: This study aimed to evaluate the recurrence rates at three years for upper tract urothelial carcinoma (UTUC) cases managed conservatively, using Narrow Band Imaging (NBI)-assisted flexible ureteroscopy and Holmium laser vaporization. : The study group included 61 patients who were diagnosed with NBI-assisted visualization with superficial pyelo-calyceal urothelial tumor lesions, treated conservatively by the flexible ureteroscopic approach and Holmium laser vaporization, also assisted by NBI. This was compared with a control group with the same number of cases, which underwent the same procedure, but without NBI technology.
View Article and Find Full Text PDFIntegrating road vehicles into broader Internet of Things (IoT) ecosystems is an important step in the development of fully connected and smart transportation systems. This research explores the potential of using communication technologies that achieve a balance between low-power and long-range (LPLR) capabilities while remaining cost-effective, specifically Bluetooth Classic BR-EDR, Bluetooth LE, ZigBee, nRF24, and LoRa-for Vehicle-to-Infrastructure (V2I) and Vehicle-to-IoT (V2IoT) ecosystem interactions. During this research, several field tests were conducted employing different types of communication modules, across three distinct environments: an open-field inter-urban road, a forest inter-urban road, and an urban road.
View Article and Find Full Text PDFJ Clin Med
November 2024
: Renal lithiasis continues to represent a great challenge for modern urology in terms of minimally invasive management of lithotripsy procedures. The recent revolution of endoscopes with the miniaturization of instruments and the development of improved disposable ureteroscopes combined with recent suction methods such as suction access sheaths or direct in-scope suction (DISS) systems promise to further improve the outcome of renal stone treatment. : Considering this technological advance, this study aims to evaluate the results obtained by combining these methods in three groups: Group 1-Single-use 7.
View Article and Find Full Text PDFNew suction endoscopes, ureteral access sheaths (UAS) and catheters aim to improve the efficacy of flexible ureteroscopy and optimize its safety. Suction UAS with non-flexible tips have shown promising results, especially in maintaining low intrarenal pressure, but also in removing small debris and reducing the "snow globe" effect. In addition, suctioning UAS with a flexible tip offers the advantage of being able to be navigated through the pyelocaliceal system to where the laser lithotripsy is performed.
View Article and Find Full Text PDFUrolithiasis is a major health problem which is on the rise worldwide. New procedures and technological tools have arisen, providing the urologist with a vast arsenal of options for stone disease management. The goal of this narrative review is to summarize the most recent advancements and demonstrate their efficacy in reducing complications and increasing surgical efficacy.
View Article and Find Full Text PDFRail interlocking systems follow the progress of technology and train speeds. Nowadays, new systems are designed based on microcontrollers and reliable software, requiring many hours of testing to ensure their proper functionality and bug-free coding. However, in many countries, there are still older relay solutions implemented that are not envisaged to be upgraded in the near future partially due to costs but mainly due to the fact they function very well, being based on a highly reliable element: the relay.
View Article and Find Full Text PDFA staged ureteroscopic procedure is generally preferred to treat bilateral renal stones. In this study, we evaluated the feasibility of bilateral same-session flexible ureteroscopy (BS-fURS) in renal stones. A total of 81 patients underwent bilateral BS-fURS between March 2014 and March 2021 for bilateral renal stones.
View Article and Find Full Text PDFHorseshoe kidney (HSK) is one of the most frequent renal malformations which appears to present an increased risk of stone formation caused by abnormal urine drainage. This study aims to compare the results of single-use flexible ureteroscopy (SUfURS) vs reusable devices (RfURS) with holmium laser in treating stones in HSK cases. Between February 2017 and June 2021, 29 patients diagnosed with renal stone disease and horseshoe kidney were retrospectively analyzed.
View Article and Find Full Text PDFAs road traffic networks become more congested and information systems are implemented to manage traffic flows, real-time data gathering becomes increasingly important. Classic detectors are placed in one point of the network and are able to provide information only from that area. As useful as this is, it lacks the big picture of the routes the vehicles usually travel.
View Article and Find Full Text PDFIn this paper, we aimed to verify the efficiency and functionality of the new Soltive Thulium Fiber Laser (TFL) in the treatment of urinary stones. The Soltive Laser System was used in 17 urolithiasis cases: 10 renal, 5 ureteral, and 2 bladder stone patients. The average stone size was 13.
View Article and Find Full Text PDFSingle-use flexible ureteroscopes (SU-fURS) seems to overcome the main limitations of conventional reusable ureteroscopes in terms of acquisition and maintenance costs and breakages. Our aim was to analyz the efficiency and safety of the thinnest single use flexible scope from Pusen: Uscope Pusen, PU 3033A (Tip = 7.5 Fr.
View Article and Find Full Text PDFAs road traffic conditions worsen due to the constantly increasing number of cars, traffic management systems are struggling to provide a suitable environment, by gathering all the relevant information from the road network. However, in most cases these are obtained via traffic detectors placed near road junctions, thus providing no information on the conditions in between. A large-scale sensor network using detectors on the majority of vehicles would certainly be capable of providing useful data, but has two major impediments: the equipment installed on the vehicles should be cheap enough (assuming the willingness of private car owners to be a part of the network) and be capable of transferring the required amount of data in due time, as the vehicle passes by the road side unit that acts as interface with the traffic management system.
View Article and Find Full Text PDFRom J Morphol Embryol
April 2019
Introduction: Digital flexible ureteroscopy (FURS) increasingly became a routine diagnostic procedure in upper urinary tract transitional cell carcinoma (UUT-TCC). Identifying elements that may suggest the malignant nature of a lesion and obtaining biopsy specimens sufficient for a reliable pathological analysis remain difficult challenges. Narrow-band imaging (NBI) technology appears to provide a more accurate observation of the upper tract urothelium.
View Article and Find Full Text PDFIntroduction: Roboflex Avicenna represents a new device for flexible ureteroscopy, able to provide an efficient lithotripsy for renal calculi, Bucharest being the fourth place in the world where such a device is already in use.
Material And Methods: The study was prospective and included a number of 132 patients equally randomized which underwent standard flexible ureteroscopy and robotic flexible ureteroscopy for renal calculi between July and February 2016. All the procedures were performed with aStorz XC flexible ureteroscope in association with Avicenna Roboflex.