Endourological Society Newsletter
October, 2016

Endourological Society Report from the Secretary General

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World Endo

Report of My Short-Term Endourology Training in India – July 2016

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I am a young urologist from Nigeria. I developed a keen interest in endourology while undergoing some training in Egypt in 2011, and since then I have been making frantic efforts to improve my skills in endourology procedures. I set out to acquire more knowledge and skill in PCNL in India, in the month of July 2016.

I attended two training courses on PCNL within the month of July 2016, organized by the Indian Association of Urologists, Gujarat. In these courses, we had didactic lectures on management of renal stones, history of PCNL, methodologies and terminologies in PCNL, instrumentation in PCNL, evolutionary trends in the size and model of nephroscopes, as well as expert discussions on various topics such as use of stent, drains, complications and others.

In between the lectures, we had live surgeries to demonstrate the procedure. The resource persons demonstrated their preferred methods of puncture. They demonstrated standard PCNL, mini percutaneous and super percutaneous PCNL many times. I assisted in some of the procedures during the courses.

In addition to the formal training courses, my host, Dr Kapil Thakkar, made an arrangement with three urology hospitals in Surat, Gujarat, for the purpose of training in PCNL. I rotated through these hospitals on a day by day basis, depending on the number of PCNL cases they had on theration list. Overall I was able to assist in 32 PCNL cases during my stay.

In the last week, I left the city of Surat for another city called Bhopal,  where I participated in "Camps in India". This is a free urological camp sponsored by Jai Shivshakti Health & Educational Foundation with the support of Dr Gopal Badlani. In the Bhopal camp I participated actively in 25 PCNL cases under the close supervision of the invited experts.

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In conclusion, it was a worthwhile experience. I have re-learnt the steps in performing PCNL and I have built up my confidence. I appreciate the support from Endourology Society.

 

Respectfully submitted,
Dr. Olukayode Yinka OLUYEMI. MBBS(Ib.); FWACS.

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Endourology Hands On Course in Buenos Aires

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The mission of the Endourological Society’s Global Education Initiative is to facilitate scientific dialogue among endourologists worldwide and educate urologists and trainees on a global basis. To this end, a multi-national faculty of 13 instructors from prestigious institutions in South America, along with Sara Best from the University of Wisconsin, convened this June to conduct the Initiative’s second hands-on skills course in the management of stone disease.

Taking place in Buenos Aires, Argentina with course organization being led by Dr. Norberto Bernardo, the two-day meeting aimed to provide education in the medical and surgical management of nephrolithiasis, including lectures as well as a robust hands-on lab experience using realistic models for ureteroscopy.

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The course drew 92 course attendees from 3 South American nations and particularly aimed to provide delegates with hands-on experience using flexible ureteroscopes, as exposure to these devices during training is frequently limited in these regions. Indeed, only 12% of attendees reported having ready access to this technology in their institutions, though interest in learning how to use and maintain flexible scopes is strong. Reviews of the course were excellent, with many attendees requesting similar events be held more often. The Society already has plans underway for a course in Shanghai to be held November 24th and 25th, 2017.

Respectfully submitted,
Sara Best, M.D.
University of Wisconsin School of Medicine

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34th World Congress of Endourology

8th – 12th November 2016, Cape Town, South Africa

www.wce2016.com

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It gives me great pleasure to update you with the latest news on the World Congress of Endourology 2016 that is in its final preparation phase. We are very proud of hosting this prestigious meeting in Cape Town, South Africa, with its rich culture, history and natural beauty.

The Scientific Committee has put together an excellent program, which has something for everybody. In keeping with our theme for the meeting, which is “Illuminating the future of Endourology”, our program will consist of a variety of captivating speakers in different formats and practical skills lab sessions and breakaway symposiums that will highlight a rich mix of cutting edge debates and update you on the latest reviews of daily clinical issues in our practices. As in London last year, we offer a rich variety of high quality “as live” video sessions from the top surgeons in the world in Endourology. There will also be early morning educational courses as well as industry supported breakaway symposiums.

