journal
https://read.qxmd.com/read/39030839/treatment-of-urolithiasis-with-thulium-fiber-laser-in-fragmentation-mode-using-optimized-pulse-sequences
#1
JOURNAL ARTICLE
Alexey Martov, Magomed Adilkhanov, Andrey Andronov, Gregory Altshuler, Ilya Yaroslavsky, Anastasiia Kovalenko, Viktoriia Andreeva, Olga Baytsaeva, Olivier Traxer
OBJECTIVES: The Super-pulsed thulium fiber laser (SP TFL) is a new alternative to high-power holmium laser for intracorporeal lithotripsy. The SP TFL has shown advantages in dusting regimes, but benefits in fragmentation regimes are less understood. The second-generation SP TFL introduces an advanced fragmentation pulse (AFP) sequence to maximize SP TFL's efficiency in fragmentation. This study evaluates safety and efficacy of the SP TFL fragmentation mode in URS and mini-PCNL. MATERIALS AND METHODS: The study was conducted in two phases...
July 20, 2024: Journal of Endourology
https://read.qxmd.com/read/39001831/reply-letter-to-dr-victor-dr-et-al-on-preoperative-%C3%AE-1-blockers-impact-on-outcomes-of-patients-undergoing-ureteroscopy-with-ureteral-access-sheaths-a-systematic-review-and-meta-analysis
#2
JOURNAL ARTICLE
Guglielmo Mantica, Giovanni Drocchi, Carlo Terrone
Dear Editor, We would like to congratulate Victor et al with their comprehensive review, titled "Preoperative α1-Blockers Impact on Outcomes of Patients Undergoing Ureteroscopy with Ureteral Access Sheaths: A Systematic Review and Meta-Analysis". Recently, there have been a lot of interest regarding the use of α1-blockers such as Tamsulosin and Silodosin in the preoperative management of patients undergoing retrograde intrarenal surgery (RIRS) and/or ureteroscopy (URS). As mentioned by the authors, α1-blockers were linked to a decrease the number of significant ureteral injuries when using a Ureteral Access Sheath (UAS) and fewer complications during RIRS procedures...
July 13, 2024: Journal of Endourology
https://read.qxmd.com/read/39001824/pharmacological-modulation-of-intrarenal-pressure-in-a-porcine-model-using-a-novel-isoprenaline-eluting-guidewire
#3
JOURNAL ARTICLE
Jeff John, Mark Wellman, Tracy Ann Kellermann, Kamil Kopeć, Tomasz Ciach, Graham Fieggen, Lisa-Ann Kaestner, John Lazarus
Introduction Several complications of retrograde intrarenal surgery have been attributed to inadvertent increases in intrarenal pressure. We recently described the development of an innovative isoprenaline-eluting guidewire (IsoWire). The objective of this study was to investigate the impact of IsoWire on the intrarenal pressure and evaluate its safety. Materials and Methods This study was performed in 17 renal units using a porcine model. As controls, the intrarenal pressure, heart rate, and mean arterial pressure were measured for a duration of six minutes with a standard guidewire placed in the renal pelvis...
July 13, 2024: Journal of Endourology
https://read.qxmd.com/read/39001822/laparoscopic-ureteral-reconstruction-in-children-with-retrocaval-ureter-a-modern-single-center-retrospective-study
#4
JOURNAL ARTICLE
Changkun Mao, Yongsheng Cao, Tao Zhang
PURPOSE: This study aims to report our experience in the treatment of children with retrocaval ureter(RCU) using laparoscopic ureteral reconstruction surgery. PATIENTS AND METHODS: We retrospectively collected clinical data from 10 pediatric patients with RCU who underwent laparoscopic surgery at our hospital from April 2010 to April 2022. All patients underwent comprehensive preoperative radiological assessment and were diagnosed with RCU, subsequently undergoing laparoscopic ureteral reconstruction...
July 13, 2024: Journal of Endourology
https://read.qxmd.com/read/39001821/quality-of-information-about-kidney-stones-from-artificial-intelligence-chatbots
#5
JOURNAL ARTICLE
David Musheyev, Alexander Pan, Abdo E Kabarriti, Stacy Loeb, James Borin
INTRODUCTION: Kidney stones are common and morbid conditions in the general population with a rising incidence globally. Prior studies show substantial limitations of online sources of information regarding prevention and treatment. The objective of this study was to examine the quality of information about kidney stones from artificial intelligence (AI) chatbots. METHODS: The most common online searches about kidney stones from Google Trends and headers from the National Institute of Diabetes and Digestive and Kidney Diseases website were used as inputs to 4 AI chatbots (ChatGPT version 3...
