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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Kidney Transplant II: Surgical Procedure01:26

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Related Experiment Video

Updated: Feb 22, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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[Ablative therapy in urology: Good practice and perspective].

A Gangi1, X Cathelineau2, T Tricard3

  • 1Service d'imagerie interventionnelle, CHRU de Strasbourg, 1, place de l'Hôpital, 67000 Strasbourg, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|September 30, 2017
PubMed
Summary
This summary is machine-generated.

Current guidelines for ablative therapies in urology show discrepancies due to limited evidence. A new, multidisciplinary approach is needed to advance these innovative medical and surgical treatments.

Keywords:
Ablative therapyCancer de prostateCancer du reinGuidelinesHybrid operating roomKidney cancerProstate cancerRecommandationsSalles hybridesTraitements ablatifs

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Area of Science:

  • Urology
  • Medical Technology
  • Surgical Innovation

Background:

  • Ablative therapies are increasingly used in urological treatments.
  • Existing guidelines for these therapies vary significantly between different organizations and for different organs.

Purpose of the Study:

  • To analyze current guidelines for ablative therapies in urology.
  • To propose a global perspective for future development and implementation of these therapies.

Main Methods:

  • A comprehensive literature review was conducted using Medline and Embase databases.
  • Keywords included 'ablative therapy', 'prostate cancer', 'kidney cancer', 'guidelines', and 'hybrid operating room'.
  • Publications were selected based on methodology, language, and relevance.

Main Results:

  • Guidelines from the European Association of Urology (EAU) are prudent, while Cardiovascular and Interventional Radiological Society of Europe (CIRSE) guidelines are more optimistic.
  • This discrepancy stems from a low level of evidence supporting current practices.
  • A need for a more homogeneous methodology and a shift towards multidisciplinary, multifunctional platforms is identified.

Conclusions:

  • Ablative therapies are a critical area for urology, exemplifying future medico-surgical evolution.
  • Advancements rely on new technologies like energy sources, robotics, and advanced imaging.
  • A thorough re-evaluation of training and interdisciplinary collaboration is essential for future integration.