,Following sterile preparation and local anesthesia to the posterior aspect of the right flank, an 18-gauge co-axial Temno-type needle was directed into the inferior pole right renal mass from the posterior oblique approach. 
,Following sterile preparation and local anesthesia to the posterior aspect of the right flank , an 18 - gauge co - axial Temno - type needle was directed into the inferior pole right renal mass from the posterior oblique approach .