Preoperative patient optimization for endourological procedures: the current best clinical practice

Area of Science:

• Urology
• Surgical Innovation
• Patient Optimization

Background:

• Endourological surgery has advanced, yet preoperative patient optimization requires further enhancement.
• Current strategies for surgical outcomes can be improved through updated clinical practices.

Approach:

• Reviewing recent clinical practices for preoperative patient optimization in endourological surgery.
• Evaluating novel scoring systems for outcome and complication prediction.
• Assessing innovative preoperative simulation and localization methods for percutaneous nephrolithotomy.
• Examining novel antibiotic prophylaxis strategies and risk factors for postoperative infections.
• Analyzing evidence on preoperative stenting and alpha-blockers for ureteral injury prevention.

Key Points:

• Novel scoring systems aid clinical decision-making and patient counseling.
• Preoperative simulation and localization minimize percutaneous nephrolithotomy complications.
• Optimized antibiotic prophylaxis and risk factor recognition reduce perioperative morbidity.
• Preoperative stenting and alpha-blockers contribute to preventing ureteral injury.

Conclusions:

• Technological advancements offer tools for preoperative improvement in endourological surgery.
• Combining innovations and validating them in large studies is key for future urolithiasis management.