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The stone free rate after a single surgery was 87.7% (93/106). Conclusion Establishing a percutaneous nephroscope channel under ultrasound-guided assisted by the puncture frame is an efficacious and safe approach.PURPOSE The aim of this study is to evaluate the effects of anesthesia methods on the surgical results of spinal, epidural, and general anesthesia procedures and the success of urethral access and stone access achievement. MATERIALS AND METHODS In this prospective randomized study, 105 patients who underwent primary URS procedure for uret