Endourology for Urolithiasis in the Era of Personalized Medicine: Challenges and Opportunities

Dear Colleagues,

In the recent decades, endourology for stone treatment has undergone significant advancements, largely due to technological improvements and technical refinements. The use of digital, flexible ureteroscopes with smaller calibers enables medical professionals to maintain the position of the ureter while achieving a high-quality view during ureteroscopy. Nephroscopes of varying calibers allow for the miniaturization of the percutaneous tract in percutaneous nephrolithotomy, adapting to the collecting system anatomy and leading to less morbidity. New lithotripsy devices and lasers allow for quicker and more efficient procedures. Combining anterograde and retrograde approaches (endoscopic combined intrarenal surgery, ECIRS) in the same kidney or simultaneously in different renal units (simultaneous bilateral endoscopic surgery, SBES) leads to more efficient procedures. Aspiration through the endoscopes or sheaths, whether ureteral or percutaneous, is also expected to improve results.

It is important to conduct a thorough study of each patient before performing endourological procedures for urolithiasis. Predictive nomograms, metabolic workups, and genetic analyses can be helpful in determining the success and the potential complications of such procedures. This Special Issue will cover various topics on “personalized endourology for urolithiasis”, which will be beneficial for those who perform endourological procedures in the current era.

Dr. Pérez-Fentes Daniel Adolfo
Dr. Esteban Emiliani
Guest Editors

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• endourology
• ureteroscopy
• percutaenous nephrolithotomy
• PCNL
• laser
• technology
• genetics
• predictive models