# Bilateral synchronous percutaneous nephrolithotomy in single session: A case from a district hospital

## TL;DR

A 59-year-old woman with kidney stones on both sides was successfully treated with a single, synchronized surgery at a district hospital in Indonesia.

## Contribution

The paper presents a successful case of bilateral synchronous PCNL performed at a district hospital, highlighting its feasibility and benefits.

## Key findings

- Bilateral synchronous PCNL minimized operative time and blood loss in a complex case.
- Full stone clearance was achieved without complications and with stable renal function.
- The procedure was found to be cost-effective and efficient for selected patients.

## Abstract

Kidney stones are the most common urological condition worldwide, with rising prevalence. Bilateral cases present challenges such as longer surgery, anesthesia risks, and extended hospitalization. We report a case of a 59-year-old female with bilateral hydronephrosis and multiple stones, successfully treated with bilateral synchronous percutaneous nephrolithotomy (PCNL) at a district-level hospital in Surakarta, Indonesia. Using existing nephrostomy access and meticulous planning, the procedure minimized operative time and blood loss. Full stone clearance was achieved without complications, and renal function remained stable. Bilateral synchronous PCNL is a cost-effective, efficient option in selected patients, requiring advanced surgical expertise and well-coordinated care.