Edited by the father of endourology, Arthur Smith, Smith's Textbook of Endourology is the definitive reference book in
the field, addressing every aspect of endourologic procedure including methods of access, operative techniques,
complications, and postoperative care.
The reader is taken on a step-by-step journey through percutaneous surgery, ureteroscopy, extracorporeal shock wave
lithotripsy, laparoscopy, and lower urinary tract procedures, and is given a comprehensive look at the influx of and
dynamic changes in robotic and laparascopic procedures, and image-guided technologies. The principles and function of
state-of-the-art endourologic instruments are outlined for each procedure.
Now in full-color, the third edition contains 800 extra pages, culminating in an 1800 page, two-volume textbook
reflecting the most current advances in endourology. A supplemental DVD includes over 100 high-quality surgical videos
allowing you to see endourology in practice.
With all chapters thoroughly revised by world-renowned authors with unrivalled expertise in the field, Smith's Textbook
of Endourology 3E is an essential reference book for all urologists, particularly those who regularly perform
endourology in their daily practice. This new edition, with its vast amount of extra content, will rightly cement its
status as the leading urologic surgery textbook.
Contributors, xi
Section 1: Basic Principles, 1
1 Care and Sterilization of Instruments, 3
Carol Olsen
2 How to Protect Patients and Personnel from Radiation, 10
John G. Mancini & Michael N. Ferrandino
3 Video Imaging and Documentation, 19
Michael E. Lipkin, Charles D. Scales Jr, & Glenn M. Preminger
4 Preoperative Antibiotics and Prevention of Sepsis in Genitourinary Surgery, 38
Jorge Gutierrez-Aceves, Oscar Negrete-Pulido & Pedro Avila-Herrera
5 Management of Anticoagulation Therapy in Endoscopic and Laparoscopic Urologic Surgery, 53
Michael Poch & George E. Haleblian
Section 2: Percutaneous Renal Surgery, 61
Part 1: Preoperative Considerations
6 Surgical Anatomy of the Kidney in the Prone, Oblique, and Supine Positions, 63
Francisco J. B. Sampaio
7 Pathophysiology of Urinary Tract Obstruction, 95
Frederick A. Gulmi & Diane Felsen
8 Special Anesthetic Considerations for Endourology: Ureteroscopy and Percutaneous Nephrolithotomy, 120
Sarah G. Bodin & Angela F. Edwards
9 Organizing the Operating Room for Percutaneous and Ureteroscopic Procedures and Laparoscopy, 135
Ravindra B. Sabnis & Shashikant Mishra, 135
Part 2: Patient Positioning for Percutaneous Access
10 Patient Positioning for Supine Access, 146
Jos?Gabriel Valdivia-Ur?
11 Prone, Lateral, and Flexed: Patient Positioning for Percutaneous Nephrolithotomy, 152
A. Andrew Ray & R. John D묨. Honey
Part 3: Imaging for Access
12 Percutaneous Renal Access Under Ultrasound Control, 173
Mahesh R. Desai & Arvind P. Ganpule
13 Percutaneous Renal Access Under Fluoroscopic Control, 180
Norberto O. Bernardo
14 Computed Tomography for Percutaneous Renal Access, 189
Khurshid R. Ghani, Uday Patel & Ken Anson
15 Endoscopic Guidance for Percutaneous Renal Access, 200
Michael K. Louie & Elspeth M. McDougall
Part 4: Selection of Access and Dilation
16 Upper Calyx Access for Percutaneous Nephrolithotomy, 206
Davis P. Viprakasit & Nicole L. Miller
17 Percutaneous Renal Access without Image Guidance, 214
Arvin K. George & Arthur D. Smith
