Kidney Stones: Updates on Diagnosis and Treatment

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: 20 June 2024 | Viewed by 460

Special Issue Editor


E-Mail Website
Guest Editor
Department of Urology, “St. John” Emergency Clinical Hospital, 042122 Bucharest, Romania
Interests: kidney stones; urolithiasis; flexible ureteroscopy; percutaneous nephrolithotomy; metaphylaxis; laser; lithotripsy

Special Issue Information

Dear Colleagues,

Urolithiasis is one of the most frequent urologic pathologies across the globe, and its incidence is increasing due to diet habits and the general life style. However, risk factors are much better understood nowadays, allowing urologists to identify these risks more efficiently, improving the metaphylaxis of urolithiasis. Kidney stones may be therapeutically sanctioned using multiple methods. The immense majority of the cases may be treated nowadays using minimally invasive techniques. Technological progress has significantly impacted these methods, especially the flexible ureteroscopic approach for treating kidney stones, as the efficacy and safety of the procedures have been improved, and these procedures are becoming more affordable. In the last few years we have witnessed the development of multiple models of single-use endoscopes as well as new accessory instruments such as suction access sheaths.

Dr. Razvan Multescu
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly 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 2600 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

  • kidney stones
  • urolithiasis
  • flexible ureteroscopy
  • percutaneous nephrolithotomy
  • metaphylaxis
  • laser
  • lithotripsy

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Review

9 pages, 734 KiB  
Review
Retrograde Intrarenal Surgery for Lithiasis Using Suctioning Devices: A Shift in Paradigm?
by Petrisor Geavlete, Razvan Multescu, Cristian Mares, Bogdan Buzescu, Valentin Iordache and Bogdan Geavlete
J. Clin. Med. 2024, 13(9), 2493; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13092493 - 24 Apr 2024
Viewed by 277
Abstract
New suction endoscopes, ureteral access sheaths (UAS) and catheters aim to improve the efficacy of flexible ureteroscopy and optimize its safety. Suction UAS with non-flexible tips have shown promising results, especially in maintaining low intrarenal pressure, but also in removing small debris and [...] Read more.
New suction endoscopes, ureteral access sheaths (UAS) and catheters aim to improve the efficacy of flexible ureteroscopy and optimize its safety. Suction UAS with non-flexible tips have shown promising results, especially in maintaining low intrarenal pressure, but also in removing small debris and reducing the “snow globe” effect. In addition, suctioning UAS with a flexible tip offers the advantage of being able to be navigated through the pyelocaliceal system to where the laser lithotripsy is performed. It can also remove small stone fragments when the flexible ureteroscope is retracted, using the Venturi effect. Direct in-scope suction (DISS) involves aspirating dust and small stone debris through the working channel of a flexible ureteroscope, thus regulating intrarenal pressure and improving visibility. Steerable aspiration catheters are other devices designed to increase stone clearance of the pyelocaliceal system. They are inserted under fluoroscopic guidance into every calyx after retraction of the flexible ureteroscope, alternating irrigation and aspiration to remove dust and small gravels. Combining flexible-tip suction UAS and the DISS technique may offer some advantages worth evaluating. The advantage of using these instruments to achieve a low intrarenal pressure was demonstrated. The true practical impact on the long-term stone-free status is a matter requiring further studies. Full article
(This article belongs to the Special Issue Kidney Stones: Updates on Diagnosis and Treatment)
Show Figures

Figure 1

Back to TopTop