Munich:Two innovations presented by Dr Ashish Patil at the World Congress of Endourology 2009

Dr Ashish Patil the head of Institute of Urology recently presented two of his innovative techniques which are being practiced at the Institute since 2 years.

1) 5PANG technique for initial tract dilatation during PCNL

2) Fountain technique for evacuation of large vesical calculi

5 PANG technique: The term coined at the “Institute” stands for ‘ 5 Part Access Needle over the Glide wire technique’;. Herein Dr Ashish Patil has invented a 5 part initial puncture needle as a substitute for the conventional 3 part initial puncture needle used for percutaneous access during a PCNL. The new needle creates a tract of sufficient size to allow direct access to the metal tract dilators hence obviating the need for cumbersome conventional tract dilatation. The results of the initial 67 cases were presented at the WORLD CONGRESS.

Fountain technique : Essentially is a technique described by Dr Patil etal to be used during PCCL(Percutaneous Cystolitholapaxy) . Dr Patil here described the use of simultaneous urethral flush and suprapubic drainage of stone fragments . The technique accentuates the fragment evacuation in cases of large vesical calculi hence reducing the operative time. The technique is based on the Magic Fountain principal described by Hero.