18 Retrograde Access for Percutaneous Renal Surgery, 219
Burak Turna & Robert J. Stein
19 Percutaneous Renal Surgery Selection of Access: Robotic, 227
Michelle Jo Semins, Dan Stoianovici & Brian R. Matlaga
20 Dilation of the Nephrostomy Tract, 232
Petar Erdeljan & Hassan Razvi
Part 5: Stone Removal
21 Rigid and Flexible Nephroscopy, 240
Mantu Gupta & Hiroshi Katsumi
22 Percutaneous Treatment of Ureteral Stones, 253
Oscar Schatloff, Amir Cooper & Yoram I. Siegel
23 Special Problems with Staghorn Calculi, 260
Kevan M. Sternberg & Timothy D. Averch
24 Percutaneous Lithotripsy and Stone Extraction, 268
Michael S. Lasser & Gyan Pareek
Part 6: Other Uses of Nephrostomy Access
25 Percutaneous Treatment of Calyceal Diverticula, Infundibular Stenosis, and Simple Renal Cysts, 277
Amy E. Krambeck & James E. Lingeman
26 Percutaneous Instillation of Chemolytic, Chemotherapeutic, and Antifungal Agents, 290
Mohamed A. Elkoushy, Philippe D. Violette & Sero Andonian
27 Percutaneous Treatment of Ureteropelvic Junction Obstruction, 310
Paul J. Van Cangh
28 Percutaneous Management of Upper Urinary Tract Transitional Cell Carcinoma, 316
Jonathan J. Rhee & Thomas W. Jarrett
Part 7: Exit Strategy and Complications
29 Exit Strategy After Percutaneous Renal Surgery: Drainage and Hemostasis, 326
Arun K. Srinivasan, Zeph Okeke & Arthur D. Smith
30 Hemorrhagic Complications Associated with Renal Surgery, 334
Ardeshir R. Rastinehad, Sero Andonian, & David N. Siegel
31 Diagnosis and Management of Thoracic Complications of Percutaneous Renal Surgery, 340
Jennifer Yates & Ravi Munver
32 Bowel and Other Organ Injury during Percutaneous Renal Surgery, 349
Saeed Al-Qahtani & Olivier Traxer
SECTION 3: Ureteroscopy, 355
Part 1: General Principles
33 Ureteral Anatomy, 357
Dorit E. Zilberman
34 Rigid and Flexible Ureteroscopes: Technical Features, 365
David A. Payne & Francis X. Keeley
35 Ureteroscopy Working Instruments, 388
Renato N. Pedro & Manoj Monga
36 Access to the Ureter: Rigid Ureteroscopy, 395
Fernando C. Delvecchio
37 Access to the Ureter: Flexible Ureteroscopy, 402
Ojas Shah & Elias Hyams
38 Ureteroscopic Management of Ureteral Calculi, 412
Gautam Jayram & Glenn S. Gerber
39 Ureteroscopic Management of Renal Calculi, 418
Sven Lahme
40 Diagnostic Ureteroscopy, 429
Michael J. Conlin
41 Ureteroscopic Diagnosis and Treatment of Upper Urinary Tract Neoplasms, 436
Demetrius H. Bagley
Part 2: Ureteroscopic Management of Ureteral Obstruction
42 Retrograde Ureteroscopic Endopyelotomy for Ureteropelvic Junction Obstruction, 453
Ugur Boylu & Raju Thomas
43 Mid-Ureteral Obstruction, 461
Mrinal Dhar & Michael Grasso
44 Distal Ureteral Strictures, 472
Amin S. Herati & Mohamed A. Atalla
45 Endoscopic Management of Ureteroenteric Strictures, 481
Davis P. Viprakasit & S. Duke Herrell
46 Ureteroscopy: Ureteral Stents and Postoperative Care, 495
Ben H. Chew & Ryan F. Paterson
47 Ureteroscopy Complications, 506
Petrisor Geavlete
48 Ureteroscopy into the Future: Robotic Ureteroscopy, 519
Monish Aron
SECTION 4: SHOC K-WAVE LIT HOTRI PSY, 527
49 Physics of Shock-Wave Lithotripsy,529
Robin O. Cleveland & James A. McAteer
50 Lithotripsy Systems, 559
Geert G. Tailly
51 Shock-Wave Treatment of Renal Calculi, 576
Hans-G?an Tiselius
52 Shock-Wave Lithotripsy of Ureteral Calculi, 598
Damien M. Bolton & Anthony Ta
53 C omplications of Shock-Wave Lithotripsy, 612
