Search

Your search keyword '"Pietropaolo, Amelia"' showing total 341 results
Start Over Author "Pietropaolo, Amelia" Publication Year Range Last 3 years
341 results on '"Pietropaolo, Amelia"'

2. Temperature profile during endourological laser activation: introducing the thermal safety distance concept

Author

Ventimiglia, Eugenio, Robesti, Daniele, Keller, Etienne Xavier, Corsini, Christian, Folcia, Andrea, Fantin, Margherita, Candela, Luigi, Pozzi, Edoardo, Sierra, Alba, Pietropaolo, Amelia, Somani, Bhaskar K., Panthier, Frederic, Pauchard, Felipe, Goumas, Ioannis Kartalas, Villa, Luca, Montorsi, Francesco, Traxer, Olivier, Salonia, Andrea, and Saccomandi, Paola

Published
2024
Full Text
View/download PDF

5. Fluid dynamics within renal cavities during endoscopic stone surgery: does the position of the flexible ureteroscope and ureteral access sheath affect the outflow rate?

Author

Tsaturyan, Arman, Keller, Etienne X., Peteinaris, Angelis, Gabriel, Faria-Costa, Pietropaolo, Amelia, Ballesta Martinez, Begona, Tatanis, Vaseilios, Ventimiglia, Eugenio, Esperto, Francesco, Sener, Tarik Emre, De Coninck, Vincent, Emiliani, Esteban, Hameed, B. M. Zeeshan, Talso, Michele, Mykoniatis, Ioannis, Tzelves, Lazaros, and Kallidonis, Panagiotis

Published
2024
Full Text
View/download PDF

6. Trends in the use of radiation protection and radiation exposure of European endourologists: a prospective trial from the EULIS-YAU Endourology Group

Author

Fontanet Soler, Sofia, Bravo-Balado, Alejandra, Skolarikos, Andreas, Seitz, Christian, Traxer, Olivier, Talso, Michele, Ventimiglia, Eugenio, Villa, Luca, Pietropaolo, Amelia, Keller, Etienne Xavier, Kallidonis, Panagiotis, Sener, Tarik Emre, Nagele, Udo, De Coninck, Vincent, Hameed, Zeeshan, Tsaturyan, Arman, Juliebø-Jones, Patrick, Mikoniatis, Ioannis, Wiseman, Oliver, Tzelves, Lazaros, and Emiliani, Esteban

Published
2024
Full Text
View/download PDF

7. Experts’ recommendations in laser use for the treatment of urolithiasis: a comprehensive guide by the European Section of Uro-Technology (ESUT) and Training-Research in Urological Surgery and Technology (T.R.U.S.T.)-Group

Author

Ortner, Gernot, Somani, Bhaskar Kumar, Güven, Selcuk, Kitzbichler, Gerhard, Traxer, Olivier, Giusti, Guido, Proietti, Silvia, Liatsikos, Evangelos, Kallidonis, Panagiotis, Krambeck, Amy, Goumas, Ioannis Kartalas, Duvdevani, Mordechai, Kamphuis, Guido M., Ferretti, Stefania, Dragos, Laurian, Ghani, Khurshid, Miernik, Arkadiusz, Juliebø-Jones, Patrick, Jung, Helene, Tailly, Thomas, Pietropaolo, Amelia, Hamri, Saeed Bin, Papatsoris, Athanasios, Sarica, Kemal, Scoffone, Cesare Marco, Cracco, Cecilia Maria, Keller, Etienne Xavier, Durutovic, Otas, Pereira, Sergio, Herrmann, Thomas R. W., Nagele, Udo, Gözen, Ali Serdar, and Tokas, Theodoros

Published
2024
Full Text
View/download PDF

8. Which Measure of Stone Burden is the Best Predictor of Interventional Outcomes in Urolithiasis: A Systematic Review and Meta-analysis by the YAU Urolithiasis Working Group and EAU Urolithiasis Guidelines Panel

