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Elective percutaneous nephrolithotomy in 137 consecutive cases is reviewed. Radiological puncture, dilation, placement of a nephrostomy tube and endoscopic lithotomy were always done in a single session, with the patient under general anesthesia. Thirty-six patients had a renal operation at the site of percutaneous nephrolithotomy. An adequate tract was formed in 94.9% of the cases. Ninety percent of the targeted calculi were removed successfully. Average anesthesia time was 90 min and mean hospitalization 6 days. Complications were few and patients returned to work earlier than after an open operation.
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