Publications by authors named "Victoria Jahrreiss"
Article Synopsis
- In a comparative study, researchers evaluated the effectiveness of holmium laser lithotripsy using MOSES technology versus non-MOSES methods in treating urinary stones.
- They analyzed data from 206 matched patients, focusing on demographics, stone characteristics, and clinical outcomes like operative time and complication rates.
- Although MOSES showed minor advantages (like lower operative time and higher stone-free rates), the results were not statistically significant, suggesting that more research is needed to fully establish its benefits.
Introduction: Modulated optics enhancement system (MOSES) holmium lasers use "pulse modulation" to increase the efficacy of laser lithotripsy. As the clinical evidence on the efficacy of 60 W holmium laser with MOSES technology is scarce, we analyzed the outcomes of patients treated with this laser at our institution.
Methods: A total of 96 consecutive patients with urinary stones (72 renal stones and 24 ureteral stones) were treated with the 60 W MOSES laser from 2019 until 2022 and were included in our analysis.
Introduction: There is a gap in the available literature and guidelines concerning the optimal approach for treating allograft stones, which currently include external shockwave lithotripsy, ureteroscopy and laser lithotripsy, or percutaneous nephrolithotomy. The objective of this systematic review was to evaluate the safety and effectiveness of URS as a treatment option for patients in this scenario.
Evidence Acquisition: A comprehensive search of the literature was conducted until August 2023.
Objective: To provide a comprehensive review on the existing literature on medical management of urolithiasis.
Methods: A thorough literature review was performed using Medline, PubMed/PMC, Embase, and the Cochrane Database of Systematic Reviews up to December 2022 to identify publications on the medical management of urolithiasis. Studies that assessed dietary and pharmacologic management of urolithiasis were reviewed; studies on medical expulsive therapy were not included in this review.
Article Synopsis
- Pediatric urolithiasis is becoming more common globally, prompting a pilot study to evaluate outcomes using small, single-use ureteroscopes in treating urinary stones in children.
- This study included 26 pediatric patients at two European centers, analyzing variables like patient demographics, stone sizes, operating times, and success rates, with promising results showing a 92.3% stone-free rate and no complications.
- The findings suggest that the 7.5 Fr single-use ureteroscope is a safe and effective treatment method for pediatric urinary stones, though further research is needed to confirm these results.
Renal transplantation is the treatment for end-stage renal disease that offers better quality of life and survival. Among the possible complications that might affect allografts, urolithiasis might have severe consequences, causing acute kidney injury (AKI) or septic events in immunocompromised patients. Allograft stones might be treated with percutaneous nephrolithotomy (PCNL).
View Article and Find Full Text PDFBackground: Evidence-based guidelines are published by urological organisations for various conditions, including urolithiasis. In this paper, we provide guidance on the management of kidney stone disease (KSD) and compare the American Urological Association (AUA) and European Association of Urologists (EAU) guidelines.
Methods: We evaluate and appraise the evidence and grade of recommendation provided by the AUA and EAU guidelines on urolithiasis (both surgical and medical management).
Article Synopsis
- The study reviews the environmental effects and carbon footprint of single-use vs. reusable flexible cystoscopes, specifically focusing on the Isiris model from Coloplast.
- Through systematic literature review and analysis, the research breaks down the life cycle carbon emissions for both types of cystoscopes across different stages such as manufacturing, sterilization, and disposal.
- Findings indicate that the Isiris single-use cystoscope has a lower carbon emission of 1.76 kg CO per case compared to an estimated 2.40 to 3.99 kg CO per case for reusable cystoscopes, suggesting a potentially reduced environmental impact for single-use devices.
Article Synopsis
- This study reviews the efficacy and safety of endoscopic combined intrarenal surgery (ECIRS) for managing renal stones, emphasizing its role as a first-line treatment option.
- A literature review identified 33 studies which indicated that ECIRS not only effectively removes stones but also has a low complication rate, primarily minor ones.
- The procedure enhances the urologist's experience by allowing better visual access and requiring fewer entry points, making it particularly beneficial for complex stone cases.
Article Synopsis
- - The study investigates the publication trends related to the use of Artificial Intelligence and its subsets (like Machine Learning and Virtual Reality) in the treatment and understanding of urolithiasis (kidney stones) from 1994 to 2023, categorizing articles into clinical (nonsurgical and surgical) and training.
- - A total of 343 articles were analyzed, with a notable increase in publications across all categories over the decades, particularly between Period-2 (2004-2013) and Period-3 (2014-2023), showcasing significant growth rates in research outputs for surgical and nonsurgical applications as well as training.