Author

Geraghty, Robert, Pietropaolo, Amelia, Tzelves, Lazaros, Lombardo, Riccardo, Jung, Helene, Neisius, Andreas, Petrik, Ales, Somani, Bhaskar K., Davis, Niall F., Gambaro, Giovanni, Boissier, Romain, Skolarikos, Andreas, and Tailly, Thomas

Published
2025
Full Text
View/download PDF

9. Experts’ recommendations in laser use for the treatment of upper tract urothelial carcinoma: a comprehensive guide by the European Section of Uro-Technology (ESUT) and Training Research in Urological Surgery and Technology (T.R.U.S.T.) group

Author

Ortner, Gernot, Somani, Bhaskar Kumar, Güven, Selcuk, Kitzbichler, Gerhard, Traxer, Olivier, Giusti, Guido, Proietti, Silvia, Liatsikos, Evangelos, Kallidonis, Panagiotis, Ulvik, Øyvind, Goumas, Ioannis Kartalas, Duvdevani, Mordechai, Baard, Joyce, Kamphuis, Guido M., Ferretti, Stefania, Dragos, Laurian, Villa, Luca, Miernik, Arkadiusz, Tailly, Thomas, Pietropaolo, Amelia, Hamri, Saeed Bin, Papatsoris, Athanasios, Gözen, Ali Serdar, Herrmann, Thomas R. W., Nagele, Udo, and Tokas, Theodoros

Published
2023
Full Text
View/download PDF

10. What to expect from the novel pulsed thulium:YAG laser? A systematic review of endourological applications

Author

Ventimiglia, Eugenio, Robesti, Daniele, Bevilacqua, Luigi, Tondelli, Elena, Oliva, Isabella, Orecchia, Luca, Juliebø-Jones, Patrick, Pietropaolo, Amelia, De Coninck, Vincent, Esperto, Francesco, Tailly, Thomas, Ferretti, Stefania, Gauhar, Vineet, Somani, Bhaskar, Villa, Luca, Keller, Etienne Xavier, Salonia, Andrea, Traxer, Olivier, and Kartalas Goumas, Ioannis

Published
2023
Full Text
View/download PDF

11. Do Hounsfield Units have any significance in predicting intra- and postoperative outcomes in retrograde intrarenal surgery using Holmium and Thulium fiber laser? Results from the FLEXible ureteroscopy Outcomes Registry (FLEXOR)

Author

Keat, William Ong Lay, Somani, Bhaskar Kumar, Pietropaolo, Amelia, Chew, Ben Hall, Chai, Chu Ann, Inoue, Takaaki, Ragoori, Deepak, Biligere, Sarvajit, Galosi, Andrea Benedetto, Pavia, Maria Pia, Milanese, Giulio, Ahn, Thomas, More, Sumit, Sarica, Kemal, Traxer, Olivier, Teoh, Jeremy Yuen-Chun, Gauhar, Vineet, and Castellani, Daniele

Published
2023
Full Text
View/download PDF

14. The Utility and Safety of Ureteral Access Sheath During Retrograde Intrarenal Surgery in Children

Author

Tanidir, Yiloren, Sekerci, Cagri Akin, Bujons, Anna, Castellani, Daniele, Ferretti, Stefania, Gatti, Claudia, Campobasso, Davide, Quiroz, Yesica, Teoh, Jeremy Yuen-Chun, Pietropaolo, Amelia, Ragoori, Deepak, Bhatia, Tanuj Paul, Vaddi, Chandra Mohan, Shrestha, Anil, Lim, Ee Jean, Fong, Khi Yung, Sinha, Mriganka Mani, Griffin, Stephen, Sarica, Kemal, Somani, Bhaskar Kumar, Traxer, Olivier, and Gauhar, Vineet

Published
2024
Full Text
View/download PDF

16. Gender Demographics in Urology in Europe: Trend Analysis over a 10-year Period

Author

Sierra, Alba, Pagés, Rita, Sinha, Mriganka, Juliebø-Jones, Patrick, Bosschieter, Judith, Rassweiler, Marie-Claire, Xavier Keller, Etienne, Panthier, Frederic, De Coninck, Vincent, Esperto, Francesco, Hunziker, Manuela, Beisland, Christian, Zondervan, Patricia, Nedbal, Carlotta, Pignot, Geraldine, Pietropaolo, Amelia, Ribal, Maria, and Somani, Bhaskar K.

