Medical Practice Technical Challenges


Endoscopic Stone Surgery Course

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June 24th 2021 - June 26th 2021
Paulo Vale (MD) , 
Peter Kronenberg (MD)
Urinary stone surgery began already several millennia ago. Fortunately, minimally invasive techniques have been developed making the treatment significantly easier for patients and with better outcomes. Endourological stone surgery uses many specialized tools and materials, quite different from conventional surgery, and encompasses many technical details as well as requiring specialized training and skills to achieve a successful procedure. Considering the high and rising prevalence of stone disease, the numbers of urinary stone surgeries are worldwide steadily increasing.

This course presents and explains in-depth all types of endoscopic stone surgeries currently available. Every state-of-the-art procedure is explained, step-by-step, allowing at the same time a unique and rewarding hands-on experience, for its participants, with skill-based exercises, simulations and training sessions, as the educational lectures progress. It also provides its participants with the latest developments in the field (including techniques and technology), keeping them up to date and helping them to become more dexterous in endoscopic stone surgery
  • Urologists residents and specialists
  • Any health care provider involved with endoscopy procedures (instrument/scrub nurses, managers or coordinators of endourology units)
  1. To know and understand the potential of endourological surgery for stone surgery, its evolution, the broad range of minimal invasive therapeutic solutions it has to offer, foresee what might be the future trends and paths, but also recognize its limitations.
  2. To identify, understand, and finally, be familiar with the endoscopic armamentarium currently available, from the simplest instruments to the latest state-of-the-art technology. To be capable of planning and deciding which correct endoscopic materials are needed, for any clinical situation.
  3. To properly handle all surgical material necessary, being capable to carefully maneuver and navigate inside the urinary tract of the patient, as well as to troubleshoot and deal with any material malfunction or material-related intra-operative complication.
  4. To be able to safely and successfully access any endoscopic location.This also includes knowing and recognizing the important anatomical landmarks necessary for a proficient and successful endoscopic stone surgery.
  5. To be capable of doing any kind of stone related endoscopic procedure, step-by-step, such as cystolitholapaxy, ureteroscopy, retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL) using rigid, semi-rigid or flexible instruments.
  6. To know the most common types of urinary stones, being able to identify them intra-operatively, and to strategically adjust the different lithotripsy parameters.
  7. To know how to handle and adjust the lithotripsy technology used (ballistic, ultrasound, Ho-YAG laser, Thulium Fiber Laser) to be as efficient as possible, and according to the requirements of each situation.
  8. To know and understand the pre, intra and post-operative complications and problems that might occur with endoscopic stone surgery, as well as being able to deal with them, focusing on complication avoidance and prevention.
>> Academic background in the mentioned specialties.
>> CV and motivation letter