Fang Jann Lee & Yeh Hong Tan
SECTION 5: STONE MANAGEMENT IN UROLOGY, 623
Part 1: General Principles
54 Natural History of Stones, 625
Michael G. Santomauro & Brian K. Aug
55 I nitial Choice of Therapy in the Urinary Stone Patient, 634
Peter L. Steinberg & David M. Hoening
56 Management of Urolithiasis during Pregnancy, 644
Petar Erdeljan & John D. Denstedt
57 Management of Stones in Obesity, 654
Omer Levent Tuncay, Cenk Acar & Saadettin Eskicorapci
58 Management of Residual Stone Fragments, 662
Andreas Skolarikos
59 Management of Renal Colic and Triage in the Emergency Room, 675
Marius Cloete Conradie
60 Anesthesia for the Endourologic Management of Stone Disease, 688
John Di Capua, Harold Kim, Kenneth Cordero & Beatrice Saldana Ferretti
Part 2: Management of Stones in Abnormal Situations
61 Horseshoe Kidneys, 702
Wan Wan Yap, Tze Wah & Adrian Joyce
62 A ssociated Conditions and Treatment of the Pelvic Kidney, 707
Nadya M. Cinman, Zeph Okeke, & Arthur D. Smith
63 Management of Stone Disease in Renal Transplant Kidneys, 716
Ali Riza Kural & Can ?ek
64 Stones in Urinary Diversions: Causes and Treatment, 725
Zeph Okeke, Zhamshid Okhunov & Arthur D. Smith
65 Management of Pediatric Stone Disease: Endourologic Techniques, 735
Marc C. Smaldone, Daniel P. Casella & Michael C. Ost
Part 3: Cost-Effectiveness and Long-Term Stenting
66 Cost-Effective Strategies for Management of Renal and Ureteral Calculi, 756
Sara Best, Yair Lotan & Margaret S. Pearle
67 Long-Term Stenting of the Ureter, 772
Evangelos Liatsikos, Panagiotis Kallidonis, Dimitrios Karnabatidis & Theodoros Petsas
SECTION 6: LAPAROSCOPY AND ROBOTIC SURGERY , 783
Part 1: General Principles
68 Patient Preparation and Operating Room Set-up for Laparoscopic and Robotic Surgery, 785
Sarah P. Conley & Benjamin R. Lee
69 A nesthesia Considerations during Laparoscopic and Robotic Surgery, 793
Alan Butler, Kenneth Cordero & John Di Capua
70 Pneumoperitoneum: Physiologic Effects, 811
Jay D. Raman & Jeffrey A. Cadeddu
Part 2: Instrumentation and Access
71 L aparoscopy: Basic Instrumentation, 827
Khaled Shahrour & Stephen V. Jackman
72 R obotic Surgery: Basic Instrumentation and Troubleshooting, 843
Wooju Jeong, Firas Petros & Craig Rogers
73 Minimally Invasive Urologic Reconstructive Techniques: Suture, Staple, and Clip Technology, 848
Michael J. Schwartz
74 O btaining Access: Transperitoneal Approach and Trocar Placement, 858
Debora K. Moore, John C. Coleman & Robert Moore
75 Retroperitoneal Access, 874
Ali Moinzadeh
76 Basic Hand-Assisted Laparoscopic Techniques, 878
J. Stuart Wolf Jr
Part 3: Laparoscopy and Robotics in Adults
77 Pelvic Lymphadenectomy, 893
Steven Lucas & Chandru P. Sundaram
78 E ndoscopic Subcutaneous Modified Inguinal Lymph Node Dissection for Squamous Cell Carcinoma of the Penis, 917
Jay T. Bishoff
79 Laparoscopic Retroperitoneal Lymph Node Dissection, 924
Thomas J. Guzzo & Mohamad E. Allaf
80 Laparoscopic Varicocelectomy, 932
Duong Tu & Kenneth I. Glassberg
81 Renal Surgery for Benign Disease, 940
Sean P. Hedican & Stephen Y. Nakada
82 Laparoscopic Living Donor Nephrectomy, 992
Jonathan D. Harper, Alberto Breda & Peter G. Schulam
83 Renal Surgery for Malignant Disease: Radical Nephrectomy and Nephroureterectomy, 1000
Ben R. McHone, Thomas W. Jarrett & Peter A. Pinto
84 Renal Surgery for Malignant Disease: Nephron-Sparing Surgery, 1014