Published
2024
Full Text
View/download PDF

20. Assessment of single-probe dual-energy lithotripters in percutaneous nephrolithotomy: a systematic review and meta‐analysis of preclinical and clinical studies

Author

Mykoniatis, Ioannis, Pyrgidis, Nikolaos, Tzelves, Lazaros, Pietropaolo, Amelia, Juliebø-Jones, Patrick, De Coninck, Vincent, Hameed, Belthangady M. Zeeshan, Chaloupka, Michael, Schulz, Gerald Bastian, Stief, Christian, Kallidonis, Panagiotis, Somani, Bhaskar K., and Skolarikos, Andreas

Published
2023
Full Text
View/download PDF

21. Indications, preferences, global practice patterns and outcomes in retrograde intrarenal surgery (RIRS) for renal stones in adults: results from a multicenter database of 6669 patients of the global FLEXible ureteroscopy Outcomes Registry (FLEXOR)

Author

Gauhar, Vineet, Chew, Ben Hall, Traxer, Olivier, Tailly, Thomas, Emiliani, Esteban, Inoue, Takaaki, Tiong, Heng Chin, Chai, Chu Ann, Lakmichi, Mohamed Amine, Tanidir, Yiloren, Bin Hamri, Saeed, Desai, Devang, Biligere, Sarvajit, Shrestha, Anil, Soebhali, Boyke, Keat, William Ong Lay, Mohan, Vaddi Chandra, Bhatia, Tanuj Paul, Singh, Abhishek, Saleem, Mohamed, Gorelov, Dmitry, Gadzhiev, Nariman, Pietropaolo, Amelia, Galosi, Andrea Benedetto, Ragoori, Deepak, Teoh, Jeremy Yuen-Chun, Somani, Bhaskar Kumar, and Castellani, Daniele

Published
2023
Full Text
View/download PDF

23. Radiation protection measures during endourological therapies

Author

Tzelves, Lazaros, Juliebø-Jones, Patrick, Manolitsis, Ioannis, Bellos, Themistoklis, Mykoniatis, Ioannis, Berdempes, Marinos, Markopoulos, Titos, Lardas, Michael, Zeeshan Hameed, Belthangady M., Angelopoulos, Panagiotis, Pietropaolo, Amelia, Somani, Bhaskar, Varkarakis, Ioannis, and Skolarikos, Andreas

Published
2023
Full Text
View/download PDF

29. Emergency upper urinary tract decompression: double-J stent or nephrostomy? A European YAU/ESUT/EULIS/BSIR survey among urologists and radiologists

Author

Pietropaolo, Amelia, Seoane, Lucia Mosquera, Abadia, Amad Abu-Suboh, Geraghty, Robert, Kallidonis, Panagiotis, Tailly, Thomas, Modi, Sachin, Tzelves, Lazaros, Sarica, Kemal, Gozen, Ali, Emiliani, Esteban, Sener, Emre, Rai, Bhavan Prasad, Hameed, Zeeshan B. M., Liatsikos, Evangelos, Rivas, Juan Gomes, Skolarikos, Andreas, and Somani, Bhaskar K.