Focusing on the developing world and try to stimulate interest and growth in Endourology in the African countries, our aim will be to host more than 100 countries at the Cape Town meeting, which has been the aim of the World Endo Initiative.

We have the support and collaboration with several industry partners and key opinion leaders to offer a demonstration of the latest in the technological advances and innovation in a number of endourological, laparoscopic and robotic procedures.

On Tuesday 8 November the meeting kicks off with the international and specialty society meetings:

  • Image Guided Therapy Workgroup.
  • International Society of Urological Stents (ISUS).
  • Society of Urologic Robotic Surgeons (SURS).
  • Indian Endourological Association.
  • Turkish Endourology Platform.
  • Joint Meeting of the EAU Sections of Uro-Technology and (ESUT), Urolothiasis (EULIS).
  • Russian Endourology Society Sub-Group Meeting.
  • Endourological Society Executive Committee.
  • Southern African Endourology Society.

We'll also have the Basic Science Poster Sessions on Tuesday, highlighting the foundation of research upon which the Society grows. The day before the official opening of the WCE 2016 meeting, the SAUA meeting will commence, which will be part of the overall WCE 2016 experience. The SAUA biannual meeting will run in tandem with the WCE meeting and will demonstrate the progress and development of Endourology SA.

During the following 4 days, we ensure that the academic program of the WCE 2016 will prove to be worthwhile in terms of its educational value and it’s chance to rekindle old friendships and offers a break from your busy practices. The confirmed faculty member, at this early stage, is an impressive list of world’s endourological talent. The combined academic program with several state of the art lectures and video sessions where key opinion leaders will educate our delegates, from junior residents to most experienced urologist in private practice. The instructional courses cover every aspect of endourology from flexible ureteroscopy, gaining access for percutaneous renal surgery, as well as the latest robotic and laparoscopic techniques.

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Clinical Research Office of the Endourology Society (CROES)

Invitation to Join Endourology Innovations

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CROES aims to increase our insight in the field of endourology and connect urologists from the entire world through research. During the past 8 years close to 400 centers have participated in different projects.

We currently have the following CROES projects ongoing: A RCT and a registry on IRE for PCa, a RCT on SPIES in NMIBC and a Registry of UTUC.

The first patients have been included in the RCT on IRE for Focal therapy in patients with localized PCa. Also the fifty patients have been included in the registry. CROES welcomes colleges to join the IRE registry and thus collect real life data on IRE treatments. With their help we will be able to obtain insight in indications and outcomes and learn from that. Moreover those colleges will be able to receive feedback from their outcomes compared to performances from other colleagues.

The Registry on Upper Urinary Tumours is proceeding very well, with almost 900 cases being included and more than 100 centers that have started inclusion. The top five of recruiting centers consists of the AMC University Hospital (the Netherlands), Hospital Italiano de Buenos Aires (Argentina), University of Foggia (Italy), Kansai Medical University (Japan) and Medical University of Vienna (Austria). The list shows that the registry is supported by centers from all over the world. We are very pleased that these centers are recruiting a big number of cases but we emphasize that all centers are invited to bring in their cases, also if this number is limited. Although the study is ongoing for more than one year now, it is not too late to join in. We aim to enter cases for the oncoming 5 years and have at least 5 years follow up. Any patient requiring treatment for an upper tract tumor can be included. Treatment can be an open nephroureterectomy or by laparoscopic or robotic approach. But treatment can also include conservative treatment by retrograde Intrarenal surgery. We aim to collect 3000-4000 cases using a uniform and prospective protocol.

