Percutaneous Nephrolithotomy: Challenges for a Novice Urologist.

PCNL is the treatment of choice for large renal stones. It is a procedure of expertise. It may look simpler when done by an experienced urologist; however, for a beginner, learning each and every step is very important. He should be well-versed about the difficulties faced at every step and know how to tackle them. This article focuses mainly on the intricacies faced by a trainee during the procedure and how to troubleshoot them. Failure at any stage can lead to bleeding complications or incomplete removal of stones.