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- Zachary Klaassen discusses small renal masses with Phillip Pierorazio, exploring management approaches for tumors under 4 centimeters. Dr. Pierorazio emphasizes that while most small renal masses are cancerous, they have less than 1% chance of metastasis, allowing for a range of treatment options. The discussion covers the value of surveillance as a first-line approach, along with surgical options...
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- Zach Klaassen and Sam Chang discuss the ZIRCON trial, which highlights a novel PET-CT imaging modality targeting carbonic anhydrase IX (CAIX) for diagnosing small renal masses, particularly clear cell renal cell carcinoma (ccRCC). They emphasize its high sensitivity and specificity, non-invasive nature, and potential to reduce unnecessary biopsies and surgeries. The imaging tool aids in shared dec...
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- At the 2024 LUGPA annual meeting, Thomas Mueller presents the SURE Procedure with CVAC System, a novel ureteroscopic technology combining microjet irrigation and dynamic aspiration. He demonstrates improved stone clearance rates, visualization, and fragment removal compared to standard ureteroscopy through clinical cases and ASPIRE study data. Biographies: Thomas Mueller, MD, Urologist, New Jersey...
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- Amy Reed discusses a study on diversity, equity, and inclusion in urolithiasis clinical trials over the past two decades. The research analyzes 180 trials, examining patient enrollment by race, ethnicity, and sex. Using a representation quotient, the study finds that white patients are adequately represented, Black patients are overrepresented, while Hispanic and mixed-race patients are underrepre...
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- David Albala discusses the emerging field of telesurgery. Dr. Albala highlights the evolution from traditional surgical training to robotic surgery, and now to telesurgery, where surgeons can operate remotely. He mentions key milestones, including the first transatlantic telesurgery in 1998, and recent advancements in China and Japan. Dr. Albala emphasizes the potential of telesurgery to address h...
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- At the World Congress of Endourology and Uro-Technology, Bruce Gao presents a case study comparing holmium laser enucleation of the prostate (HoLEP) and thulium fiber laser enucleation of the prostate (ThuLEP) performed on the same patient with symmetrical lateral lobes. Dr. Gao describes the surgical technique, highlighting differences between the two laser types. The left lobe undergoes HoLEP, w...
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- At the World Congress of Endourology and Uro-Technology, Mariah Hernandez presents a study on the use of immersive virtual reality (VR) in preoperative planning for percutaneous nephrolithotomy. The study finds that VR enhances understanding of renal anatomy, leading to altered calyx choice for access in 30% of VR cases. This research demonstrates the potential of VR technology to improve surgical...
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- At the World Congress of Endourology and Uro-Technology, Mariah Hernandez presents a study examining the accuracy of CT reports in assessing stone burden stability in patients with medullary sponge kidney (MSK) and idiopathic urolithiasis. The research uses 3D Slicer software to measure volumetric stone burdens in 70 patients with reportedly stable CT scans. She concludes that volumetric assessmen...
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- At the World Congress of Endourology and Uro-Technology, Seyedamirvala Saadat presents a study examining factors predicting spontaneous ureteral stone passage. The research, involving 199 patients with acute renal colic, assesses various stone characteristics and ureteral wall thickness using non-contrast CT scans. Initial univariate analysis shows that longer, wider, and denser stones surrounded...
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- At the World Congress of Endourology and Uro-Technology, Jaime Landman presents the initial clinical experience with a combined robotic mini-percutaneous nephrolithotomy and ureteroscopic lithotripsy platform. The study demonstrates the procedure on a 49-year-old female with large kidney stones. Dr. Landman describes the Monarch Robotic Platform, which includes three robotic arms and a compact fie...
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