July 13, 2024: Journal of Endourology
https://read.qxmd.com/read/39001818/renal-access-in-pediatric-supine-miniaturized-percutaneous-nephrolithotomy-comparative-evaluation-of-ultrasound-fluoroscopy-combined-and-biplanar-0-90%C3%A2-fluoroscopic-techniques
#6
JOURNAL ARTICLE
Ali Sezer, Bilge Turedi, Onur Kucuktopcu, Bilal Mustafa Hamarat, Burak Yılmaz, Rasim Guzel, Kemal Sarica
Introduction Ultrasound-guided puncture has the benefits of avoiding radiation and limiting the risk of visceral injury. We aimed to evaluate the results of two different renal access techniques during pediatric supine mini PCNL (smPCNL) in a comparative manner. Patients and Methods Data obtained from pediatric patients undergoing smPCNL by single surgeon between September 2021-2023 were reviewed retrospectively. Children were divided into two groups namely; biplanar 0-90° fluoroscopy (Group-F) and ultrasound-fluoroscopy combined (Group-C)...
July 13, 2024: Journal of Endourology
https://read.qxmd.com/read/39001816/urinary-continence-restoration-through-an-endourethral-device-a-3-month-pilot-study-on-ten-patients
#7
JOURNAL ARTICLE
Gioia Lucarini, Massimo Cecchi, Tommaso Mazzocchi, Leonardo Marziale, Novello Pinzi, Francesco Prata, Giorgio Pomara, Francesca Manassero, Cinzia Traversi, Iacopo Pazzagli, Roberto M Scarpa, Rocco Papalia, Leonardo Ricotti
BACKGROUNDː Stress urinary incontinence (SUI) is a widespread and frustrating condition that affects millions of people worldwide, with severe consequences on patients' quality of life and healthcare systems' costs. Currently, the most severe cases of SUI are treated using implanted (and rather invasive) extraurethral artificial sphincters. The authors propose an innovative, minimally invasive endourethral device for the treatment of SUI. METHODSː Ten patients with SUI were enrolled in three Italian centers and underwent device implantation...
July 13, 2024: Journal of Endourology
https://read.qxmd.com/read/38984922/initial-experience-and-surgical-setup-of-robot-assisted-nephroureterectomy-using-the-hugo-robot-assisted-surgery-system
#8
JOURNAL ARTICLE
Shuichi Morizane, Ahmed Hussein, Hiroshi Yamane, Ryutaro Shimizu, Ryoma Nishikawa, Yusuke Kimura, Noriya Yamaguchi, Katsuya Hikita, Masashi Honda, Khurshid A Guru, Atsushi Takenaka
INTRODUCTION AND HYPOTHESIS: Robot-assisted radical nephroureterectomy (RANU) has emerged as a valid alternative to open or laparoscopic nephroureterectomy in recent years. However, different types of robotic platforms can limit surgical maneuvers in various ways. This study aimed to describe the surgical procedure and demonstrate RANU's technical feasibility and safety using the Hugo robot-assisted surgery (RAS) system. MATERIALS AND METHODS: Using the Hugo RAS system, we reported data from the first five consecutive patients who underwent RANU at Tottori University Hospital...
July 10, 2024: Journal of Endourology
https://read.qxmd.com/read/38943282/evaluating-the-performance-of-chatgpt-in-urology-comment
#9
LETTER
Amnuay Kleebayoon, Viroj Wiwanitkit
No abstract text is available yet for this article.
