Single-access PCNL feasible for first-line treatment of staghorn calculiFebruary 28th 2020
Single-access percutaneous nephrolithotomy can clear the vast majority of staghorn stones with minimal morbidity, said Tim Large, MD, at the 2019 World Congress of Endourology and SWL in Abu Dhabi.
Pharmacotherapy reduces recurrence risk for aggressive stone diseaseFebruary 28th 2020
Pharmacotherapy for reducing risk of stone recurrence is best reserved for patients with more aggressive disease who are at higher risk for another stone-related event, said Brett A. Johnson, MD, at the 2019 World Congress of Endourology and SWL in Abu Dhabi.
Protocol cuts opioid prescribing in stone patientsNovember 26th 2019
Researchers in Tennessee are finding success with the use of an Enhanced Recovery After Surgery pathway that provides standardization for the anesthetic care and postoperative management of patients undergoing ureteroscopy and stent placement with a novel approach that minimizes opioid exposure.
System tracks stent insertion, removal in EMROctober 22nd 2019
Forgotten stents are one of the most common challenges urologists and their patients face, and they can cause significant complications and increase costs of care. Now, a program that tracks stent insertion and removal in the electronic medical record shows strong potential to help eliminate retained stents.
High rate of residual fragments seen after URSOctober 21st 2019
High rates of residual fragments after ureteroscopy point to the need to both improve selection of patients for this procedure and find ways to boost stone-free rates, according to researchers at UT Southwestern Medical Center, Dallas.
Percutaneous access: Principles and best practicesJuly 9th 2019
In this interview, Bodo Knudsen, MD, outlines his step-by-process for obtaining percutaneous access, discusses the ways he reduces radiation exposure during percutaneous nephrolithotomy, and gives his thoughts on how clinicians can gain proficiency with access.
Holmium, thulium lasers show similar ablative effect on stonesJuly 9th 2019
The high-power holmium laser with Moses technology (Lumenis Moses Pulse 120H) and the super-pulse thulium fiber laser (SPTF) have a similar ablative effect when operated at the same power, but when evaluated at maximal dusting settings, the SPTF laser seems to hold an advantage for greater efficiency, according to research reported at the AUA annual meeting in Chicago.
Emergent setting linked to lost follow-up for stentsMay 8th 2019
Patients with ureteral stents are rarely lost to follow-up, but the risk is increased when patients are stented in an emergent setting rather than as part of an elective procedure, Yale University urologists reported at the 2018 World Congress of Endourology in Paris.
Device measures force during UAS insertionMarch 29th 2019
A novel investigational ureteral access sheath force sensor served as an effective tool for the safe deployment of a ureteral access sheath in initial clinical experience, researchers reported at the 2018 World Congress of Endourology and SWL in Paris.
Protocol improves pyelonephritis/sepsis managementJanuary 29th 2019
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.
ROCKS study takes big initial step in improving careJanuary 25th 2019
"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.
Nearly 10% of URS patients visit emergency roomJanuary 25th 2019
An analysis of nearly 2,000 patients undergoing ureteroscopy found that approximately 10% of the cohort had an emergency department visit after the procedure, a figure a statewide quality improvement initiative is looking to reduce via patient education regarding ureteral stents.