- - The findings indicate exponential growth in AI-related research in urolithiasis during the last
Background: Minimally invasive techniques for treatment of urinary stones requires expertise, experience and endoscopic skills. Simulators provide a low-stress and low-risk environment while providing a realistic set-up and training opportunities.
Aim: To report the publication trend of 'simulation in urolithiasis' over the last 26 years.
Introduction: We wanted to analyze the trend of publications in a period of 30 years from 1994 to 2023, on the application of 'artificial intelligence (AI), machine learning (ML), virtual reality (VR), and radiomics in percutaneous nephrolithotomy (PCNL)'. We conducted this study by looking at published papers associated with AI and PCNL procedures, including simulation training, with preoperative and intraoperative applications.
Materials And Methods: Although MeSH terms research on the PubMed database, we performed a comprehensive review of the literature from 1994 to 2023 for all published papers on 'AI, ML, VR, and radiomics' in 'PCNL', with papers in all languages included.
Background: Allograft urolithiasis is an uncommon, challenging, and potentially dangerous clinical problem. Treatment of allograft stones includes external shockwave lithotripsy (SWL), flexible ureteroscopy and lasertripsy (fURSL), or percutaneous nephrolithotomy (PCNL). A gap in the literature and guidelines exists regarding the treatment of patients in this setting.
View Article and Find Full Text PDFPurpose Of Review: To summarize the latest findings and developments in genomics for kidney stone disease (KSD) that help to understand hereditary pathomechanisms, identify high risk stone formers, provide early treatment and prevent recurrent kidney stone formation.
Recent Findings: Several gene loci associated to KSD have presently been discovered in large Genome-wide association studies. Monogenic causes are rare, but are thought to have higher penetrance, while polygenic causes are more frequent with less penetrance.
A valid treatment option for recurrence after definite radiotherapy (RT) for localized prostate cancer (PC) is salvage radical prostatectomy (SRP). However, data on SRP are scarce, possibly resulting in an underutilization. A systematic review was performed using MEDLINE (Pubmed), Embase, and Web of Science databases including studies published between January 1980 and April 2020.
View Article and Find Full Text PDFPurpose Of Review: Sarcopenia is known to affect perioperative and oncologic outcomes in patients with different urological malignancies. Nevertheless, the use of pretreatment sarcopenia as a predictor of clinical outcomes in patients with prostate cancer is still poorly studied. Therefore, we aimed to conduct a systematic review summarizing the available evidence and identifying the prognostic value of sarcopenia in prostate cancer patients.
View Article and Find Full Text PDFPurpose Of Review: This review provides a forecast about ongoing developments in the management of urolithiasis with a potential to challenge the current standard of care. We therefore emphasized innovative technology, which might be considered still experimental in the daily clinic or needs further clinical validation, but harbors the great potential to become a game changer for future stone management.
Recent Findings: Especially in the endoscopic stone treatment, we observed a multitude of groundbreaking technical innovations, which changed our treatment algorithms over the last decades.
Purpose: To evaluate the differential impact of postoperative radiotherapy (RT) on recurrence patterns in patients treated with radical prostatectomy (RP) using [Ga]Ga-PSMA conjugate 11 positron emission tomography (PSMA 11-PET).
Methods: We assessed 162 consecutive patients who experienced biochemical recurrence (BCR) after RP for nonmetastatic prostate cancer (PC). All had at least one positive lesion on imaging.
Purpose Of Review: The aim of this article is to provide an overview of recent findings regarding the risk factors for bladder cancer.
Recent Findings: Most of the available data derive from retrospective analysis. Smoking represents the most common and important risk factor.
Purpose: We aim to analyze the efficacy of different focus sizes and the influence of pulse pressure (intensity) during shock wave lithotripsy (SWL) in terms of stone fragmentation.
Methods: Combination of three focal sizes (F1 = 2 mm, F2 = 4 mm, F3 = 8 mm) and 11 output pressure settings (intensity 10-20) of a piezoelectric lithotripter (Wolf PiezoLith 3000) were tested on artificial stones (n = 99). The stones were placed within a 2 mm mesh cage.
Purpose Of Review: To investigate the application of artificial intelligence in the management of nephrolithiasis.
Recent Findings: Although rising, the number of publications on artificial intelligence for the management of urinary stone disease is still low. Most publications focus on diagnostic tools and prediction of outcomes after clinical interventions.