Published
2022
Full Text
View/download PDF

30. Outcomes and lessons learnt from practice of retrograde intrarenal surgery (RIRS) in a paediatric setting of various age groups: a global study across 8 centres

Author

Lim, Ee Jean, Traxer, Olivier, Madarriaga, Yesica Quiroz, Castellani, Daniele, Fong, Khi Yung, Chan, Vinson Wai-Shun, Tur, Anna Bujons, Pietropaolo, Amelia, Ragoori, Deepak, Shrestha, Anil, Vaddi, Chandra Mohan, Bhatia, Tanuj Paul, Mani, Mriganka, Juliebø-Jones, Patrick, Griffin, Stephen, García Rojo, Esther, Corrales, Mariela, Sekerci, Cagri Akin, Tanidir, Yiloren, Teoh, Jeremy Yuen-Chun, Gauhar, Vineet, and Somani, Bhaskar Kumar

Published
2022
Full Text
View/download PDF

32. Embracing diversity, equity, and inclusion in academic urology: the Young Academic Urologists (YAU) perspective.

Author

Lammers, Rianne J.M., Pietropaolo, Amelia, Cacciamani, Giovanni, Gomez Rivas, Juan, Campi, Riccardo, Bañuelos Marco, Beatriz, Fankhauser, Christian, Giorgio, Gandaglia, Hoen, Lisette't, Larcher, Alessandro, Moschini, Marco, Przydacz, Mikolaj, Russo, Giorgio I., Territo, Angelo, Vallée, Maxime, and Vetterlein, Malte

Subjects
*GENDER nonconformity, *CONSCIOUSNESS raising, *MEDICAL students, *IMPOSTOR phenomenon, *BENIGN prostatic hyperplasia
Abstract

The Young Academic Urologists (YAU) group within the European Association of Urology (EAU) focuses on developing clinical, educational, and research projects to enhance urological practice and training standards. YAU aims to promote diversity, equity, and inclusion by including members from different genders, countries, and cultural backgrounds. Recent data shows an increase in female representation within YAU working groups, with efforts being made to further improve diversity and gender distribution. The group also conducts a SWOT analysis to enhance diversity, equity, and inclusion within its membership. [Extracted from the article]

Published
2025
Full Text
View/download PDF

33. Does coiling of the proximal end of the ureteral stent affect stent-related symptoms?

Author

Tsaturyan, Arman, Keller, Etienne Xavier, Sener, Tarik Emre, Kocharyan, Lusine, Fanarjyan, Sergey, Peteinaris, Angelis, Ventimiglia, Eugenio, Esperto, Francesco, Tailly, Thomas, De Coninck, Vincent, Juliebø-Jones, Patrick, Talso, Michele, Tzelves, Lazaros, and Pietropaolo, Amelia

Subjects
SURGICAL stents, URINARY urge incontinence, MEDICAL sciences, NOCTURIA, BLADDER
Abstract

Objective: To evaluate the impact of coiling of the proximal end of the ureteral stent on stent-related symptoms (SRS) in in subgroup of patients undergoing preoperative ureteral stenting preceding flexible retrograde intrarenal surgery (RIRS). Materials and methods: We performed a prospective comparative study including patients undergoing stent placement 7–10 days prior to RIRS. Patients were divided into 2 groups; in Group 1 coiling of proximal end of the DJ was present, while in Group 2 coiling was absent. Bladder pain, flank pain, hematuria, urgency, frequency, nocturia, and urge incontinence were evaluated on the day of surgery using Visual Analog Score (VAS). Results: In total, 81 patients, 45 males (55.6%) and 36 (44.4%) females were included. Patients in Group 2 had statistically significant severe representation of flank (43.2% vs. 22.7%, p-value = 0.049) and bladder pain compared to Group 1 (48.4% vs. 25.0%, p-value = 0.027). Additionally, they required analgesic medications more frequently (64.9% vs. 34.1%, p-value = 0.006), and experienced significantly more pronounced frequency (p-value = 0.012) and urgency (2.7 vs. 2.1, p-value = 0.033) compared to Group 1. Patients in group 1 recovered from their symptoms more frequently (52.3% vs. 29.7%, p-value = 0.041), occurring on day 4 and 5 following ureteral stenting. Conclusion: Coiling of the proximal end of the DJ stent impacts stent-related symptoms significantly. Better outcomes of post-procedural frequency, urgency, bladder and flank pain were observed in patients in whom coiling was achieved. Moreover, those patients reported faster recovery from SRSs. [ABSTRACT FROM AUTHOR]

Published
2025
Full Text
View/download PDF

34. Foley catheter after ureteroscopy and JJ stent placement: a randomised prospective European Association of Urology Section of Urolithiasis‐Young Academic Urologists (EULIS‐YAU) endourology study.

