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Celebrating 75 years.

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Canadian urologists have significantly advanced endourology, pioneering shock wave lithotripsy (SWL), ureteroscopy (URS), and percutaneous nephrolithotomy (PCNL). Their contributions span four decades, shaping minimally invasive stone treatment.

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Area of Science:

  • Urology
  • Endourology
  • Minimally Invasive Surgery

Background:

  • Endourology emerged in the late 1970s with advancements in shock wave lithotripsy (SWL), ureteroscopy (URS), and percutaneous nephrolithotomy (PCNL).
  • Canada played a pivotal role in the development and adoption of these minimally invasive techniques.

Purpose of the Study:

  • To document key milestones in Canadian endourology.
  • To highlight Canada's specific contributions to the field of endourology.

Main Methods:

  • A comprehensive literature review was conducted, spanning from the late 1970s to the present.
  • Bibliographic and digital resources were utilized, supplemented by personal accounts from involved individuals.

Main Results:

  • Canada pioneered the first percutaneous nephrolithotomy (PCNL) in 1981 at the University of Toronto.
  • The first worldwide use of the holmium laser for urinary tract calculi lithotripsy occurred in Canada.
  • Key developments include the formation of the Canadian Endourology Group and accredited fellowship programs.

Conclusions:

  • Canadian urologists have made substantial contributions to SWL, URS, and PCNL over four decades.
  • Canadian institutions are instrumental in training future endourologists, ensuring a bright future for the field.