Dr. Dangle shows that pediatric ureteroscopy is safe and feasible with good results and without long-term sequelae on the ureters.
This video shows a case of semi-rigid ureteroscopy with laser lithotripsy for ureteral stone in a child, who is rendered stone free without pre-stenting.
This video of bilateral ureteroscopy in a 16-year-old male with cystinuria highlights several pragmatic strategies for efficient ureteroscopy while minimizing ionizing radiation.
Dr. Ko performs an endoscopic combined intrarenal surgery (ECIRS) in prone PCNL position to treat a 70-year-old patient with challenging anatomy and a large volume of stones in his left kidney. He combines this technique with the bull’s-eye approach to provide accurate access into the collecting system. Dr. Ko discusses the unique challenges of the patient’s anatomy and his step-by-step approach to gain access, in the safest possible way without causing complications, through stent placement.
Super-mini percutaneous nephrolithotomy may have some advantages over retrograde intrarenal surgery when treating 1- to 2-cm lower pole renal calculi, according to a comparative study.
Part 1: In the first installment of a two-part series on managing patients who have had a reconstruction, Mr. Oliver Wiseman talks about a strategy for gaining access in patients when a retrograde approach is unsuccessful. He presents his approach to gaining antegrade access in a 60-year-old male with bilateral upper ureteric stones who previously had a cystoprostatectomy and urethrectomy, as well as a key recommendation around post-operative imaging in these types of patients.
Part 2: In the second installment of the series on managing patients who have had a reconstruction, Mr. Oliver Wiseman discusses his approach to gaining retrograde access to treat a lower pole stone in a 45-year-old female with a transplant kidney. The patient had been referred to him after an unsuccessful stent insertion.
Implementation of a hospital-wide clinical care protocol for managing obstructive pyelonephritis and sepsis from stones shows potential for improving patient outcomes, according to the experience of researchers at New York-Presbyterian Hospital, Columbia University Irving Medical Center, New York.
Discharging patients without opioids for pain control after undergoing outpatient ureteroscopy with stent placement appears to be feasible, results of a pilot study show.
"The concept of 'surgical quality' is emerging as an important component of health care delivery. At present, though, there is no universally accepted definition of what surgical quality is; indeed, this term may mean different things to different physicians, patients, and others," writes Brian R. Matlaga, MD, MPH.