Author

Sener, Tarik Emre, Ozgur, Gunal, Cetin, Mehmet, Pietropaolo, Amelia, Tzelves, Lazaros, Esperto, Francesco, Somani, Bhaskar, and Tanidir, Yiloren

Subjects
LEUKOCYTE count, URINARY catheters, FIRST grade (Education), VISUAL analog scale, SURGICAL complications, URETEROSCOPY
Abstract

Objectives: To evaluate the effects of inserting a Foley catheter after ureteroscopy (URS) and JJ stent placement on pain scores, voiding patterns, biochemical parameters and postoperative complications. Patients and Methods: A randomised clinical trial (1:1) with adult patients following unilateral URS + JJ stent placement was planned. In Group A, no Foley catheter was placed, in Group B, a Foley catheter was placed following URS + JJ stent placement. The primary objective was to evaluate effect of placing a Foley catheter on International Prostate Symptom Score (IPSS), Ureteric Stent Symptom Questionnaire (USSQ) score and postoperative biochemical parameters. The secondary objective was to evaluate postoperative complications. Results: A total of 112 patients were included (56/group). A ureteric access sheath was used in each patient. Patients had similar demographic and surgical parameters. The pre‐ and postoperative biochemical analyses including white blood cell count, C‐reactive protein, procalcitonin and creatinine levels were similar between the two groups. The IPSS were similar between the two groups. All the subdomains of the USSQ were similar between two groups except Total Body Pain score, which was lower in Group B. The visual analogue scale scores were similar. Complications were all Clavien–Dindo Grade I and II, and the complication rate was 5.4% and 8.9% in Group A and B, respectively. Conclusion: Placing a Foley catheter following URS + JJ stent placement did not show significant effects on postoperative biochemical parameters and voiding symptoms. However, a Foley catheter lowered the Total Body Pain score on the USSQ without having significant effects on VAS scores. The practice of placing a Foley catheter following URS and JJ stent placement should be based on surgeon's preference keeping in mind the potential positive effect on pain scores. [ABSTRACT FROM AUTHOR]

Published
2025
Full Text
View/download PDF

37. Rules and regulations for a pregnant endourologist: the European perspective

Author

Juliebø-Jones, Patrick, Pietropaolo, Amelia, Spinoit, Anne-Francoise, Bergesen, Anne K., Guðbrandsdottir, Gigja, Beisland, Christian, von Ostau, Nicola, Harke, Nina N., Ribal, Maria J., Zerva, Maria, Bres-Niewada, Ewa, Zondervan, Patricia, McLornan, Liza, Ferretti, Stefania, Tonnhofer, Ursula, Necknig, Ulrike Hendrika, Skolarikos, Andreas, and Somani, Bhaskar K.

Published
2022
Full Text
View/download PDF

39. Ureteroscopic treatment of urolithiasis: How do we measure and optimise outcomes?

Author

Smith, Daron, Rossi, Sabrina Helena, Smith, Yuko, Pietropaolo, Amelia, Joshi, Hrishi, and Ratan, Hari

Abstract

Background: Patients with urolithiasis have access to a wide range of efficacious therapeutic surgical options, including shockwave lithotripsy (SWL), retrograde ureteric or intrarenal surgery with semi-rigid and flexible ureteroscopes (URS or fURS) and percutaneous nephrolithotomy (PCNL). In recent years, there have been many peer-reviewed publications evaluating new techniques and new equipment, such as pulse-modulated Holmium:YAG and thulium fibre lasers. However, when reviewing this extensive literature, it becomes apparent that there is no consensus on what constitutes a 'successful' stone treatment outcome. Objectives: The purpose of this article is to review the existing measures of 'success' after the ureteroscopic treatment of urolithiasis and to promote a standardised and holistic approach to reporting outcomes in clinical trials. Methods: Our narrative review focussed on studies examining measures of success in urolithiasis treatment published within the last 10 years. Conclusions: Due to markedly different reported outcome measures of treatments for urolithiasis, comparing results between studies can be difficult. In addition to measuring clinical outcomes, there is an increasing acknowledgement of the importance of patient-reported outcome measures (PROMs) in determining treatment success, and the need to consider the cost-effectiveness and environmental sustainability of various treatments. We suggest that all future studies on this common urological condition should incorporate holistic and tranpsarent outcome measures. Level of evidence: Not applicable [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

