Journal of endourology最新文献

{"title":"GRAND Study Should Not Prohibit Urologists From Offering Bilateral Same Session Ureteroscopy to Appropriate Patients with Bilateral Urolithiasis.","authors":"Ansh Bhatia, Joao G Porto, Archan Khandekar, Diana M Lopategui, Robert Marcovich, Hemendra N Shah","doi":"10.1089/end.2024.0540","DOIUrl":"10.1089/end.2024.0540","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"e327-e328"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neighborhood Socioeconomic Disadvantage is Associated with Worse Urinary Risk Factors and Access to Medical Management for Urolithiasis.","authors":"Louisa Ho, Cyrus Chehroudi, Benjamin Jevnikar, Delaney Ryan, Jorge Gutierrez-Aceves, Sri Sivalingam, Smita De, Anna M Zampini","doi":"10.1089/end.2024.0384","DOIUrl":"10.1089/end.2024.0384","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Medical management of recurrent kidney stones utilizes 24-hour urine testing to guide counseling and therapy. Poor socioeconomic status is a well-established risk factor for urolithiasis; however, associations are often based on complex statistics not readily accessible in clinical practice. Area Deprivation Index (ADI) is a quantitative measure of socioeconomic status based on United States census variables reflecting neighborhood disadvantage and is reportable in the electronic medical record. This study aimed to characterize relationships between ADI and metabolic risk factors for urolithiasis. <b><i>Materials and Methods:</i></b> Retrospective review of patients undergoing percutaneous nephrolithotomy (PCNL) from 2017 to 2022 was performed. Addresses were geocoded to national ADI scores, with the lowest quartile (scores 1-25) representing the least, and the top quartile (76-100) the most disadvantaged. Demographics, comorbidities, 24-hour urine parameters, stone composition, and stone prevention medication prescriptions were evaluated. <b><i>Results:</i></b> A total of 1859 patients underwent PCNL during the study period, of whom 900 completed a 24-hour urine study. There were more female and black patients (55.3% <i>vs</i> 42.2% <i>p</i> = 0.032; 16.2% <i>vs</i> 3.9% <i>p</i> < 0.001, respectively) in the most disadvantaged quartile. Patients with a higher ADI were less likely to undergo 24-hour urine testing compared with the least disadvantaged quartile (44.2% <i>vs</i> 63.6%, <i>p</i> < 0.001). Higher ADI score was also associated with lower 24-hour urine volume and citrate. <b><i>Conclusions:</i></b> Higher ADI is associated with multiple risk factors for recurrent urolithiasis including lower 24-hour urine study completion rate, low urinary volume, and hypocitraturia. ADI may serve as a simple clinical tool to identify patients in high need of metabolic stone prevention and more comprehensive endourologic care.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"314-321"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Performance of ChatGPT in Urology: Comment.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1089/end.2024.0373","DOIUrl":"10.1089/end.2024.0373","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"e333"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Letter to the Editor:</i> Reply to \"The Impact of External Sphincter Grading after Early Apical Release Holmium Laser Enucleation of the Prostate on Postoperative Stress Urinary Incontinence\".","authors":"Mohamed Omar","doi":"10.1089/end.2024.0878","DOIUrl":"10.1089/end.2024.0878","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"e326"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction.","authors":"Chandru P Sundaram","doi":"10.1089/end.2025.68455.intro","DOIUrl":"https://doi.org/10.1089/end.2025.68455.intro","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":"39 S1","pages":"S1"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single Port Transvesical Robot Assisted Radical Prostatectomy.","authors":"Roxana Ramos, Nicolas Soputro, Adriana M Pedraza, Jaya S Chavali, Carter Mikesell, Jihad Kaouk","doi":"10.1089/end.2024.0291","DOIUrl":"https://doi.org/10.1089/end.2024.0291","url":null,"abstract":"<p><p>Single-port (SP) transvesical (TV) robot-assisted radical prostatectomy (RARP) is an extraperitoneal approach that regionalizes surgery to the area of disease, therefore sparing surrounding tissues to promote a fast recovery and early return of functional outcomes. The technique is possible because of the narrow profile of the SP robotic arm, the fully wristed endoscope, and the double-jointed instruments. SP TV RARP is indicated in men with clinically localized prostate cancer. The access to the bladder is obtained in an open fashion through a 3.5 cm midline incision. Once the patient cart is docked, the console surgeon dissects the prostate in the following order: posterior bladder neck, vas deferens and seminal vesicles, anterior bladder neck, neurovascular pedicles, and apex. Subsequently, the urethra is transected, and the prostatic specimen is extracted. At this point, a limited pelvic lymph node dissection can be done in the obturator fossa of each side. Finally, a vesicourethral anastomosis is performed starting with a posterior reconstruction and suturing bilaterally toward the anterior portion of the bladder neck. In our experience of 210, all cases have been performed successfully without conversion or the use of additional ports. There was minimal blood loss (median 70 mL). The median console time was two hours. Most patients underwent nerve-sparing procedures (87.1%). Lymph node dissection was done in 22.4% of cases with a median node yield of four. Ninety-two percent of planned outpatient cases were discharged in < 24 hours with a median length of stay of 4.7 hours, low pain scores, and 96.2% without an opioid prescription. This video article aims to provide a detailed description of the updated surgical technique, discuss special scenarios, and present updated outcomes from a large series of SP TV RARP cases.