Pascal Zehnder, Manuel S. Eisenberg & Inderbir S. Gill
85 Laparoscopic and Robotic Adrenalectomy, 1025
Daniel Yong, Matvey Tsivian & David M. Albala
86 Laparoscopic and Robotic Reconstructive Surgery of the Ureter, 1036
Ioannis Varkarakis
87 Laparoscopic and Robotic Techniques for the Management of Pelvic Organ Prolapse, 1060
Courtenay K. Moore & Raymond R. Rackley
88 L aparoscopic and Robotic Techniques for Repair of Female Genitourinary Fistulas, 1068
Lalgudi N. Dorairajan & Ashok K. Hemal
89 Laparoscopic and Robotic Bladder Surgery, 1079
Koon Ho Rha, Enrique Ian S. Lorenzo & Cheol Kyu Oh
90 Laparoscopic Radical Prostatectomy,1094
Jens Rassweiler, Giovannalberto Pini, Marcel Hruza, Ali Serdar Goezen & Dogu Teber
91 Robot-Assisted Radical Prostatectomy,1119
Jason Y. Lee, Douglas W. Skarecky & Thomas E. Ahlering
92 O ptimizing Outcomes During Laparoscopic and Robot-Assisted Radical Prostatectomy: Oncologic Concerns, Potency, and
Continence, 1135
Daniel Willis & Li-Ming Su
93 Minimally Invasive Simple Prostatectomy, 1147
Matthew H. Hayn & Khurshid A. Guru
94 Laparoscopic and Robotic Surgery of the Seminal Vesicles, 1152
James C. Brien & Michael D. Fabrizio
95 L aparoscopic Abdominal Wall Hernias: Incisional, Parastomal,
and Inguinal Hernia Repairs, 1160
Thai T. Nguyen & Howard N. Winfield
Part 4: Laparoscopy and Robotics in Children
96 L aparoscopic and Robotic Pyeloplasty in Children, 1179
Craig A. Peters
97 Pediatric Laparoscopic and Robot-Assisted Laparoscopic
Renal Surgery, 1188
Brian A. VanderBrink & Michael C. Ost
98 Minimally Invasive Techniques in Lower Urinary Tract Reconstruction,1201
Arun Srinivasan, Gianmarco Isgro & Salvatore Micali
99 Laparoscopic Management of the Undescended Testicle, 1208
Lane S. Palmer
Part 5: Exit Strategy and Complications
100 Laparoscopic Exit: Specimen Removal, Closure, and Drainage, 1219
Ricardo A. Natalin, Jaime Landman, & Adam C. Mues
101 C omplications in Urologic Laparoscopy, 1230
David Canes, Camilo Giedelman & Rene Sotelo
Part 6: LESS and NOTES
102 LESS and NOTES: History and Introduction, 1241
Pradeep P. Rao & Prashanth P. Rao
103 NOTES: Instruments, Platforms, and Endoscopes, 1248
Mark D. Sawyer & Lee E. Ponsky
104 NOTES: Access and Exit, 1258
Candace F. Granberg & Matthew T. Gettman
105 NOTE S: Clinical Experience in Urology, 1266
Geoffery N. Box
106 Laparoendoscopic Single-Site Surgery: Ports, Access, and Instrumentation, 1274
Michael A. White & Jihad H. Kaouk
107 Laparoendoscopic Single-Site Upper Tract Surgery, 1283
Soroush Rais-Bahrami, Abhay Rane & Lee Richstone
108 Laparoendoscopic Single-Site Lower Tract Surgery, 1292
Mihir M. Desai
SECTION 7: IMAGE-GUIDED DIAGNOSTICS AND THERAPEUTICS, 1297
Part 1: Upper Tract
109 R adiological Diagnosis of Renal Masses, 1299
Gail S. Smith, Carolyn S. Donaldson & Richard M. Gore
110 Renal Mass Biopsy, 1327
K. Barwari, M.Pilar Laguna & Jean de la Rosette
111 Percutaneous Radiofrequency Ablation of Kidney Tumors, 1342
Obi Ekwenna, Rajan Ramanathan & Raymond J. Leveillee
112 Percutaneous Cryoablation for Renal Tumors, 1358
Manish A. Vira
Part 2: Lower Tract
113 Image-Guided Prostate Brachytherapy, 1371
Louis Potters & Lucille Lee
114 Image-Guided External Beam Radiotherapy, 1376
Lucille Lee & Louis Potters
115 High-Intensity Focused Ultrasound of the Prostate, 1393
Christian G. Chaussy & Stefan Th?off
