Minimally Invasive Procedures

Ureteral stents are indispensable in urological practice, yet they remain a leading source of procedure-related morbidity. Stent-associated pain, urinary symptoms, encrustation, and the need for secondary removal procedures represent a substantial burden for patients and healthcare systems alike. This tension between clinical necessity and patient tolerability motivated our group, in collaboration with the EAU Endourology Section, to conduct a comprehensive scoping review of contemporary and emerging ureteral stent technology.

To evaluate the safety, feasibility, and technical performance of a handheld robotic guidance system for ultrasound-guided percutaneous procedures across multiple procedural domains.

A prospective, single-center, open-label feasibility study evaluated the Focalist™ handheld robotic guidance system (Mendaera Inc.

To develop an artificial intelligence (AI) system for anatomical recognition that can automatically identify key anatomical structures during bladder neck dissection in robot-assisted radical prostatectomy (RARP), a critical yet technically demanding step.

Simulation has become central in flexible ureteroscopy training and research; however, the lack of standardized and reproducible models limits objective performance assessment. We aimed to evaluate the reliability and reproducibility of laser lithotripsy using morphology-specific artificial stones (AS) within a standardized ex vivo platform and to assess whether the model could detect operator-dependent differences in lithotripsy performance.

To compare minimally invasive surgical therapies (MISTs) for benign prostatic obstruction (BPO) using probabilistic multicriteria decision analysis that integrates heterogeneous clinical outcomes under varying stakeholder priorities.

Robot-assisted ureteral reconstructive surgery (RAURS) has become an increasingly important approach for ureteral stricture disease, ureteral injury, ureteral reimplantation, ureteroplasty, and other complex reconstructive scenarios.

Robot-assisted nephrectomy with renal vein or inferior vena cava (IVC) tumor thrombectomy is a technically demanding procedure used in selected patients with renal cell carcinoma (RCC) and venous tumor thrombus.

Background and Clinical Significance: Metallic stents represent a breakthrough in the treatment of ureteric obstruction, improving patient quality of life. Despite their advantages, management of encrustation remains a difficult complication to address.

Aquablation is a semi-automated, ejaculation-sparing surgical option for treatment of benign prostatic hyperplasia (BPH). While previous studies have demonstrated that approximately 50 cases are required to achieve surgical competence in prostate laser enucleation, objective evaluations of Aquablation learning curve remain limited.

Benign prostatic obstruction (BPO) in frail patients often presents a complex therapeutic dilemma, requiring clinicians to balance procedural safety, treatment efficacy, and the challenges associated with polypharmacy. These considerations have become increasingly important in contemporary urological practice, where treatment decisions must be individualized according to patient comorbidities, functional status, and overall therapeutic burden.