Innovations in the diagnosis and treatment of patients with urolithiasis

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Abstract

Urolithiasis (kidney stone disease) remains a significant healthcare challenge worldwide due to its increasing prevalence and high recurrence rates. The rising incidence of urolithiasis can be attributed to the widespread use of advanced imaging techniques, such as computed tomography, as well as the growing prevalence of metabolic syndrome and shifts in lifestyle and dietary habits. Consequently, there has been an increase in endourological procedures for the management of kidney and ureteral stones. The primary clinical goal in treating patients with urolithiasis – achieving a stone-free status – equires the integration of highly skilled techniques and innovative technologies. This literature review, conducted within the framework of the RSF grant, aims to analyze the latest advancements in the diagnostics and surgical treatment of urolithiasis, focusing on improving treatment efficacy and long-term outcomes.

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About the authors

Pavel A. Chislov

FGAOU VO I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Author for correspondence.
Email: pavel_chislov@mail.ru
ORCID iD: 0009-0004-9257-6142

medical PhD student of Institute of Urology and Human Reproductive Health

 

Russian Federation, 119992, Moscow, Bolshaya Pirogovskaya str., 2, buil. 1

Julija A. Lee

FGAOU VO I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: julee1806@gmail.com
ORCID iD: 0009-0009-7448-3934

medical PhD student of Institute of Urology and Human Reproductive Health

Russian Federation, 119992, Moscow, Bolshaya Pirogovskaya str., 2, buil. 1

Stanislav H. Ali

FGAOU VO I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: ali_s_kh@staff.sechenov.ru
ORCID iD: 0000-0002-7365-4190

associate professor of the Institute of Urology and Human Reproductive Health

 

Russian Federation, 119992, Moscow, Bolshaya Pirogovskaya str., 2, buil. 1

Alim M. Dymov

FGAOU VO I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: alimdv@mail.ru
ORCID iD: 0000-0001-6513-9888

medical PhD, professor of the Institute of Urology and Human Reproductive Health

Russian Federation, 119992, Moscow, Bolshaya Pirogovskaya str., 2, buil. 1

Vasilij Ju. Mikhailov

FGAOU VO I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: mikhaylov_v_yu@staff.sechenov.ru

PhD, senior researcher of the Institute of Urology and Human Reproductive Health

Russian Federation, 119992, Moscow, Bolshaya Pirogovskaya str., 2, buil. 1

Magomed-Salah A. Gazimiev

FGAOU VO I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: gazimiev_m_a@staff.sechenov.ru
ORCID iD: 0000-0002-8398-1865

medical PhD, professor of the Institute of Urology and Human Reproductive Health

Russian Federation, 119992, Moscow, Bolshaya Pirogovskaya str., 2, buil. 1

Andrej Z. Vinarov

FGAOU VO I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: avinarov@mail.ru
ORCID iD: 0000-0001-9510-9487

medical PhD, professor of the Institute of Urology and Human Reproductive Health

Russian Federation, 119992, Moscow, Bolshaya Pirogovskaya str., 2, buil. 1

References

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Supplementary files

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2. Fig. 1. Atraumatic MG needle A — general diagram of the MG needle. B — pointed cannula and atraumatic mandrin-bulb

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3. Fig. 2. System of robot-assisted puncture of the CLS under fluoroscopy control A — robotic arm. B — process of system guidance using built-in software.

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4. Fig. 3. Working with the SonixGPS system. The arrow indicates the electromagnetic transmitter, the main part of the device.

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5. Fig. 4. Using a navigation system based on electromagnetic sensors for puncture of the renal collecting system. A-endoscopic picture at the moment of successful puncture of the renal collecting system. B-general picture of working with the device in the operation:Lcyunnoy

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6. Fig. 5. Examples of images taken in vitro, in vivo on a test animal and on a human, with masks applied highlighting the laser fiber and the calculus. Small fragments of stones and blood are marked with yellow and red rectangles, respectively.

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