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[SIU2023] Indivisualized care of LUTS/BPE

[Social Media Committee] Excellent work and commitment to the Endourological Society in 2023
The @Endo_Society account did very well this summer with our #WCET23 campaign. Thank you for helping us spread the word and share with your networks. We achieved some of our highest engagement metrics ever. The faculty spotlight videos were particularly well-received. We will support #WCET24 next year.
The @JEndourology account has had some strong successes in 2023. Because of your hard work, the journal now features all accepted J Endo and VideoUrology articles on social media. As a result, we have observed a 4000% increase (!) in content views. Please continue to provide posts when articles are assigned to you.
Finally, we continue to support the Society’s efforts in global education, Endourology Sound Bites podcast, Masterclass and Diversity & Inclusion webinar series, SURS and FTS events, and Endourology Fellowship programs.



• All accepted articles are featured on social media
• Authors required to suggest social media summary during submission
• Authors of accepted videos provide excerpts for posting
• AUA meeting award-winning articles made freely available
The start and the current status of "Endoluminal Endourology", 5th Endoluminal Technology Symposium
Endoluminal-Technology Symposium (ETS) will be held on Aug 11-12, 2023, in Seoul National University Hospital.
The video interview by Sung Yong Cho and Daron Smith explains a new trend of endoluminal endourology, which was given to the audience of the 5th Endoluminal Technology Symposium on August 11-12, 2023.
AUSTEG-ETS (with AUSET) collaborative session on Aug 12, 2023
Endoluminal-Technology Symposium (ETS) will be held on Aug 11-12, 2023, in Seoul National University Hospital.
The meaningful collaborative session between ETS (www.endoluminal.org) and AUSTEG (www.austeg.org) will be held on 21. Aug. 2022. Please check the dates!

Brief summary of Robotic flexible ureteroscopy, Easyuretero (R)
Why do we see the future of endoscopic stone surgery with the robotic platform for flexible ureteroscopic stone removal?
21. Aug. 2022
Our team won the 'first prize for the best video' submitted to the 38th Annual EAU Congress of the European Association of Urology in Milan to be held from 10-13 March 2023.


Social Media Analytic _medical.globaldata.com
Social Media Analytic tracks online conversation of Twitter influencers and popular Reddit channels. It enables users to derive near real-time insights about latest emerging trends. It's powerful company research tool as well allowing discovery of major events around any organisation.
26. Feb. 2022

ETS (Endoluminal Technology Symposium) in Asia 2022 Webinar with 4 installments will launch the task of growing ourselves together with an expanded number of countries!
New educational program with 4 installments to grow ourselves together in Asia. www.endoluminal.org



Time zone across Asia, Europe, and United States to arrange a meeting time!



ETS (Endoluminal Technology Symposium) in Asia 2020-2021 Webinar with 5 installments have successfully fulfilled the task of growing ourselves together in Asia
New educational program with 5 installments to grow ourselves together in Asia. www.endoluminal.org




UAA (Urological Association of Asia) 2020
Oct 12-13, 2020 (Asian Urology Residency Course; AURC)
Oct 14, 2020 (Subsociety meeting of UAA)
Oct 15-17, 2020 (Main days of UAA annual meeting), contact: http://www.uaa2020.org


Three interesting specialized workshops this year in Korea if you are stone surgeons
May 11-12, 2019 (Stone Masterclass for mini-PCNL), contact: sanghoon.lim@karlstorz.com
Jun 15-16, 2019 (AUSTEG-Videourology), contact: www.austeg.org
Sep 20-21, 2019 (ETS: Endoluminal-Technology Symposium), contact: www.endoluminal.org
23th Mar. 2019





Insight on easyuro - Past 3 years performance
It has been 3years plus since 'easyuro' opened and here are some numbers showing the performance in this site.
6th Mar. 2019






Debate for Stone Management in Korea (at 4th Stone Expert meeting on Nov 9, 2018)
The debate format was a good trial and I could recognize potentials of some debaters. However, I couldn't deny that the Korean faculties were a little unfamiliar to this kind of debate. They tried to give lectures instead of debates....
9th Sep. 2018


2nd Endoluminal & Technology Symposium in Seoul 2019 (www.endoluminal.org)
Save the date for the '2nd Endoluminal & Technology Symposium' in Seoul 2019 (http://www.endoluminal.org)"
20-21th Sep. 2019

1st Endoluminal & Technology Symposium in Seoul 2018 (www.endoluminal.org)
Save the date for the '2nd Endoluminal & Technology Symposium' in Seoul 2019 (http://www.endoluminal.org)"
20-21th Sep. 2019




Dietary risk factors of urolithiasis in Korean population
Brief summary interview of the article (http://youtu.be/vGkCvVuLXa0)
12th Feb. 2018 (final)

DUST symposium
Please join the 4th Developments in Ureteroscopic Stone Treatment (D.U.S.T.) Symposium
Agenda
10th Feb. 2018 (final)

