Publications by authors named "V de Coninck"

Objective: To evaluate the impact of coiling of the proximal end of the ureteral stent on stent-related symptoms (SRS) in in subgroup of patients undergoing preoperative ureteral stenting preceding flexible retrograde intrarenal surgery (RIRS).

Materials And Methods: We performed a prospective comparative study including patients undergoing stent placement 7-10 days prior to RIRS. Patients were divided into 2 groups; in Group 1 coiling of proximal end of the DJ was present, while in Group 2 coiling was absent.

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Article Synopsis
  • The study evaluates the deflection angles of Flexible and Navigable Suction Ureteral Access Sheaths (FANS) using two techniques: sheath advancement and ureteroscope deflection, along with different sheath and ureteroscope size combinations.
  • Results show that maximum deflection angles are significantly different depending on the technique used, with sheath advancement providing the largest angles, although they often fall short of manufacturer expectations.
  • The findings suggest that the combination of 11/13Fr sheath with specific ureteroscopes is optimal for achieving better deflection, particularly in difficult lower pole situations; urologists should consider these techniques in practice.
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  • Ureteroscopy is increasingly used to treat kidney stones, with laser technology being a main component, prompting an analysis of adverse events related to laser fibers and machines in a national database from 2012-2021.
  • A total of 699 adverse events involving holmium laser fibers were reported, with the majority caused by breakage—often occurring before laser activation—and leading to a few cancellations of procedures.
  • While patient injuries from laser fibers were minimal, operating staff experienced more injuries, primarily superficial burns, highlighting the importance of safety awareness during procedures.
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  • Social media is integral to modern life, influencing interactions between patients and urologists, offering both educational and communication opportunities.
  • While patients can benefit from support networks, the accuracy of online health information is often questionable, raising concerns about misinformation.
  • For urologists, social media can enhance networking and research but also poses risks, such as mental health impacts and ethical issues regarding patient privacy and consent.
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