusses the trademark patent he currently holds for a PCNL kit, which includes a puncture wire, sheath, and coaxial microintroducer. The kit allows urologists to put a retrograde puncture wire through a flexible ureteroscope. He notes that this kit decreases renal trauma and allows the papillary puncture to be aligned with the infundibulum. He also reflects on the challenges of developing his kit and finding industry partners to support development. Although he had to wait 7 years to commercialize his technology, he saw the prolonged time as a benefit because he was able to improve its design before commercial release. Finally, he explains his technique for using the PCNL kit and offers advice for different difficult scenarios during PCNL. He emphasizes that, in the end, skilled surgeons ensure the success of PCNLs, not just the equipment they use. --- RESOURCES ReviveRX https://reviverx.com/ --- The BackTable Urology Podcast is a resource for practicing urologists to learn tips, techniques, and practical advice from their peers in the field. Listen on BackTable.com/Urology or on the streaming platform of your choice. Get notified when new episodes drop! Subscribe to the BackTable Urology Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular updates. Apple ► https://podcasts.apple.com/us/podcast/backtable-urology/id1563577139 Spotify ► https://open.spotify.com/show/32LoLeG0gYyJcNyloN8Cvi YouTube ► https://www.youtube.com/channel/UCCV3si2GQV6kWzig93ymEWg?sub_confirmation=1 LinkedIn ► https://www.linkedin.com/company/backtable-urology/ Twitter ► https://twitter.com/_backtableuro Instagram ► https://www.instagram.com/_backtableuro/ Newsletter ► https://www.backtable.com/shows/urology/subscribe