Endoüroloji Bülteni

Yazarlar: Fatih SANDIKÇI, Burhan BAYLAN, Abdurrahim İMAMOĞLU

Konular:Üroloji ve Nefroloji

Anahtar Kelimeler:Endoscopic,Endourology,Future,Lazer,Stone,Innovations

Özet: In recent years; reasons such as increased elderly population, increased obesity rate, poor eating habits, inadequate fluid intake, sedentary lifestyle also increases the incidence of urinary stone disease. In the face of increasing incidence, stone surgery continues its development, accompanied by operational techniques and technological advances. Technological advances in the last 30 years have revolutionized the treatment of urinary system stone disease. In the past, urinary stone diseases were treated with open surgery; in the 1980s, extracorporeal shock wave lithotripsy (SWL) became popular; in the following years, Percutaneous Nephrolithotomy (PNL) treatments have been on the agenda. With the use of flexible ureteroscopy (URS) and advances in lazer technology, the frequency of retrograde renal surgery (RIRS) has increased. According to the European Urology Guide; PNL is preferred for the treatment of renal stones of 2 cm or more. For stones smaller than 2 cm, treatment is decided according to the location of the stone and the calyceal structure. Advances in subheadings such as patient position, entry techniques, mini-percutaneous methods, PNL-RIRS combination and 3D demonstrations; It may provide us to predict what will be expected of us in the future from now. In this review; it is aimed to explain current treatment of stone disease with endoscopic treatment methods, the future of these treatment methods and technological innovations.

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