Secondly, we would like to invite all centers that use the SPIES technology to join our RCT on SPIES. This study is a multicentre randomized controlled trial in which the recurrence rates of bladder carcinoma between SPIES assisted and WLI assisted TURB are compared. Short and long term follow up will be recorded in order to evaluate the health gains for patients over a longer period. Perioperative (30 days) complications will be compared between the two treatment arms to evaluate the safety of SPIES. We currently have 15 centres that are joining this study and the first patient was included in April 2015. We welcome the teams from Hospital Italiano de Buenos Aires and Moscow City Urological Hospital, who have recently included their first case. Each centre willing to participate should have enough experience and be familiar with SPIES. A centre is considered to have enough experience when a minimum of 10-20 procedures have already been done with SPIES prior to including patients in this study.

There will be a good representation of CROES at the upcoming annuals meetings. Prof. de la Rosette will present an update at the 2016 World Congress on Endourology meeting in Cape Town. The update will be on Friday November 11th at 11.30 hrs. Also there will be three poster presentations on the CROES URS Global study. Dr. White will present on paediatric URS, Prof. Muslumanoglu will present on post stenting after URS and Dr. Krambeck will present on the influence of BMI on the outcomes of URS. At the SIU Annual Meeting 2016 in Buenos Aires Prof. Osther will give a poster presentation on complications associated with URS. This manuscript has recently been accepted for publication in the World Journal of Urology. We invite everybody to attend the CROES update and/or the poster presentations. Also, in the Journal of Endourology we publish a monthly newsletter on CROES with some more background information.

Please feel free to contact the executive director of CROES mrs Sonja van Rees Vellinga (info@croesoffice.org) if you are interested to join any of our projects.

Jean de la Rosette, M.D.
Chair, CROES

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Journal of Endourology: Editorial Box

Ralph Clayman, M.D.
Arthur Smith, M.D.
John Denstedt, M.D.

The past year has been a banner year for Journal of Endourology and Videourology™. The number of downloads are up 8% for the Journal of Endourology and have risen an impressive 77% for Videourology, with over 1,000 videos being viewed each month. The impact factor for the Journal of Endourology is at its highest ever, at 2.107, a robust 23% increase from last year. These significant advances in our readership and viewing public are in no small part due to our discerning editorial focus on the most innovative, emerging topics in endourology including new approaches to BPH therapy, advances in image-guided therapy, fine-tuning robotic oncological and reconstructive procedures, advances in laser therapy for urolithiasis and tissue ablation, application of 3D printing for device and training models, and attention to the latest in teaching modalities, including the use of crowd-sourcing.

Our Journal program was further enhanced by the launch of the new, fully open access sister journal, Journal of Endourology Case Reports. JE Case Reports has proven itself an important new forum for publication of interesting, inovative cases among the global urological community. Launched in October 2015 during the World Congress of Endourology & SWL, JE Case Reports has, in less than a year, been the source of over 17,000 downloads from readers around the globe. This incredible response to a new journal is a sign of the strength of and trust in our program, strength that saw JE Case Reports being accepted for inclusion in PubMed Central. In the coming year, JE Case Reports will also include a section on clinical pearls, tips, and tricks to further benefit our readers.

We are pleased to highlight the “top read” and “top viewed” articles over the past few months in the Journal of Endourology and VideoUrology™:


JOURNAL OF ENDOUROLOGY

Comparison of New Single-Use Digital Flexible Ureteroscope Versus Nondisposable Fiber Optic and Digital Ureteroscope in a Cadaveric Model. Silvia Proietti, Laurian Dragos, Wilson Molina, Steeve Doizi, Guido Giusti, Olivier Traxer

Assessment of Stone Complexity for PCNL: A Systematic Review of the Literature, How Best Can We Record Stone Complexity in PCNL? John Withington, James Armitage, William Finch, Oliver Wiseman, Jonathan Glass, Neil Burgess

A Minimally Invasive Method in Diagnosing Testicular Torsion: The Initial Experience of Scrotoscope. Huamao Ye, Zhiyong Liu, Haifeng Wang, Yifan Chang, Xu Gao, Chuanliang Xu, Jianguo Hou, Yinghao Sun

Trocars: Site Selection, Instrumentation, and Overcoming Complicatiions. Geoffrey S. Gaunay, Sammy E. Elsamra, Lee Richstone

