Innovative way to break the stone: Master lithoclast for bilateral simultaneous Percutaneous Nephrolithotomy Authors Waqar Ahmed Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan Adeel Mahesar Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan Javed Altaf Jat Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan Imran Idrees Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan Kashifuddin Qayoom Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan Pooran Mal Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan Sana Tariq Department of Urology, Tabba Kidney Institute, Karachi, Pakistan DOI: https://doi.org/10.47391/JPMA.3347 Abstract The objective of our study was to evaluate the efficacy of Master Lithoclast, also known as trilogy lithoclast, in simultaneous bilateral Percutaneous Nephrolithotomy (PCNL). The study was a prospective case series, involving 40 patients undergoing bilateral simultaneous PCNL, with 20 (50%) males and 20 (50%) females. The mean age of subjects was 32.9 ± 7.9 years. In Guy’s stone scoring 7(17.5%) patients classified in Group I, 28 (70%) in group II and the remaining 5(12.5%) patients were placed in group III. Total operative time observed was 74.8 ± 17.9 minutes. Complete stone clearance was observed in 30 (75%) patients. In conclusion, study data confirmed that Master Lithoclast provides faster stone clearance and is unaffected by the composition of stones, ease of usability, and improved tissue safety with reduced chances of fragments blocking are key factors. Keywords: Master lithoclast, Simultaneous bilateral PCNL, Trilogy lithoclast, Renal stone. Downloads Full Text Article Published 2022-08-15 How to Cite Waqar Ahmed, Adeel Mahesar, Javed Altaf Jat, Imran Idrees, Kashifuddin Qayoom, Pooran Mal, & Tariq, S. (2022). Innovative way to break the stone: Master lithoclast for bilateral simultaneous Percutaneous Nephrolithotomy. Journal of the Pakistan Medical Association, 72(9), 1852–1854. https://doi.org/10.47391/JPMA.3347 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 72 No. 9 (2022): SEPTEMBER Section RESEARCH ARTICLE