July 10, 2024: Journal of Endourology
https://read.qxmd.com/read/38959117/is-bigger-better-comparison-of-150-%C3%A2%C2%B5m-and-200-%C3%A2%C2%B5m-thulium-fiber-for-in-situ-lower-pole-lithotripsy
#10
JOURNAL ARTICLE
Akin S Amasyali, Toby Clark, Natalie Chen, Ala'a Farkouh, Daniel Jhang, Kai Wen Cheng, Ruby Kuang, D Daniel Baldwin, Arthur Goyne, Elizabeth Baldwin, Zham Okhunov, D Duane Baldwin
INTRODUCTION: The Thulium fiber laser (TFL) generates a focused beam, which can be transmitted to laser fibers with small core diameters and may facilitate in situ lower pole lithotripsy. This study compares lithotripsy performance of the 150 and 200 µm TFL in a lower pole benchtop kidney model. MATERIALS AND METHODS: Using a 3D model printed from an actual kidney, in situ laser lithotripsy was performed on 1 cm lower pole BegoStones (CaOx monohydrate consistency) using four different settings (all 20W) and two fiber sizes (150 and 200 µm)...
July 3, 2024: Journal of Endourology
https://read.qxmd.com/read/38943283/endourology-fellowship-more-than-a-stone-s-throw-away-for-women
#11
JOURNAL ARTICLE
Maya Srinath, Zorawar Singh, Maia Hare, Leah Beland, Tareq Aro
OBJECTIVE: To characterize and trend female representation in the endourology fellowship match compared to the urology residency match. MATERIALS AND METHODS: Available deidentified match data from 2017 to 2022 was obtained from American Urological Association (AUA) and Endourology Society annual census data. We evaluated gender-specific participation in the urology residency and endourology fellowship match and compared differences in the trends over the last 6 years...
June 28, 2024: Journal of Endourology
https://read.qxmd.com/read/38874954/do-we-really-need-stone-analysis-and-24-hour-urine-testing-no
#12
JOURNAL ARTICLE
Jonathan Modai, Kymora B Scotland
No abstract text is available yet for this article.
June 27, 2024: Journal of Endourology
https://read.qxmd.com/read/38919128/development-and-initial-evaluation-of-a-cost-effective-force-sensor-for-ureteroscopic-application
#13
JOURNAL ARTICLE
Bruce Gao, Jacob M Tsai, Andrei Dragos Cumpanas, Jaime Altamirano-Villarroel, Seyedamirvala Saadat, Victor Pham, Evan Grohs, Yi Xi Wu, Zachary Edward Tano, Sohrab Ali, Pengbo Jiang, Roshan M Patel, Jaime Landman, Ralph Clayman
PURPOSE: Retrograde intrarenal surgery is the gold-standard treatment for most kidney stones. During ureteroscopy, ureteral access sheath insertion at forces greater than 8.0 Newtons risks high-grade ureteral injury. To monitor force, our institution utilizes a unique, Bluetooth equipped device (i.e., the University of California - Irvine Force Sensor). Given the unique nature of the force sensor, we sought to develop an inexpensive and accessible force sensor based on Boyle's Law and the specific amount of force required to compress an occluded 1...
June 26, 2024: Journal of Endourology
https://read.qxmd.com/read/38919126/optimizing-colon-identification-by-window-setting-modulation-on-non-contrast-computerized-tomography-prior-to-percutaneous-nephrolithotomy
#14
JOURNAL ARTICLE
Snir Dekalo, Ziv Savin, Noam Bar-Yaakov, Haim Herzberg, Yuval Bar-Yosef, Galit Aviram, Ofer Yossepowitch, Mario Sofer
BACKGROUND: Preoperative identification of the bowel on imaging is essential in planning renal access during percutaneous nephrolithotomy (PCNL) and avoiding colonic injury. We aimed this study to assess which non-contrast computed tomography (NCCT) window setting provides the optimal colonic identification for PCNL preoperative planning. METHODS: Ten urologic surgeons (4 seniors, 6 residents) reviewed 22 images of NCCT scans in both abdomen and lung window settings in a randomized blinded order...
June 26, 2024: Journal of Endourology
https://read.qxmd.com/read/38919122/editorial-comment-on-end-2024-0124-or-r1
#15
JOURNAL ARTICLE
Clinton D Bahler
No abstract text is available yet for this article.
