Dr. Timothy Large discusses the role of urine alkalinization in stone treatment, including as a way to reduce stone complexity, cost, morbidity and the burden of stone disease on a patient. Dr. Large shares the case of a 38-year-old female patient with comorbidities and a solitary kidney with a staghorn uric acid kidney stone compromising almost the entire renal pelvis. The patient also presented with challenges to her metabolic system for which Dr. Large discusses how a urine analysis was utilized and urine alkalinization was incorporated into post-operative treatment to reduce the risk of a reoccurring stone event.
In this interview, Juan Calle, MD, discusses how he follows patients once they are stone free and how he utilizes dietary/lifestyle modification and medical management.
In this video, Juan Calle, MD, of Cleveland Clinic, explains what he would tell a young urologist who wants to become an expert in stone prevention and minimizing recurrence.
Dr. Krambeck discusses a percutaneous nephrolithotomy procedure in a 54-year-old woman with a large upper pole stone completely obstructing the upper pole system.
In this video, Bodo Knudsen, MD, of The Ohio State University Wexner Medical Center, Columbus, explains his step-by-step process for obtaining percutaneous access in stone patients.
Dr. Borofsky discusses the ways in which an endoscopic analysis of the renal papilla is a useful alternative to post-procedural stone analysis or 24-hour urine analysis and how it may enable urologists to characterize a patient’s stone disease in real time. He covers both Randall’s plaque and ductal plugging, including how to identify each and important insights that might be useful to understanding a patient’s stone activity. He also discusses some of the potential correlations of these abnormalities with a patient’s underlying metabolic condition and disease progression.
Dr. Kaplan discusses the advantages of robotic surgery in urology, and presents a hard-to-reach complex stone location for which a robotic approach is warranted. He describes the step-by-step technique to perform a robotic-assisted nephrolithotomy and calyceal diverticulectomy in a 65-year-old patient with a 2.4 cm right renal stone.
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.