41. Trends of "Artificial Intelligence, Machine Learning, Virtual Reality, and Radiomics in Urolithiasis" over the Last 30 Years (1994–2023) as Published in the Literature (PubMed): A Comprehensive Review.

Author

Nedbal, Carlotta, Cerrato, Clara, Jahrreiss, Victoria, Pietropaolo, Amelia, Galosi, Andrea Benedetto, Castellani, Daniele, and Somani, Bhaskar Kumar

Subjects
KIDNEY stones, TECHNOLOGICAL innovations, ARTIFICIAL intelligence, MACHINE learning, KIDNEY physiology
Abstract

Purpose: To analyze the bibliometric publication trend on the application of "Artificial Intelligence (AI) and its subsets (Machine Learning–ML, Virtual reality–VR, Radiomics) in Urolithiasis" over 3 decades. We looked at the publication trends associated with AI and stone disease, including both clinical and surgical applications, and training in endourology. Methods: Through a MeshTerms research on PubMed, we performed a comprehensive review from 1994–2023 for all published articles on "AI, ML, VR, and Radiomics." Articles were then divided into three categories as follows: A-Clinical (Nonsurgical), B-Clinical (Surgical), and C-Training articles, and articles were then assigned to following three periods: Period-1 (1994–2003), Period-2 (2004–2013), and Period-3 (2014–2023). Results: A total of 343 articles were noted (Groups A-129, B-163, and C-51), and trends increased from Period-1 to Period-2 at 123% (p = 0.009) and to period-3 at 453% (p = 0.003). This increase from Period-2 to Period-3 for groups A, B, and C was 476% (p = 0.019), 616% (0.001), and 185% (p < 0.001), respectively. Group A articles included rise in articles on "stone characteristics" (+2100%; p = 0.011), "renal function" (p = 0.002), "stone diagnosis" (+192%), "prediction of stone passage" (+400%), and "quality of life" (+1000%). Group B articles included rise in articles on "URS" (+2650%, p = 0.008), "PCNL"(+600%, p = 0.001), and "SWL" (+650%, p = 0.018). Articles on "Targeting" (+453%, p < 0.001), "Outcomes" (+850%, p = 0.013), and "Technological Innovation" (p = 0.0311) had rising trends. Group C articles included rise in articles on "PCNL" (+300%, p = 0.039) and "URS" (+188%, p = 0.003). Conclusion: Publications on AI and its subset areas for urolithiasis have seen an exponential increase over the last decade, with an increase in surgical and nonsurgical clinical areas, as well as in training. Future AI related growth in the field of endourology and urolithiasis is likely to improve training, patient centered decision-making, and clinical outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

43. Percutaneous Nephrolithotomy (PCNL) for de-novo urolithiasis after kidney transplantation: A systematic review of the literature

Author

Cerrato, Clara, primary, Jahrreiss, Victoria, additional, Nedbal, Carlotta, additional, Ripa, Francesco, additional, de marco, vincenzo, additional, Monga, Manoj, additional, Hameed, BM Zeeshan, additional, Kronenberg, Peter, additional, Pietropaolo, Amelia, additional, Naik, Nithesh, additional, and Somani, Bhaskar K, additional

