Endourology Sound Bites #9: Eduardo Mazzucchi, MD on Lithotripsy in PCNL

Dr. Matlaga January 2019
In this episode Dr. Mazzucchi discusses lithotripsy in PCNL. One of the landmarks in PCNL was the advent of intracorporeal lithotripters which made possible the treatment of bigger stones. Among the most used lithotripters are the ultrasonic, ballistic, combination models and holmium laser. All of them are safe; ultrasonic models produce tiny fragments which are eliminated through a suction device coupled to the lithotripter. Ballistic lithotripters are more effective for breaking hard stones. Combination devices ally the advantages of ultrasonic and ballistic lithotripters. Laser devices achieve the same stone-free rate when compared to ultrasonic or combination lithotripters but with longer operative time.

Endourology Sound Bites #8: Do We Need a Guidewire for Ureteroscopy?

Dr. Matlaga January 2019
In this episode Dr. Nakada discusses wireless ureteroscopy and explains a technique called "the ureteroscope as the safety wire." This podcast gives details on the pros, cons, and ideal clinical settings for this approach.

Endourology Sound Bites #7: How to Minimize Bleeding Complications During Partial Nephrectom

Dr. Matlaga December 2018
In 2017 AUA guidelines for localized renal cancer were updated which allow an expanded role for partial nephrectomy. Robotic-assisted laparoscopic partial nephrectomy (RALPN) has emerged as a standard technique which offers minimally invasive advantages to the patient and technical advantages to the surgeon with improved visualization and dexterity during precise excision of the tumor and renorrhaphy. It also allows using intraoperative ultrasound and imaging with ICG. However, RALPN is a technically challenging surgical procedure. Understanding risk and knowing principles to minimize complications help in mitigating its occurrence. In this podcast Ashok K. Hemal will navigate through these challenges.

Endourology Sound Bites #6: Any Role for Medical Expulsive Therapy in Treating Ureteral Stones?

Dr. Matlaga December 2018
In episode 6 of the Endourology Sound Bites Podcast Series Matthew Bultitude will summarize and critique the evidence for medical expulsive therapy for promoting spontaneous stone passage for ureteral stones. This has been a contentious area in recent years and he will give a summary of the evidence to date and his opinions on the role of medical expulsive therapy in 2018 and his recommendations he gives to patients to promote stone passage.