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PCNL is gold standard treatment of pelvis stone more than 2 cm. Since 1970 that PCNL was introduced, multiple methods including mini PCNL, Lap assisted PCNL etc. were used to increase the efficacy and decrease the complications of PCNL in different patients. We describe a new method of PCNL for the first time for extracting 7 cm renal stone without fragmentation, and we called it EN BLOC PCNL. Our technique had no complication and caused lower operative time.
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http://dx.doi.org/10.1016/j.eucr.2021.101749 | DOI Listing |
Curr Opin Urol
September 2025
European Association of Urology Section of Endourology (ESEUT), Arnhem, The Netherlands.
Purpose Of Review: This opinion article from the EAU Endourology Section critically summarizes the existing evidence on flexible and navigable suction ureteral access sheaths (FANS) to determine if they represent a paradigm shift in managing kidney and ureteral stones with flexible ureteroscopy (FURS). This scoping review aims to synthesize recent findings on FANS efficacy, safety, and potential to overcome limitations of conventional ureteral access sheath (C-UAS) and other modalities.
Recent Findings: Current evidence demonstrates FANS significantly outperforms C-UAS.
Arch Esp Urol
August 2025
Department of Urology and Guangdong Key Laboratory of Urology, First Affiliated Hospital of Guangzhou Medical University, 510230 Guangzhou, Guangdong, China.
Objectives: This study aims to assess the efficacy and safety of five categories of intracorporeal lithotripsy devices in percutaneous nephrolithotomy (PCNL): Pneumatic lithotripters, ultrasonic lithotripters, double-probe dual-energy lithotripters, single-probe dual-energy (SPDE) lithotripters and lasers.
Methods: A network meta-analysis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. PubMed, Embase and Cochrane were utilised to search for randomised controlled trials (RCTs) up to 10 August 2024.
Minerva Urol Nephrol
September 2025
GRC n°20, Groupe de Recherche Clinique sur la Lithiase Urinaire, Hôpital Tenon, Sorbonne University, Paris, France.
Introduction: Achieving stone-free status (SFS) is a key goal of endourological treatment, yet definitions of SFS and clinically insignificant residual fragments (CIRF) remain controversial. While CIRF is frequently defined as residual fragments ≤4 mm, there is no consensus on its clinical significance regarding complications and re-intervention needs. We evaluate the risk of complications and the need for re-intervention associated with the presence of CIRF following endourological treatment for urolithiasis.
View Article and Find Full Text PDFCureus
August 2025
Department of Urology, Russell's Hall Hospital, Dudley, GBR.
Next-generation Moses™ technology is a pulse modulation modality of the traditional holmium yttrium-aluminum-garnet (YAG) laser and has been developed for use in both laser lithotripsy and prostate enucleation. In traditional holmium YAG lasers, the energy is delivered in a single continuous pulse, which can be less efficient in terms of stone fragmentation and tissue interaction. Moses technology, on the other hand, uses multiple, shorter pulses within a single laser firing cycle, which makes the energy delivery more controlled and effective.
View Article and Find Full Text PDFGut Liver
September 2025
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Management of common bile duct (CBD) stones has evolved substantially with the advent of endoscopic techniques and dedicated high-end devices. Endoscopic retrograde cholangiopancreatography (ERCP) has become a widespread essential technique for managing CBD stones, with high success rates in standard cases. However, for patients with large stones, stones in an impacted state, and stones in anatomically challenging regions, advanced strategies using various dedicated devices may be needed.
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