June 26, 2024: Journal of Endourology
https://read.qxmd.com/read/38916185/robotic-assisted-bladder-diverticulectomy-indications-technique-and-outcomes-a-case-series
#16
JOURNAL ARTICLE
Damien Gibson, Ramesh Shanmugasundaram, George McClintock, Cecile Pham, Anthony Hutton, Nariman Ahmadi, Mohan Arianayagam, Martin Elmes, Ruban Thanigasalam, Norbert Doeuk, Bill Papadopoulos, Tru Ngo, Prem Rathore, Kris Rasiah, James Thompson, Peter Aslan, Patrick Julien-Treacy, Scott Leslie
PURPOSE: This case series describes the experience and outcomes of multiple Australian surgeons performing robotic-assisted bladder diverticulectomy (RABD), highlighting the procedural effectiveness and safety, for both benign and malignant indications for diverticulectomy. METHODS: Outcomes were analysed from Thirteen experienced Australian urologists who performed RABD between 2016 and 2023. Retrospective analysis was performed on prospectively collected data which included patient demographics, diverticulum characteristics, surgical approaches, and post-operative outcomes...
June 25, 2024: Journal of Endourology
https://read.qxmd.com/read/38904170/open-and-robotic-uretero-enteric-stricture-repair-early-outcomes-and-complications
#17
JOURNAL ARTICLE
Elizabeth N Bearrick, Bridget L Findlay, Anthony Fadel, Aaron M Potretzke, Katherine T Anderson, Boyd R Viers
Objective: To characterize our single institutional experience with robotic and open uretero-enteric stricture (UES) repair. Materials and Methods: We queried our ureteral reconstructive database for UES repair between 01/2017 and 10/2023. Patients with <3 months follow-up were excluded. Prior to surgery, patients underwent ureteral rest (4 weeks) with conversion to nephrostomy tube. Clinical characteristics, complications, reconstructive success (uretero-enteric patency), need for repeat intervention, and renal function were assessed in patients undergoing open and robotic UES reconstruction...
July 10, 2024: Journal of Endourology
https://read.qxmd.com/read/38904168/holmium-laser-enucleation-of-the-prostate-holep-learning-curve-resident-perspective-survey-of-senior-residents-from-high-volume-tertiary-center
#18
JOURNAL ARTICLE
Jaya Sai Susruth Chavali, Marcelino Rivera, James E Lingeman
OBJECTIVE: We aim to report the learning curve and experience performing holmium laser enucleation of the prostate (HOLEP) from a resident standpoint trained at a tertiary high-volume center. METHODS: An electronic survey was distributed to ten surveyees that included recently graduated chief residents trained at Indiana University in the last 3 years i.e. between 2020-2022 with a 100% response rate. The questionnaire focused on HOLEP training experience based on a recently established mentorship curriculum in training the residents through each individual step of the surgery...
June 21, 2024: Journal of Endourology
https://read.qxmd.com/read/38888003/from-diagnosis-to-precision-surgery-the-transformative-role-of-artificial-intelligence-in-urologic-imaging
#19
JOURNAL ARTICLE
Labeeqa Khizir, Vineet Bhandari, Srivarsha Kaloth, John Pfail, Benjamin Lichtbroun, Naveena Yanamala, Sammy Elsamra
The multidisciplinary nature of artificial intelligence (AI) has allowed for rapid growth of its application in medical imaging. Artificial intelligence algorithms can augment various imaging modalities such as X-rays, CT, and MRI to improve image quality and generate high-resolution three-dimensional images. AI reconstruction of three-dimensional models of patient anatomy from CT or MRI scans can better enable urologists to visualize structures and accurately plan surgical approaches. AI can also be optimized to create virtual reality simulations of surgical procedures based on patient-specific data, giving urologists more hands-on experience and preparation...
June 18, 2024: Journal of Endourology
https://read.qxmd.com/read/38877819/efficacy-and-postoperative-infection-following-super-mini-percutaneous-nephrolithotomy-versus-flexible-ureteroscopy-for-diabetic-nephrolithiasis-a-comparative-analysis-and-risk-factors-for-postoperative-infectious-complications
#20
JOURNAL ARTICLE
Wei Yu, Fang Fang Yu, Yi Jun Wang, Ting Ting Tang, Xiao Yan Huang, Liang Wang
OBJECTIVE: To compare the efficacy and postoperative infection rate of super mini percutaneous nephrolithotomy(SMP) and flexible ureteroscopic lithotripsy(FURL) in patients with diabetic nephrolithiasis, and to explore the risk factors associated with postoperative infection following these two procedures. METHODS: The medical history and surgery details of 252 patients with diabetic nephrolithiasis who underwent lithotripsy in our hospital between January 2018 and May 2023, including 144 SMP and 108 FURL, were reviewed and compared...
June 15, 2024: Journal of Endourology
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