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The future of ureteroscopy.

Ben H Chew1, Dirk Lange

  • 1Department of Urologic Sciences, University of British Columbia, Vancouver, Canada - ben.chew@ubc.ca.

Minerva Urologica E Nefrologica = the Italian Journal of Urology and Nephrology
|October 21, 2016
PubMed
Summary

Ureteroscopy has replaced open surgery for kidney stones, driven by advances in flexible endoscopes and lasers. Future innovations in ureteroscope technology, robotics, and nanotechnology promise even more transformative treatments.

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Area of Science:

  • Urology
  • Medical Technology
  • Endourology

Background:

  • Open ureterolithotomy and pyelolithotomy were historically primary treatments for kidney and ureteral stones.
  • The advent of shockwave lithotripsy and ureteroscopy led to a decline in open stone surgery.
  • Ureteroscopy is now a primary therapy for kidney stones due to technological advancements.

Purpose of the Study:

  • To review the evolution of ureteroscopy in kidney stone treatment.
  • To explore emerging research and future directions in ureteroscopy technology and application.
  • To predict the future landscape of ureteroscopic interventions for urolithiasis.

Main Methods:

  • Review of historical trends in surgical stone treatment.
  • Analysis of current advancements in ureteroscopy, including lasers and digital imaging.
  • Exploration of prospective research in pharmacologic dilation, robotic endoscopy, nanotechnology, and single-use devices.

Main Results:

  • Ureteroscopy, particularly with holmium:yttrium-aluminium-garnet lasers and digital imaging, is highly effective for stone fragmentation.
  • Emerging technologies include pharmacologic ureteral dilation, advanced ureteroscope platforms, robotic manipulation, and single-use ureteroscopes.
  • Future possibilities involve nanotechnology and robotics for intravesical stone identification and disintegration.

Conclusions:

  • Ureteroscopy has become a cornerstone of kidney stone management, largely supplanting open surgical procedures.
  • Significant advancements in ureteroscope technology, including robotics and nanotechnology, are anticipated.
  • The future of ureteroscopy is expected to be revolutionary, offering novel and potentially unrecognizable treatment modalities.