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":"39 S1","pages":"S39-S46"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic Burden of Imaging and Interventions in Endourology: A Worldwide Cost Analysis from European Association of Urology Young Academic Urology Endourology and Urolithiasis Working Party.","authors":"Amelia Pietropaolo, Etienne Xavier Keller, Tarik Emre Sener, B M Zeeshan Hamed, Arman Tsaturyan, Eugenio Ventimiglia, Patrick Juliebø-Jones, Christian Beisland, Ioannis Mikoniatis, Lazaros Tzelves, Vincent De Coninck, Frederic Panthier, Michael Chaloupka, Ewa Bres-Niewada, Alba Sierra Del Rio, Laurian Dragos, Nariman Gadzhiev, Anil Shrestha, Azimdjon Tursunkulov, Khurshid R Ghani, Chinnakhet Ketsuwan, Alexandre Danilovic, Felipe Pauchard, Hatem Kamkoum, Johan Cabrera, Mariela Corrales, Yazeed Barghouthy, Jia-Lun Kwok, Theodoros Tokas, Catalina Solano, Pablo Nicolas Contreras, Saeed Bin Hamri, Naeem Bhojani, A Carolien Bouma-Houwert, Thomas Tailly, Otas Durutovic, Bhaskar K Somani","doi":"10.1089/end.2024.0673","DOIUrl":"https://doi.org/10.1089/end.2024.0673","url":null,"abstract":"<p><p><b><i>Background and Objective:</i></b> The cost of imaging and interventions in the surgical field varies between countries and sometimes within different regions of the same country. Procedural cost takes into account equipment, consumables, operating room, surgical, anesthetic and nursing teams, radiology, medications, and hospital stay. Health care systems therefore face an incredible burden related to investigations and surgical procedures. The aim of this study was to collect costs of imaging and interventions for kidney calculi across different hospitals and health care systems in the world. <b><i>Methods:</i></b> An online shared Google spreadsheet was created by the European Association of Urology Young Academic Urology urolithiasis group. The survey consisted of the cost of four radiological imaging (ultrasound of the urinary tract [USS], plain X-ray radiography of the abdomen including kidneys, ureter, and bladder [XRKUB], noncontrast-enhanced computerized tomography [CTKUB], and contrast-enhanced CT with urographic phase [CTU]) and seven interventions (endoscopic laser treatment of renal stones, ureteroscopic treatment or extraction of ureteral stones, percutaneous nephrolithotomy (PCNL), insertion of ureteral stent, diagnostic ureteroscopy, and cystolitholapaxy). A chosen representative from each country collected and collated the data, and this was converted to Euros (€). <b><i>Key Findings and Limitations:</i></b> Data were collected from 32 countries, which include Turkey, Armenia, Nepal, Uzbekistan, Brazil, Chile, Qatar, Peru, Israel, Singapore, Thailand, Colombia, Argentina, Saudi Arabia, Asia, North America, 15 countries from the European continent, and the United States. The mean cost of USS, XRKUB, CTKUB, and CTU was 51.3 € (range: 2-160 €), 27.1 € (range: 2.5-187 €), 105.8 € (range: 19-405 €), and 171.5 € (range: 19-674 €), respectively. Similarly, the cost of endoscopic laser treatment of renal stones, ureteroscopic treatment/extraction of ureteral stones, PCNL, insertion of ureteral stent, diagnostic ureteroscopy, and cystolitholapaxy was 1942.6 € (range: 100-7887 €), 1626.8 € (range: 80-9787 €), 2884.6 € (range: 110-12642 €), 631 € (range: 110-2787 €), 861.6 € (range: 3-2667 €), and 876 € (range: 19-3457 €), respectively. Wide differences in cost between countries were found within the study. <b><i>Conclusions and Clinical Implications:</i></b> This study highlights the significant economic impact of kidney stone management on health care systems worldwide. There seem to be significant disparities between costs, and this study shows the social and economic inequalities in health care access, which can differ significantly between private and public health care. These results can aid policymakers to address these disparities and perhaps to learn from other health care providers.