Headshot of Sung Yong Cho, MD, PhD

Evacuating Stone Dust

Dr. Cho discusses his surgical technique for maximizing the efficiency of laser lithotripsy stone dusting procedures, including irrigation tips and ways to optimize visibility of the surgical field and efficiently evacuate dust.


Headshot of Michael Lipkin, MD

Managing Radiation

Because stone patients are exposed to radiation recurrently throughout their lives, learning how to manage radiation is very important. Dr. Lipkin describes a variety of tips and techniques with specific examples to manage radiation in the OR.


Headshot of Amy Krambeck, MD

Percutaneous Diverticulum (Perc-Tic) Renal Access Technique

Dr. Krambeck discusses a percutaneous nephrolithotomy procedure in a 54-year-old woman with a large upper pole stone completely obstructing the upper pole system. The patient was referred to her after undergoing a previous percutaneous stone removal in which, despite multiple percutaneous accesses into the kidney, the referring urologist was unable to advance a wire into the standard collecting system and down the ureter. Dr. Krambeck discusses the importance and benefits of utilizing the Perc-Tic technique, a percutaneous diverticulum access technique for this type of situation. She provides information on the devices and a step-by-step process to the technique required to circumvent the obstruction, remove the stone, and find/reopen the connection to the collecting system.


Headshot of Adam G Kaplan, MD.

Robotic Surgery in Urology

Dr. Kaplan discusses the advantages of robotic surgery in urology, and presents a hard-to-reach complex stone location for which a robotic approach is warranted. He describes the step-by-step technique to perform a robotic-assisted nephrolithotomy and calyceal diverticulectomy in a 65-year-old patient with a 2.4 cm right renal stone.


Headshot of Guido Giusti, MD

Simultaneous Bilateral Endoscopic Surgery (SBES) for Renal Stones

Dr. Giusti describes a simultaneous bilateral surgery involving two surgeons operating in tandem to complete a case within a single procedure. Dr. Giusti performed a percutaneous operation on multiple >1 cm left kidney stones, and at the same time, Dr. Proietti performed flexible ureteroscopy to address the patient’s 1.5 cm right kidney stone. Dr. Giusti details his step-by-step technique and the devices used to successfully complete the procedure.


Headshot of Sung Yong Cho, MD, PhD

StoneSmart Live: Evacuating Stone Dust

Dr. Cho discusses his surgical technique for maximizing the efficiency of laser lithotripsy stone dusting procedures, including irrigation tips and ways to optimize visibility of the surgical field and efficiently evacuate dust.


Headshot of Cesare Marco Scoffone, MD

Treating Large or Complex Urolithiasis with Endoscopic Combined IntraRenal Surgery (ECIRS)

In this case study, a 68-year-old patient presented with a BMI of 29. A renal scan demonstrated a left renal function of 39% and a right renal function of 61%. A CT scan demonstrated a complete staghorn stone with multiple cysts in the parenchyma in the left kidney. Dr. Scoffone discusses ECIRS, a different stone removal approach personalized to the patient. He presents the surgical steps in ECIRS with pneumatic and ultrasonic combined lithotripsy.


These videos are intended for educational purposes. The material is graphic and intended for viewing only by healthcare professionals. 

All of the images and  videos are being provided for healthcare professional use only and do not constitute medical advice, diagnosis or treatment, or recommendations of any kind.

All trademarks are the property of their respective owners.

Top