RIRS with FANS for Right lower pole stone
COURSE DESCRIPTION
This Endourology Academy course presents a detailed Retrograde Intrarenal Surgery (RIRS) with Fluoroscopy-Assisted Navigation System (FANS) for the management of a right lower pole kidney stone. Dr. Kremena Petkova demonstrates a step-by-step approach in a 42-year-old male patient with a history of ureteroscopy (URS) and intermittent right-sided flank pain.
LEARNING OUTCOMES
Preoperative Planning – Evaluating stone location, density (1245 HU), and patient history for optimal surgical strategy.
- RIRS with FANS Approach – Enhancing precision using fluoroscopy-assisted navigation for better access and stone fragmentation.
- Stone Management – Laser lithotripsy techniques to effectively treat a lower pole stone.
- Postoperative Considerations – Evaluating stone-free rates, potential complications, and follow-up recommendations.
This course provides a comprehensive, real-case demonstration of an advanced RIRS technique, offering invaluable insights for urologists managing complex lower pole stones.
| Lesson1.1 | Disclaimer | |
| Lesson1.2 | Introduction | |
| Lesson1.3 | Semi rigid URS | |
| Lesson1.4 | FANS | |
| Lesson1.5 | Laser Lithotripsy | |
| Lesson1.6 | Fragment aspiration | |
| Lesson1.7 | Intra renal inspection | |
| Lesson1.8 | Removal of access sheath | |
| Lesson1.9 | Post operative |
Instructor
Dr. Kremena Petkova
Assoc. Prof. Kremena Petkova graduated from Medical University of Sofia in 2008 and completed her residency in urology at Military Medical Academy in Sofia, Bulgaria. In 2015 she obtained a PhD degree from Military Medical Academy in Sofia, Bulgaria for her thesis on “Endoscopic combined intrarenal surgery in Galdakao-modified supine Valdivia position for the treatment of complex urolithiasis”. She was appointed as Associate professor of Urology at the Department of Urology and Nephrology at Military Medical Academy in Sofia, Bulgaria in 2020. Her professional interests are in the area of minimally invasive urology, endourology and stone disease. Her professional qualifications include multiple courses and fellowships in Bulgaria, Europe and Asia. She is a member of the European Association of Urology (EAU), American Urological Association (AUA), International Alliance of Urolithiasis (IAU), South-Eastern European Group of Urolithiasis Research (SEGUR) and the EULIS Collaborative Research Group (eCORE).
Assoc. Prof. Petkova has authored more than 100 publications in Bulgarian and International scientific journals and books. She is a member of the editorial board of the Bulgarian Journal of Endourology and Minimally Invasive Surgery
Assoc. Prof. Petkova is responsible for teaching medical students and training residents in urology. She is taking part in the postgraduate training in endourology and urolithiasis at the Department of Urology and Nephrology at Military Medical Academy in Sofia, Bulgaria. Currently, she is actively participating in multiple International research and educational projects.