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Minimally Invasive Nephrectomy Following Immune-Checkpoint Inhibitor Therapy: A Multicenter Propensity Score-Matched Analysis.","authors":"Alireza Ghoreifi, Farshad Sheybaee Moghaddam, Stephan Bronimann, Thomas Gerald, Emma K Helstrom, Ekamjit S Deol, Sina Sobhani, Zine-Eddine Khene, Inderbir S Gill, R Houston Thompson, Isamu Tachibana, Abhinav Khanna, Randall Lee, Robert Uzzo, Vitaly Margulis, Nirmish Singla, Hooman Djaladat","doi":"10.1089/end.2024.0614","DOIUrl":"https://doi.org/10.1089/end.2024.0614","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> To report the outcomes of minimally invasive (MIS) nephrectomy following immune checkpoint inhibitor (ICI) therapy. <b><i>Materials and Methods:</i></b> This multicenter retrospective cohort study included consecutive patients who underwent nephrectomy following ICI therapy at five high-volume US academic centers between 2015 and 2023. Baseline clinical features and perioperative findings were recorded. After propensity-score matching (PSM), outcomes were compared between MIS and open nephrectomies. The primary outcome was 90-day complications, and secondary outcomes included length of hospital stay (LOS) and 90-day readmission. <b><i>Results:</i></b> A total of 158 patients were included, of whom 76 and 82 underwent MIS and open nephrectomies, respectively. The MIS procedures included robotic (<i>n</i> = 56) and laparoscopic (<i>n</i> = 20). A total of six (8%) patients converted to open. On multivariable analysis, patients with nonmetastatic <i>vs</i> metastatic renal-cell carcinoma (RCC) (hazard ratio [HR] 3.1, <i>p</i> = 0.01), those with smaller tumor size (HR 1.2 for each cm, <i>p</i> = 0.001), and no clinical evidence of inferior vena cava thrombus (HR 29, <i>p</i> = 0.002) were more likely to undergo the MIS approach compared with open approach. After PSM, including 56 MIS and 36 open nephrectomies, the MIS group compared with the open group had lower estimated blood loss (100 <i>vs</i> 460 mL, <i>p</i> < 0.001) and shorter LOS (2 <i>vs</i> 4 days, <i>p</i> < 0.001). Nevertheless, 90-day complications and readmissions were similar between the two groups. There were no 90-day mortality rates in either group. <b><i>Conclusion:</i></b> The MIS approach appears safe and offers more favorable perioperative outcomes compared with open surgery in properly selected patients with advanced RCC who are candidates for nephrectomy following ICI therapy.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leadership and Speaker Diversity in the Endourological Society: A Retrospective Study 2017-2019 and 2023.","authors":"Marianne Brehmer, Sara Best, Jean Joseph, Zeph Okeke, Kymora B Scotland, Brian Matlaga, Michelle J Semins","doi":"10.1089/end.2024.0470","DOIUrl":"https://doi.org/10.1089/end.2024.0470","url":null,"abstract":"<p><p>A commitment to diversity and inclusivity within an organization can influence its success. The Endourological Society convened a task force to assess its baseline diversity and inclusivity. The aim of this investigation was to determine diversity across various spaces of the Society to better define imbalances and aid in long-term strategic planning. This task force assessed the Society's annual World Congress of Endourology and Technology programming from 2017 to 2019 and 2023 as well as leadership over the lifetime of the Society. In all programming areas, there was a domination of male speakers, predominantly those from North America. Similarly, women are largely underrepresented in Society leadership across the executive board, board of directors, committee chair positions, and Society award winners, although representation has increased since 2019. Based on these findings a diversity, equity, inclusion committee was established to actively work on increasing and supporting demographic diversity.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Anteriorly Located Renal Caliceal Stones with Two Different Techniques (Mini-Percutaneous Nephrolithotomy <i>vs</i> Flexible Ureteroscopic Laser Lithotripsy): A Critical Comparative Evaluation of the Outcomes.","authors":"Ferhat Yakup Suçeken, Murat Akgül, Elif Ertaş, Ali Selim Durmaz, Emre Burak Şahinler, Alper Aşık, Hikmet Yaşar, Eyüp Veli Küçük, Kemal Sarıca","doi":"10.1089/end.2024.0888","DOIUrl":"https://doi.org/10.1089/end.2024.0888","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> To evaluate the efficacy and safety of two different approaches, flexible ureteroscopic laser lithotripsy (fURS) and mini-percutaneous nephrolithotomy (mini-PCNL), for the minimally invasive management of anteriorly located caliceal stones in a location-based manner. <b><i>Materials and Methods:</i></b> A total of 93 patients with anterior caliceal stones (<15 mm) were treated with following two different modalities: fURS (<i>n</i> = 52, 55.9%) (Group 1) and mini-PCNL (<i>n</i> = 41, 44.1%) (Group 2). Demographic, per-operative, and postoperative parameters were comparatively evaluated in both groups. <b><i>Results:</i></b> The groups were similar in terms of their demographic data and stone characteristics (<i>p</i> > 0.05). Operation, fluoroscopy time, and hospital stay were significantly longer in Group 2 (<i>p</i> < 0.001). The perioperative complication and overall stone-free rates were similar between the groups (<i>p</i> = 0.44 and <i>p</i> = 0.53, respectively). However, when the stone-free rates were examined according to the calix groups, Group 2 was significantly more effective in terms of stone-free rates in the lower calix (52% <i>vs</i> 84%, <i>p</i> = 0.03). Although not statistically significant, more postoperative complications were observed in Group 2 (<i>p</i> = 0.09). <b><i>Conclusion:</i></b> Our findings demonstrate that although mini-PCNL may be performed well through a caliceal puncture to remove lower caliceal stones with a high stone clearance rate, the fURS approach may be safer and more rational for the removal of stones located in the middle and upper anterior calices.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}