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Instructional Course

Instructional Course - Available with the Platinum and Silver packages or Individual Course Ticket

003IC - Case-Based Discussion of New Laser Technology in Endourology - Upper Tract Stones/Strictures/Tumors

Friday, May 13, 2022

7:30 AM – 9:30 AM

Location: Room 208

Instructional Course Director(s)

Brian Howard Eisner, MD

Associate Professor of Urology
Massachusetts General Hospital

Instructional Course Faculty(s)

Ojas Shah, MD (he/him/his)

Columbia University Irving Medical Center
SP

Silvia Proietti, MD

MD, FEBU
San Raffaele Hospital
Julie M. Riley, MD

MD
University of Arkansas for Medical Sciences

Learning Objectives:

Discuss the basic physics and scientific principles of new lasers being used for endourologic surgery (holmium:YAG, super pulse thulium laser fiber).
Identify the role of holmium:YAG laser and super pulse thulium laser fiber in the treatment of renal and ureteral stones, as well as describe operative technique.
Identify the role of holmium:YAG laser and super pulse thulium laser fiber in the treatment of upper tract urothelial carcinoma, as well as describe operative technique
Identify the role of holmium:YAG laser and super pulse thulium laser fiber in the treatment of benign upper tract stricture disease such as ureteral stricture, renal infundibular stenosis and renal calyceal diverticulum, as well as describe operative technique.

Endourological procedures (ureteroscopy, percutaneous nephrolithotomy (PCNL), treatment of stone disease) continues to comprise a large percentage of overall urologic practice, approaching 30% of total patient and operative volume in some centers and practices. Laser technology is constantly evolving, with new novel technologies recently being developed for the Holmium:YAG laser and the super pulse thulium laser fiber. Early experience with these and other technologies is often limited to high volume or tertiary referral centers. There is a high level of interest from the general urologic community for teaching on these topics, to better inform urologists about the role of these lasers in their practice, as well as new techniques which have evolved as technology has matured.