BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur
Tue, 29 Oct 2024
Frustrated with stone retrieval after a long lithotripsy case? In this episode of the BackTable Urology Podcast, host Aditya Bagrodia, MD, and guest Roger Sur, MD, director of the Comprehensive Kidney Stone Center at UC San Diego Health, delve into the latest technological advancements in the treatment of kidney stones. The episode focuses on the CVAC (continuous vacuum aspiration and irrigation) device as a suction platform for endourologists. --- This podcast is supported by: Photocure https://www.photocure.com/ --- SYNPOSIS Their conversation offers interesting historical detail on the evolution of kidney stone treatment, from open surgery to modern techniques including percutaneous nephrolithotomy, shockwave lithotripsy, and ureteroscopy. As one of the original visionaries behind CVAC, Dr. Sur highlights the development journey from lab experiments to FDA approval. The episode covers data on CVAC’s superiority in patient outcomes and stone-free rates compared to other technologies. Key insights from recent studies, such as the ASPIRE trial, underscore the benefits of CVAC in reducing postoperative events and stone regrowth. The conversation also explores practical aspects of integrating suction platforms into practices and looks ahead towards the potential for machine learning to refine these technologies. --- TIMESTAMPS 00:00 - Introduction 04:29 - The Rise of Ureteroscopy 10:38 - Development of Suction Devices 12:22 - The CVAC Device: History and Functionality 21:05 - Comparing Suction Device Systems 31:34 - Looking Into the Data 37:42 - Considerations for Real-World Practice --- RESOURCES Photocure https://www.photocure.com/
Full Episode
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This week on the Backtable Podcast. Isn't a stone a three-dimensional object? Shouldn't we be looking at volume of stone? You think about it, it totally makes sense. It's the volume of the stone that probably makes a lot more sense than the two-dimensional. It's kind of dumbing it down when really we should be looking at volume. So that I think is one of the futures is to look at
How much stone are you leaving behind? And not just in two dimensions, but in three dimensions. You can see there's emerging research demonstrating the importance of volume. So I think when you're gonna see that more and more, that people will be talking about how much volume is left behind and how that translates to all those things that you were talking about, post-op problems.
Hello, everyone, and welcome to Backtable, your source for all things urology. You can find all previous episodes on Apple, Spotify, YouTube, and on backtable.com. This is Aditya Bagrodia as your host this week. And I'm thrilled to invite our guest today, Dr. Roger Sir, who's one of my partners here at UC San Diego. He's a tremendous clinician, tremendous surgeon, great friend and partner.
Roger, how's it going today?
It's going great, Aditya. I'm really honored to be here. And I'm glad you're my host, actually, because it makes it super comfortable for me since we're good friends.
Yeah, we are good friends. Roger's had the, I guess, pleasure or displeasure of helping me get my sea legs on a surfboard. So he's taken us out. It's been super fun. You know, one of the things I've been most impressed with getting to know Roger is it's the clinical care. It's the innovation, problem solving, remaining non-intimidated by new technologies. And maybe we'll get into that.
So today we're going to talk about suction devices and suction technologies and kidney stone treatment. And I'm excited. You know, taking a walk down memory lane, largely it was lasers, fragment, basket retrieval for as long as that was required. Then dusting kind of came on the scene as like a new thing. And that seems to be kind of a...
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