Quality of life related to Urolithiasis
We can measure the change of the quality of life by two questionnaires by PROMIS-43 questionnaires and Wisconsin StoneQOL questionnaires until now (Dec 2017).
In Korea, Wisconsin Stone QOL questionnare was linguistically validated by Sung Yong Cho (moretry@yahoo.com) and Young Eun Yoon in the Young Endourology Study (YES) group on Dec 2017. It will be published sooner or later.
31th Dec. 2017 (final)
A new dry-lab training model for flexible ureteroscopy is coming soon.
The training dry-lab model of Boston Scientific (BSC) for Stone Institute in 2017 is being upgraded with BSC staffs and me.
BSC and I finalize the dry-lab model as you see in the left side!!!
16th May. 2017 (final)

16th Jan. 2017

Post Operation (PO) Management
PID (Percussion, Inversion, Diuresis)
To bring the best output from the kidney stone removal procedure, active post -op management is required.
PDI is highly recommended due to its proven efficiency as well as its easy implementation.
5th Jun. 2016

Escape® stone basket
[First use of escape stone basket]
Advantages:
(1) two stage movement and easy to migrate a stone from lower pole to upper pole.
(2) Appropriate stiffness.
(3) Easy to catch small fragments together at once.
Disadvantages:
(1) difficult to catch a small stone just in front of a renal papilla space because of the sharp tip,
(2) possibility of the tip damage of fURS when the basket is inserted during deflection (Views of my own)
20th May. 2016

Ureter avulsion
[Courtesy of Silvia proietti and Guido Giusti from twitter].
This ureteral avulsion case can be managed by boari flap, psoas hitch, or open/laparoscopic ureteral anastomosis. I have not experienced this situation until now.
15th May. 2016

Formation of renal stones
10th May. 2016
Randall's plaque

Navigation of submucosal stones
Fragmentation of submucosal renal stones
Combined procedure can always be considered to maximize the surgical outcomes
Percutaneous Antegrade Ureteroscopy for treatment of Ureterointesitinal Anastamotic Stricture … Isn’t it too long to call?
So we suggest 3 options to call this procedure
15th Apr. 2016



Lithovue in human cadaevers
Tips and tricks for RIRS are still developing..
15th Apr. 2016


Economical impact of reusable digital scopes
Why should we use disposable flexible ureteroscopes?
We should know differences in medical treatment system first and I think I need these disposable scopes in some cases.
What about environmental issues on disposable things?
1st Apr. 2016

Super-Mini-PCNL (SMP)
Dr Zeng G recently introduced Super-Mini-PCNL (SMP).
He was using 7Fr nephroscope combined with 10-14Fr access sheath. The size is similar to ultraminiperc (UMP) but it has a unique suction-evacuation function with two main and ancillary irrigation channels.
Can it be a new option for treatment of renal stones?
20th Mar. 2016
Urine passage observed via Angiography
Interesting to see how urine passes via ureter? it shows 2-3 times of momentum when urine passes from kidney to bladder.
Always nice to know how our body works!
20th Mar. 2016
Irrigation roller pump for stone surgery
[An irrigation pump with combination of pressure irrigation with sensor-controlled suction in the urology field was introduced in Korea in 2016. Uromat E.A.S.I.] [There is no conflict of interest.]
I tested this device in SMG-SNU Boramae Medical Center on Apr 1. The female patient with a Lt kidney midpole stone (11x10x10 mm) and another lower pole stone (8x7x7 mm) underwent RIRS. She had ureteral narrowing and no access sheath was available.
(Pressure 80 mmHg) normal navigation in each calyx was possible. (Pressure 100 mmHg) dusting technique or popcorn techniques was possible.
(Pressure 120 mmHg) dusting technique under slight hematuria was possible.
Change of irrigation flow setting did not affect the operative view. The pressure was constantly maintained during the surgical procedure.
11th Mar..2016

Holmium Laser Setting Values
There are many options to set Holmium laser values, however I would like to highlight No.5-7 High Power Setting which might be helpful to increase 18Fr. MPCNL surgical efficiency.
5th Mar..2016

ECIRS : How to set up an operation room
Room set up recommendation by G. Giusti, based on which side of kidney you need to operate on.
2nd Mar..2016

A new SWL nomogram including CT-related factors!!
Fig. Nomograms predicting stone-free rates.
(A) after the first session of shock-wave lithotripsy (SWL) without CT information, (B) after the first session of SWL with CT information, (C) within the third session of SWL without CT information, (D) within the third session of SWL with CT information.
doi:10.1371/journal.pone.0149333.g002
This new nomogram includes some factors related to CT images for the first time. You can calculate the stone-free rates after the fist session of SWL and within three sessions of SWL. The predictors were gender, stone location, stone number, and maximal distance from skin-to-stone. Actually, a nomogram is not my preferred method because I need to draw lines between predictors to calculate the stone-free rates. :)
25th Feb.2016

