Somani, Bhaskar K

Minimally Invasive Urological Procedures and Related Technological Developments - Basel, Switzerland MDPI - Multidisciplinary Digital Publishing Institute 2021 - 1 electronic resource (142 p.)

Open Access

The landscape of minimally invasive urological intervention is changing. A lot of new innovations and technological developments have happened over the last 3 decades. Laparoscopy and robotic surgery have revolutionised kidney and prostate cancer treatment, with more minimally invasive procedures now being carried out than ever before. At the same time, technological advancements and the use of laser have changed the face of endourology. Several new innovative treatments are now commonplace for benign prostate enlargement (BPE). Management of prostate cancer now involves procedures such as robotic prostatectomy, brachytherapy, radiotherapy, cryotherapy and HIFU. Robotic partial nephrectomy and cryotherapy have changed the face of renal cancer. En-bloc resection of bladder cancer is challenging the traditional management of non-muscle invasive bladder cancer and becoming commonplace, while robotic cystectomy is also gaining popularity for muscle invasive bladder cancer. Newer surgical intervention related to BPE includes laser (holmium, thulium and green light), water-based treatment (Rezum, Aquablation) and other minimally invasive procedures such as prostate artery embolisation (PAE) and Urolift. Endourological procedures have incorporated newer laser types and settings such as moses technology, disposable ureteroscopes (URS) and minimisation of percutaneous nephrolithotomy (PCNL) instruments. All these technological innovations and improvements have led to shorter hospital stay, reduced cost, potential reduction in complications and improvement in the quality of life (QoL).


Creative Commons


English

books978-3-0365-2709-3 9783036527086 9783036527093

10.3390/books978-3-0365-2709-3 doi


Medicine
Surgery

partial nephrectomy single site surgery sutureless CEUS contrast-enhanced ultrasound renal ultrasound image quality small renal mass (3–5) kidney stones metabolic syndrome urolithiasis nephrolithiasis kidney calculi diabetes mellitus acute kidney injury percutaneous nephrolithotomy urology artificial intelligence machine learning urinary incontinence kidney stone disease fertility reproductive urology renal cell carcinoma hydronephrosis urinary reflux endourology pediatric urology prostate cancer bladder cancer nephrostomy quality of life survival decision making ureteroscopy laser RIRS Moses holmium mineral water mineral composition drinking water still water sparkling water Ho:YAG laser thulium fiber laser laser fiber lithotripsy chronic prostatitis chronic pelvic pain syndrome extracorporeal shockwave therapy ESWT NIH-CPSI EHS IIEF-5 QoL urosepsis laser lithotripsy predictor factors PCNL renal tumour AI TFL