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New devices for kidney stone management.

Publication ,  Journal Article
Terry, RS; Whelan, PS; Lipkin, ME
Published in: Curr Opin Urol
March 2020

PURPOSE OF REVIEW: The purpose of this review is to summarize recent developments in the array of devices which are commonly used by urologists in the surgical management of kidney stones. To accomplish this goal, an extensive review of recent endourology literature, conference abstracts, and publicly available documents from manufacturers and the United States Food and Drug Administration was collected and reviewed. RECENT FINDINGS: Recent developments in the holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripsy include the introduction of pulse modulation. This technique delivers the laser energy in an asymmetric manner such that an initial bubble is created (the 'Moses effect') through which the remainder of the energy can then travel through without being absorbed by surrounding water. Even more novel is the thulium fiber laser, which is produced in a fundamentally different way than traditional Ho:YAG lasers and is not yet available for clinical use. Finally, novel mechanical lithotrites which effectively combine ultrasonic energy, ballistic energy, and suction capability appear to be highly effective for stone clearance in recent benchtop and clinical studies. SUMMARY: With the introduction of both new modifications of time-tested technologies as well as completely novel modalities, the practicing urologist's armamentarium of devices for the surgical management of kidney stones continues to grow. As the popularity of 'mini' procedures continues to grow, the adaptability of these technologies to these procedures will be critical to maintain maximum relevance.

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Published In

Curr Opin Urol

DOI

EISSN

1473-6586

Publication Date

March 2020

Volume

30

Issue

2

Start / End Page

144 / 148

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Minimally Invasive Surgical Procedures
  • Miniaturization
  • Lithotripsy, Laser
  • Lithotripsy
  • Lasers, Solid-State
  • Kidney Calculi
  • Inventions
  • Humans
  • Endoscopy
 

Citation

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Terry, R. S., Whelan, P. S., & Lipkin, M. E. (2020). New devices for kidney stone management. Curr Opin Urol, 30(2), 144–148. https://doi.org/10.1097/MOU.0000000000000710
Terry, Russell S., Patrick S. Whelan, and Michael E. Lipkin. “New devices for kidney stone management.Curr Opin Urol 30, no. 2 (March 2020): 144–48. https://doi.org/10.1097/MOU.0000000000000710.
Terry RS, Whelan PS, Lipkin ME. New devices for kidney stone management. Curr Opin Urol. 2020 Mar;30(2):144–8.
Terry, Russell S., et al. “New devices for kidney stone management.Curr Opin Urol, vol. 30, no. 2, Mar. 2020, pp. 144–48. Pubmed, doi:10.1097/MOU.0000000000000710.
Terry RS, Whelan PS, Lipkin ME. New devices for kidney stone management. Curr Opin Urol. 2020 Mar;30(2):144–148.

Published In

Curr Opin Urol

DOI

EISSN

1473-6586

Publication Date

March 2020

Volume

30

Issue

2

Start / End Page

144 / 148

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Minimally Invasive Surgical Procedures
  • Miniaturization
  • Lithotripsy, Laser
  • Lithotripsy
  • Lasers, Solid-State
  • Kidney Calculi
  • Inventions
  • Humans
  • Endoscopy