Minimally Invasive Urological Procedures and Related Technological Developments-Series 2

• Other Authors: Somani, Bhaskar K (Editor)
• Format: Electronic Book Chapter
• Language: English
• Published: Basel MDPI - Multidisciplinary Digital Publishing Institute 2023
• Subjects: Medicine; Surgery; laser lithotripsy; pediatric urolithiasis; pneumatic lithotripsy; vesical stone; urinary catheters; catheters; indwelling; catheter-related infections; urolithiasis; kidney calculi; tap water; mineral composition; kidney stones; radiomics; therapeutic applications; mini-PCNL; ultrasound guidance; GMSV position; wearable healthcare devices; fitness devices; wearable technology; infotainment; mobile health; endourology; intrapelvic pressure; intrarenal pressure; ureteroscopy; holmium YAG; thulium fiber laser; lithotripsy; laser settings; laser efficiency; laser safety; laser usability; antithrombotic therapy; transurethral resection of the prostate; postoperative hemorrhage; venous thromboembolism; laser; paediatric; stent; elderly; prostate enucleation; laser power; holmium; HoLEP; n/a
• Online Access: DOAB: download the publication; DOAB: description of the publication

We are in the modern era of innovations, technological developments and minimisation in the field of urology. While laparoscopy and robotic surgery have revolutionised pelvic and upper tract oncology, there is continuous evolution and increasing use of these in the field of benign conditions and paediatric urology. As lasers have changed endourology, new minimally invasive surgical techniques (MISTs) have given a new meaning to benign prostate hyperplasia (BPH) surgery. Oncological developments for prostate cancer now include treatments such as robotic prostatectomy, brachytherapy, radiotherapy, cryotherapy and HIFU. Robotic partial nephrectomy and cryotherapy have changed the face of renal cancer. While robotic cystectomy is also gaining popularity for muscle-invasive bladder cancer, new concepts of En-bloc resection of bladder cancer are emerging and being increasingly adopted. MISTs for BPH include laser (Holmium, thulium and green light), water-based treatments (Rezum, Aquablation) and other minimally invasive procedures such as prostate artery embolisation (PAE), TIND and Urolift. There is increasing emphasis on the role of suction in endourological procedures, while the quest for better intrarenal pressure and temperature monitoring continues. The use of Thulium fibre laser (TFL), Moses technology and small disposable ureteroscopes all help in pushing the boundaries of ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) procedures. These new technological developments have led to improvements in patients' quality of life (QoL), shorter hospital stays and reductions in complication rates.