The Clinical Research Office of the Endourological Society Ureteroscopy Global Study: Indications, Complications, and Outcomes in 11,885 Patients. Jean de la Rosette, John Denstedt, Petrisor Geavlete, Francis Keeley, Tadashi Matsuda, Margaret Pearle, Glenn Preminger, Olivier Traxer, on behalf of the CROES URS Study Group

Hemostatic Plug: Novel Technique for Closure of Percutaneous Nephrostomy Tract. Joel E. Abbott, Arman Cicic, Roger W. Jump III, Julio G. Davalos

Contemporary Practice Patterns of Flexible Ureteroscopy for Treating Renal Stones: Results of a Worldwide Survey. Casey A. Dauw, Laika Simeon, Abdulrahman F. Alruwaily, Francesco Sanguedolce, John M. Hollingsworth, William W. Roberts, Gary J. Faerber, J. Stuart Wolf Jr., Khurshid R. Ghani

Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy Versus Extracorporeal Shockwave Lithotripsy for Treatment of Lower Pole Renal Stones: A Meta-Analysis and Systematic Review. Wei Zhang, Tie Zhou, Tengyun Wu, Xiaofeng Gao, Yonghan Peng, Chuanliang Xu, Qi Chen, Ruixiang Song, Yinghao Sun

Effect of Playing Video Games on Laparoscopic Skills Performance: A Systematic Review. Daniel Glassman, Marina Yiasemidou, Hiro Ishii, Bhaskar Kumar Somani, Kamran Ahmed, Chandra Shekhar Biyani

Understanding the Ureter: Challenges and Opportunities. Alyssa Park, Ramakrishna Venkatesh

VideoUrology

Suctioning Flexible Ureteroscopy with Automatic Control of Renal Pelvic Pressure. Xiaolin Deng, Leming Song, Donghua Xie, Lunfeng Zhu, Lei Yao, Jianrong Huang,Shulin Guo, Zuofeng Peng

Blue Light Cystoscopy with Cysview: The USC Experience. Soroush T. Bazargani, Hooman Djaladat, Anne K. Schuckman, Cory M. Hugen,Siamak Daneshmand

Thulium Vapoenucleation of the Prostate: Surgical Technique from Vaporization to Vapoenucleation. David Leavitt, Christian Tiburtius, Christopher Netsch, Zeph Okeke, Thomas Herrmann, Arthur Smith, Andreas Gross

Freehand Ultrasound-Guided Transperineal Prostate Biopsy: Technique and Early Results. John Michael DiBianco, Mathew Allaway

Troubleshooting During Percutaneous Renal Access. Adam Berneking, John M. Farmer Jr., Ramakrishna Venkatesh

How to Insert a Foley Catheter Just After Transurethral Resection of the Prostate. Yu Seob Shin, Jae Hyung You, Jong Kwan Park

Micropercutaneous Nephrolithotomy in Toddlers and Preschool Children: How We Do It? Vinodh Murali, Shashikant K. Mishra, Arvind P. Ganpule, R.B. Sabnis, Mahesh Desai

Mid-Term Follow-Up of “En Bloc” Resection of Nonmuscle Invasive Bladder Cancer: Results from a Prospective Single-Center Study. Rodolfo Hurle, Massimo Lazzeri, Piergiuseppe Colombo, NicolòMaria Buffi, Emanuela Morenghi, Roberto Peschechera, Luigi Castaldo, Luisa Pasini, Paolo Casale, Mauro Seveso, Silvia Zandegiacomo, Gianluigi Taverna, Alessio Benetti, Giovanni Lughezzani, Girolamo Fiorini, Giorgio Guazzoni

Management of Venous Tumor Thrombus Encountered During Robot-Assisted Partial Nephrectomy for Renal Cell Carcinoma. Firas G. Petros, Edward Nickerson, Geoffrey Neal Box

Step by Step Flexible Ureteroscopy Supported with SPIES Technology for Conservative Treatment of UTUC. Guido Giusti, Silvia Proietti

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