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Emerging Surgical Techniques in the Management of Urological Diseases

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

Deadline for manuscript submissions: 25 April 2026 | Viewed by 402

Special Issue Editor


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Guest Editor
Ospedale Sant’Andrea, Sapienza University of Rome, 00185 Rome, Italy
Interests: pelvic organ prolapse; bladder; prostate; oncology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are pleased to announce this Special Issue of the Journal of Clinical Medicine, titled “Emerging Surgical Techniques in the Management of Urological Diseases”. This Special Issue will focus on the latest innovations transforming surgical practice in urology, emphasizing how new technologies and refined operative approaches are reshaping patient outcomes.

Over the past decade, the landscape of urological surgery has undergone remarkable change, driven by rapid advances in minimally invasive approaches, robotic platforms, image-guided interventions, and precision surgery. These developments have not only expanded therapeutic possibilities but also enhanced safety, reduced recovery times, and improved functional results for patients with both malignant and benign urological conditions.

This Special Issue aims to provide a comprehensive platform for the exchange of state-of-the-art knowledge on novel surgical techniques, spanning from their conceptualization and experimental validation to their successful clinical integration. We welcome contributions from urologists, surgeons, oncologists, interventional radiologists, and biomedical engineers. Topics of interest include, but are not limited to, the following: next-generation robotic-assisted procedures, novel energy-based surgical technologies, enhanced visualization and navigation systems, organ-preserving strategies, and innovative reconstructive techniques in conditions such as prostate cancer, bladder cancer, benign prostatic hyperplasia, urinary tract reconstruction, and nephrolithiasis.

By gathering high-quality, peer-reviewed articles, this Special Issue seeks to highlight the multidisciplinary effort required to translate technological breakthroughs into routine surgical practice. Our goal is to foster a deeper understanding of current trends and to inspire future research directions in the operative management of urological diseases.

We look forward to receiving your contributions and to advancing the conversation on how emerging surgical innovations are shaping the future of urology.

Dr. Riccardo Lombardo
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 250 words) can be sent to the Editorial Office for assessment.

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

  • minimally invasive
  • robotics
  • partial nephrectomy
  • radical prostatectomy
  • focal therapy
  • benign prostatic hyperplasia
  • prostate cancer
  • bladder cancer

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Published Papers (1 paper)

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Research

13 pages, 1503 KB  
Article
Introduction of a Structured Reporting Protocol and Surgical Checklist for Rezum Water Vapor Therapy (VAPOR-SRP)
by Jan Ebbing, Viktor Alargkof, Christian Engesser, Anas Elyan, Hans-Helge Seifert, Nicola Keller, Brigitta Gahl, Pawel Trotsenko and Christian Wetterauer
J. Clin. Med. 2025, 14(23), 8431; https://doi.org/10.3390/jcm14238431 - 27 Nov 2025
Viewed by 269
Abstract
Background/Objectives: Rezum water vapor therapy for benign prostatic obstruction lacks standardized documentation, complicating data comparison. This study evaluates the completeness of non-standardized Rezum operative reports and validates a novel Rezum—Structured Reporting Protocol (SRP) to enhance documentation quality. Methods: Following the establishment [...] Read more.
Background/Objectives: Rezum water vapor therapy for benign prostatic obstruction lacks standardized documentation, complicating data comparison. This study evaluates the completeness of non-standardized Rezum operative reports and validates a novel Rezum—Structured Reporting Protocol (SRP) to enhance documentation quality. Methods: Following the establishment of content validity, the SRP—which includes detailed diagrams for various prostatic urethral lengths (PUL) and intravesical prostatic protrusion (IPP) to document injection sites, along with a comprehensive 10-item checklist capturing factors that may influence outcomes—was retrospectively applied to 100 Rezum cases. Operative videos and non-standardized reports were analyzed and compared against the SRP. For criterion validity, inter-rater reliability was evaluated through a blinded review of 20 cases by three Rezum users and the protocol development panel, comparing checklist item ratings. Results: Median number of injections was 4.0 (IQR: 2–6), injection density was 12.7 (IQR: 10–16.7) mL (PVOL)/injection, and injection interval was 0.7 (IQR: 0.5–1) cm (PUL)/injection. Variations in injection techniques were noted, including non-standard locations in 10% of cases and alternating injection sequences between lobes in 22%. Only 30% of reports detailed injection sites accurately. The intraclass coefficient for the rating of PUL was 0.94 (95% CI: 0.89–0.97). The Fleiss Kappa for MLE and IPP was 0.84 (95% CI: 0.66–1.02) and 0.85 (95% CI: 0.67–1.03), respectively. The agreement rate was 93% for bladder neck/urethra morphology and 100% for injection sequence. Kendall’s W was 0.37 (p = 0.343) for the item of injection sites. Conclusions: Variability in Rezum surgical techniques was observed, particularly in injection density, injection intervals, and precise injection locations, as well as in the structured information of non-SRP-standardized operative reports. Content validity of the SRP was achieved, leading to high inter-rater reliability in its application. The SRP promotes the standardization and completeness of Rezum data, thereby supporting improved, consistent, and high-quality Rezum documentation. Full article
(This article belongs to the Special Issue Emerging Surgical Techniques in the Management of Urological Diseases)
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