Suggested combination for PCNL procedure
High power laser device enables us to perform Mini-PCNL more efficiently.
24th Feb.2016

A good summary of the Min-PCNL in various sizes in Eur Urol
Mini-PCNL in various sizes of 15, 18, 19.5 or 24Fr.
[Mini-PCNL vs standartd PCNL]
Advantages of ability to use flexible ureteroscopy, possibility of superior nephron sparing compared with standard PCNL, fewer complications, or less bleeding with less analgesic use. Disadvantages of lower SFR and longer operative times.
[Mini-PCNL vs RIRS] Advantages of better SFR, avoidance of a ureteral stent(?), and reduces cost.
22nd Feb.2016

Personal opinion. PCNL vs. RIRS
From 30Fr. to 9.5Fr., there are various size options for Nephroscopes. Moreover. enhanced flexible-scope quality gives another option to treat renal stones...
PCNL vs. RIRS.. Which one you will choose?
Is it simply size matter?
23rd Feb.2016

AIRS (antegrade intrarenal surgery)
Sometimes, we face situations to remove renal and ureteral stones in patients with ileal conduit or ureteral strictures.
In such cases, antegrade approaches to solve these problems. Brian Eisner, (Harvard University Hospital) calls this procedure PASS (Percutaneous Antegrade Stricture Surgery) and I usually call this 'AIRS.' Whichever one it is, the procedure is similar to supine PCNL using a flexible ureteroscope.
My colleagues prefer AIRS to PASS because we are accustomed to use the acronym of 'RIRS (retrograde intrarenal surgery)' :D
22nd Feb.2016


Change of surgical trend for stone management in Korea- 2009 to 2013
The surgical proportion of stone management was only around 10% in South Korea.
It is weird! But you can realize the explosively increasing proportion of surgery and especially flexible ureteroscopy (blue and yellow lines) for 5 years! Where is the end of the lines?
22nd Feb.2016

Rise of Surgical Cases in Korea
Increase in urinary stone cases in Korea. Can you see the 10 times increase in surgical cases of flexible ureteroscopy from 2009 to 2014? And what is your opinion about the upcoming 5 years?
22nd Feb.2016

Surgical Trends of Urolithiasis
The role of ESWL and RIRS dramatically changed in Europe during the past 10 years. RIRS has been a good substitute for ESWL in small-to-midsized stones.


In Asia, the role of surgery (URS/RIRS) is dramatically increasing. This picture shows the great growth potential of surgical instruments in Asia.

Indication for RIRS
Definite indications for RIRS have not been established. However, the possible indications for RIRS for renal stones are as follows;
-
Midsized renal stones not appropriate for SWL or PCNL
-
Failed SWL or SWL-resistant stones
-
Radiolucent stones
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Anatomical abnormalities, e.g., steep infundibular-pelvic angle, long lower pole calyx, or narrow infundibulum
-
Concomitant renal and ureter stones
-
Complete removal of bilateral stones in a single session
-
Multiple renal stones including nephrocalcinosis
-
Bleeding disorders
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Need for complete stone removal, e.g., pilot
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Percutaneous antegrade approach for ureter stones in patients who underwent urinary diversion
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Combined or ancillary procedures following PCNL
-
Patient habitus, e.g., obesity, unfit for anesthetic pasotion
20th Feb.2016
RIRS vs. Mini-PCNL
Until now, the role of flexible ureteroscopy and mini-PCNL is absolutely increasing because of the risk of bleeding and renal damage during conventional PCNL. You may not agree to this opinion if you believe that the conventional PCNL is absolutely safe. ^^
And then, what is your option for mid-to-large size stones?
Few prospective randomized controlled trials have compared mini-PCNL and RIRS until now. This study showed that RIRS would be more safer than mini-PCNL but mini-PCNL are trying to have its cake and eat it by showing high efficacy and safety.
20th Feb.2016


S-ReSC-P for smart prediction of stone-free rates of PCNL
There have been several scoring systems to predict stone-free rates of PCNL. Guy score, S.T.O.N.E nephrolithometry and S-ReSC for PCNL (Seoul National University Renal Complexity Scoring system).
S-ReSC is very easy to measure the scores. Simply check whether the stone is located in 9 calices!
16th Feb.2016

S-ReSC-R for smart prediction of stone-free rates of RIRS
Scoring systems for RIRS? There have been also several scoring systems for RIRS. Resorlu-Unsal scoring system (RUSS) and S-ReSC for RIRS (Seoul National University Renal Complexity scoring system for RIRS).
We can give one point to 6 upper and midpole calices, and 2 points to 3 lower-pole calices. For sure, you can easily calculate the scores when you check whether the stone is located in 9 calices within 1 minute!!
16th Feb.2016

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