New Insights in Minimal Invasive Urology

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Urology & Nephrology".

Deadline for manuscript submissions: closed (30 June 2023) | Viewed by 2966

Special Issue Editors


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Guest Editor
1. Division of Urology, Department of Surgery, Chang Gung Memorial Hospital Linkou Medical Center, Taoyuan City, Taiwan
2. Medicine College, Chang Gung University, Taoyuan City, Taiwan
Interests: male infertility; prostate diseases; urolithiasis; bladder dysfunction

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Guest Editor
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital Linkou Medical Center, Taoyuan City, Taiwan
Interests: robotic surgery; prostate laser surgery

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Guest Editor
Division of Urology, Department of Surgery, Chang Gung University College of Medicine and Memorial Hospital, No. 5 Fushing Road, Tao-Yuan, Taipei 33305, Taiwan
Interests: urinary system tumor; robotic surgery; prostate hypertrophy; urinary tract stones; molecular biology
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Special Issue Information

Dear Colleagues,

Minimally invasive surgery has become increasingly prevalent in the urological and endourological fields for decades since its introduction. In recent years, novel techniques and the utilization of new equipment, instruments, and materials have emerged in the quest for further reduction of surgical trauma and postoperative complications. In addition, urologists are early adopters of robotic technology, which has the advantages of magnified 3D and HD visualization, improved dexterity, tremor filtration, and great precision of movement. The indications of robotic-assisted surgery in urology are expanding. Energy-based devices also provide newer treatment modalities, ranging from minimal to non-invasiveness.

This Special Issue aims to document contemporary clinical findings that may indicate new or alternative understanding of surgical techniques and to promote awareness of new advances and better practice.

For this Special Issue, we invite authors around the globe to contribute original articles, describing both experimental and clinical results or new technological development in the field. Review Articles, Case Reports, Meta-Analyses or Systematic Reviews are welcomed. Potential topics include but are not limited to:

  • Robotic-assisted and laparoscopic surgery
  • Endourological surgery
  • Endoscopic Combined IntraRenal Surgery (ECIRS)
  • Innovative technique and novel procedures
  • Energy-based devices
  • Technological limitation and future development
  • Complications and management of complications

Dr. Ming-Li Hsieh
Dr. Chen-Pang Hou
Prof. Dr. See-Tong Pang
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • robotics
  • laparoscopy
  • endourology
  • endoscopic combined intrarenal surgery
  • energy-based devices
  • laser
  • extracorporeal shock wave
  • electromagnetic stimulation

Published Papers (2 papers)

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Research

8 pages, 280 KiB  
Article
Lifestyle and Diet as Risk Factors for Urinary Stone Formation: A Study in a Taiwanese Population
by Ya-Chun Wu, Chen-Pang Hou and Shu-Chuan Weng
Medicina 2023, 59(11), 1895; https://doi.org/10.3390/medicina59111895 - 26 Oct 2023
Viewed by 1290
Abstract
Background and Objectives: Urinary tract stones have long been a common ailment afflicting the population, with a high incidence and a wide distribution across different age groups. Effectively preventing the occurrence of urinary tract stones is of paramount importance. The primary aim [...] Read more.
Background and Objectives: Urinary tract stones have long been a common ailment afflicting the population, with a high incidence and a wide distribution across different age groups. Effectively preventing the occurrence of urinary tract stones is of paramount importance. The primary aim of this study is to investigate the correlations between individual characteristics, water consumption habits, dietary habits, exercise habits, and the occurrence of urinary tract stones in a Taiwanese population. Materials and Methods: This study is cross-sectional research conducted over one month in 2022. One hundred eligible urinary stone cases were recruited through physician screening at outpatient clinics, and an additional one hundred samples from surgical outpatients without urinary tract stones were included as the control group. A questionnaire survey was employed to gather information on demographic variables, dietary habits, water consumption, and exercise habits of the cases. Descriptive statistics, chi-square tests, and logistic regression were used to explore the impact of relevant factors on urinary stone formation. Results: The analysis results revealed that among the demographic variables, males exhibited a higher risk of contracting urinary tract stones than females, and the majority of cases fell within the 40- to 49-year-old age group. Unhealthy lifestyle habits such as smoking and betel nut chewing also demonstrated a higher susceptibility to urinary tract stones. A logistic regression analysis showed that individuals who engaged in physical activity more than three times per week and those with inadequate water intakes had a higher risk of developing urinary tract stones. Conclusions: There is a close relationship between lifestyle and urinary tract stones. It is recommended that individuals continue to hydrate adequately during exercise. Full article
(This article belongs to the Special Issue New Insights in Minimal Invasive Urology)
10 pages, 315 KiB  
Article
Comparative Analysis of Surgical Outcomes of Flexible Ureteroscopy and Da Vinci Robotic Surgery in Community Patients with Renal Pelvic Stones Larger than 2 cm
by Yu-Ju Yeh, Shu-Chuan Weng, Yu-Hsiang Lin, Chien-Lun Chen, Shu-Han Tsao, Han-Yu Tsai, Horng-Heng Juang, Phei-Lang Chang and Chen-Pang Hou
Medicina 2023, 59(8), 1395; https://doi.org/10.3390/medicina59081395 - 29 Jul 2023
Cited by 1 | Viewed by 1423
Abstract
Background and Objectives: This study evaluated and compared the surgical outcomes of retrograde intrarenal surgery (RIRS) lithotripsy versus robot-assisted laparoscopic pyelolithotomy (RAPL) in community patients with renal pelvic stones larger than 2 cm. Materials and Methods: A total of 77 patients [...] Read more.
Background and Objectives: This study evaluated and compared the surgical outcomes of retrograde intrarenal surgery (RIRS) lithotripsy versus robot-assisted laparoscopic pyelolithotomy (RAPL) in community patients with renal pelvic stones larger than 2 cm. Materials and Methods: A total of 77 patients who underwent RIRS (RIRS group, n = 50) or RAPL (RAPL group, n = 27) at our institution between December 2016 and July 2022 were recruited. A single surgeon performed all surgical operations. Preoperative, operative, and postoperative data were recorded. The study evaluated various clinical outcomes, namely, urinary tract infections, analgesic use, emergency room readmissions, stone clearance rates, surgical complications, and medical expenditures associated with the treatment courses, and compared them between the groups. Results: The RAPL group had a larger mean stone diameter and higher degree of hydronephrosis than the RIRS group did. The RIRS group had superior outcomes regarding operative time, length of postoperative hospital stay, surgical wound pain, and medical expenditures. Regarding postoperative outcomes, comparable rates of postoperative urinary tract infection, prolonged analgesic use, and emergency room readmissions were observed between the groups. However, the RAPL group had a higher stone clearance rate than the RIRS group did (81.5% vs. 52.0%, p = 0.014). Conclusions: For the surgical treatment of renal pelvis stones larger than 2 cm, RAPL has a superior stone clearance rate than RIRS; however, RIRS achieves superior outcomes in terms of medical expenditures, length of hospital stay, and surgical wound pain. Both procedures were equally safe. Full article
(This article belongs to the Special Issue New Insights in Minimal Invasive Urology)
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