116 Cryotherapy of the Prostate, 1406
Matvey Tsivian & Thomas J. Polascik
117 Contrast-Enhanced Ultrasound in Urology, 1416
Bastiaan Brand, Jean de la Rosette & Hessel Wijkstra
118 E ndorectal MRI: Use in Prostate Cancer, 1425
Abhishek Srivastava, Sonal Grover, Prasanna Sooriakumaran & Ashutosh Tewari
Part 3: Angioembolization of the Urinary Tract
119 Angioembolization in Urology, 1438
Ardeshir R. Rastinehad, Peter A. Pinto, David N. Siegel
SECTION 8: LOWER URINARY TRACT, 1449
Part 1: Assessment of Voiding Dysfunction/Prostate
120 A ssessment of Outflow Obstruction and Sphincteric Incontinence in Men: A Urodynamic and Fluoroscopic Perspective,
1451
Hiroshi Katsumi, Matthew P. Rutman & Jerry G. Blaivas
121 Office-Based Cystoscopy: Continued Advances, 1463
Judson D. Davies & Sam S. Chang
Part 2: Office/Ambulatory Set-up for Minimally Invasive Treatment of the Prostate
122 Equipment Set-up and Patient Handouts, 1468
Mayank Mohan Agarwal, Crystal R. Combs & Gopal H. Badlani
123 Local Anesthesia for Minimally Invasive Treatment of the Prostate in the Office Setting, 1481
Jay Hollander & Damon Dyche
Part 3: Office-Based Treatment for the Prostate
124 Microwave Therapy, 1490
Stavros Gravas
125 Transurethral Needle Ablation of the Prostate, 1503
Alexandre R. Zlotta & Cynthia Kuk
126 Prostate Laser Vaporization Using the 980-nm Laser System, 1522
James Ulchaker
Part 4: Day Operative Procedures for Benign Prostatic Hyperplasia
127 Holmium Laser Therapy of the Prostate, 1526
Hazem M. Elmansy & Mostafa M. Elhilali
128 532-nm High-Power Transurethral Laser Prostatectomy, 1536
Bilal Chughtai, Melissa Laudano, Richard Lee & Alexis E. Te
129 Thulium Lasers, 1548
Andreas J. Gross
130 Interstitial Laser Therapy, 1558
Rolf Muschter
Part 5: Ablation of the Prostate
131 Electrosurgery of the Prostate: Improvements in Electrosurgical Unit, Transurethral Vaporization of the Prostate,
and Bipolar Resection, 1575
Ranan DasGupta & Anup Patel
132 Monopolar Energy, 1595
Madhu S. Agrawal, Himanshu Yadav & Mayank Agarwal
133 Bipolar Resection, 1602
Jaspreet S. Sandhu
134 Bipolar Vaporization of the Prostate, 1610
Kyle A. Richards & Gopal H. Badlani
Part 6: Intra- and Trans-vesical Procedures
135 Single-Port Transvesical Simple Prostatectomy, 1617
Rene Sotelo, Camilo Giedelman & Mihir Desai
136 Bladder Injections for Refractory Overactive Bladder, 1625
Mehrdad Alemozaffar & Anurag K. Das
137 STING Procedure for Reflux, 1633
Steve J. Hodges
138 Minimally Invasive Therapy for Interstitial Cystitis/Painful Bladder Syndrome, 1640
Sylvia Montag & Robert Moldwin
Part 7: Endoscopic and Minimally Invasive Approach to Strictures
139 Incision: Endoscopic Management of Urethral Stenoses, 1650
Jeremy B. Tonkin, Kurt A. McCammon & Gerald H. Jordan
140 Bladder Neck Contracture Following Radical Prostatectomy, 1661
Timothy B. Boone
Part 8: Incontinence
141 Bioinjectables for Stress Urinary Incontinence, 1666
John J Smith III & Simone Crivellaro
142 Single-Incision Slings, 1672
Michael J. Kennelly & Erinn Myers
143 Mid-Urethral Slings for the Treatment of Female Stress Urinary Incontinence, 1684
Eva Fong, Sagar Shah & Victor Nitti
144 Maxi/Pubovaginal Sling, 1699
Bhavin Patel & Gopal Badlani
145 Mesh Kits for Vaginal Prolapse Surgery, 1706
G. Willy Davila
146 Male Slings for Treatment of Post-Prostatectomy Incontinence, 1714
Ajay Nehra & E. Fred McPhail