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Related Experiment Videos

Is there a role for open stone surgery?

M L Paik1, M I Resnick

  • 1Department of Urology, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Ohio, USA.

The Urologic Clinics of North America
|April 25, 2000
PubMed
Summary
This summary is machine-generated.

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While minimally invasive techniques dominate urinary stone treatment, open surgery remains a vital option for select patients. Urologists must recognize when open stone surgery is a reasonable alternative and offer it unbiasedly.

Area of Science:

  • Urology
  • Surgical Innovation
  • Nephrolithiasis Management

Background:

  • Modern urinary stone treatment has rapidly evolved, emphasizing minimally invasive approaches.
  • Techniques like extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy, and ureteroscopy have largely replaced open surgery.
  • Open stone surgery is often perceived as a sign of treatment failure in contemporary urology.

Purpose of the Study:

  • To re-evaluate the role of open stone surgery in modern urinary stone disease management.
  • To highlight the importance of recognizing clinical scenarios where open surgery is a viable alternative.
  • To emphasize the urologist's responsibility in unbiased patient counseling regarding surgical options.

Main Methods:

  • Review of current urological practices in stone disease management.

Related Experiment Videos

  • Analysis of the indications and outcomes of open stone surgery versus minimally invasive techniques.
  • Discussion of the ethical and practical considerations in presenting surgical options to patients.

    • Main Results:

    • Minimally invasive procedures are now standard for most urinary stone cases.
    • Open surgery, though less common, remains a critical option for specific complex stone burdens or anatomies.
    • A small but significant patient subset benefits from open stone surgery when less-invasive methods fail or are unsuitable.

    Conclusions:

    • Open stone surgery should not be dismissed as an archaic procedure but recognized as a valuable tool.
    • Urologists must maintain proficiency in open stone surgery for select cases.
    • Informed patient choice, based on unbiased presentation of all viable options, is paramount in stone disease treatment.