Published
2024
Full Text
View/download PDF

45. Endourological Management of Ureteral Stricture in Patients with Renal Transplant: A Systematic Review of Literature

Author

Caamiña, Leticia, primary, Pietropaolo, Amelia, additional, Prudhomme, Thomas, additional, Bañuelos, Beatriz, additional, Boissier, Romain, additional, Pecoraro, Alessio, additional, Campi, Riccardo, additional, Dönmez, Muhammet Irfan, additional, Sierra, Alba, additional, Piana, Alberto, additional, Somani, Bhaskar K., additional, and Territo, Angelo, additional

Published
2024
Full Text
View/download PDF

49. Urologists’ opinion on treating asymptomatic stones: Would we treat ourselves as we treat our patients? Survey from European Association of Urology, Young AcademicUrologists, Endourology and Urolithiasis working party

Author

ŞENER, Tarık Emre, primary, TAILLY, Thomas, additional, TANIDIR, Yılören, additional, KELLER, Etienne Xavier, additional, PIETROPAOLO, Amelia, additional, RIVAS, Juan Gomez, additional, HAMEED, Zeeshan, additional, CONINCK, Vincent De, additional, TEFİK, Tzevat, additional, SARICA, Kemal, additional, GÖZEN, Ali Serdar, additional, SKOLARIKOS, Andreas, additional, TRAXER, Olivier, additional, SEITZ, Christian, additional, and SOMANI, Bhaskar, additional

Published
2024
Full Text
View/download PDF

50. Safety and efficacy of ureteroscopy and laser lithotripsy with a single-use 7.5Fr ureteroscope: a multicenter prospective pilot study.

Author

Jahrreiss, Victoria, Akram, Mahir, De Coninck, Vincent, Kamphuis, Guido, Baard, Joyce, Angerri, Oriol, Emiliani, Esteban, Schippers, Sarah, Van Bos, Eva, Pauwaert, Kim, Tailly, Thomas, Pietropaolo, Amelia, and Somani, Bhaskar

Subjects
KIDNEY stones, DIGITAL music, URINARY calculi, SURGICAL complications, TREATMENT effectiveness, URETEROSCOPY, LASER lithotripsy
Abstract

Introduction The treatment of kidney stone disease (KSD) has evolved significantly with the introduction of minimally invasive endourological techniques. Advancements in technology, particularly the transition from fibreoptic to digital and single use systems and the development of smaller-diameter instruments, has improved intraoperative view and efficacy in stone treatment. The miniaturization in single-use scopes represent a recent innovation, offering potential benefits, especially in challenging cases. However, there is limited evidence on their safety and clinical outcomes. This study aims to evaluate the efficacy and safety of stone treatment using a single-use 7.5 Fr flexible ureteroscope. Material and methods Consecutive patients with urinary stones undergoing flexible ureteroscopy with a 7.5 Fr single-use flexible ureteroscope across five tertiary endourology centers were included. Data on patient demographics, stone characteristics, intra- and postoperative outcomes were prospectively collected and analyzed. Procedures were performed by experienced endourology surgeons following standard protocols. Results 50 patients with a mean age of 54.5 years (IQR: 25–65.8) and a male to female ratio of 34:16 underwent flexible ureteroscopy (FURS). Mean cumulative stone size was 18.9 mm (SD ±10.9 mm) with a mean stone volume of 2031.2 mm3 (SD ±2869.4 mm3 ) and mean Hounsfield units of 1087.4 (SD ±384.9). 36 (72%) had multiple stones and a bilateral FURS was performed in 9 cases (18%). 24 patients (48%) had a preoperative stent inserted. A ureteral access sheath was used in 22 (44%) cases and 46 (92%) patients had a postoperative stent inserted. The median operative time was 60min (IQR: 53–90), 32 patients (64%) were stone free after the first procedure (SFR for <2 cm and ≥2 cm stones was 85.2% and 36.2% respectively), perioperative and postoperative complications (Clavien ≤II) were observed in 3 patients (6%). Conclusions This multicentric study demonstrates the safety and efficacy of using the 7.5Fr single-use flexible ureteroscope for urinary stone treatment. While the results are promising, larger studies are needed to validate these findings further. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results