Lazaros Tzelves
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View article: Complication Profile and Safety Outcomes of Aquablation in the Management of BPH
Complication Profile and Safety Outcomes of Aquablation in the Management of BPH Open
Background and Objectives: Aquablation, a robot-assisted, heat-free resection technique, has emerged as a promising minimally invasive surgical therapy (MIST) for benign prostatic hyperplasia (BPH). Its precision and potential for preserva…
View article: Ureteroscopy for stone disease in the elderly (≥ 80 years): Outcomes of a multicentre study from YAU and EAU endourology groups
Ureteroscopy for stone disease in the elderly (≥ 80 years): Outcomes of a multicentre study from YAU and EAU endourology groups Open
The objective of this study was to perform a multi-centre and global study evaluating the clinical outcomes and complications associated with of URS for stone disease in patients aged 80 years and above. Retrospective analysis was conducte…
View article: Correction: SMART stone multidisciplinary team (MDT) and patient care: recommendations for the adult high-risk kidney stone patient pathway
Correction: SMART stone multidisciplinary team (MDT) and patient care: recommendations for the adult high-risk kidney stone patient pathway Open
View article: Three-Month Magnetic Resonance Imaging Post-Prostate Artery Embolization Predicts 1-Year Clinical Outcomes
Three-Month Magnetic Resonance Imaging Post-Prostate Artery Embolization Predicts 1-Year Clinical Outcomes Open
Purpose To investigate whether post-prostate artery embolization (PAE) magnetic resonance imaging (MRI) can predict clinical outcomes at 1 year. Materials and Methods Retrospective study of 63 consecutive patients undergoing microsphere PA…
View article: Risk factors for treatment failure after endoscopic management of iatrogenic ureteral strictures: A multicenter study
Risk factors for treatment failure after endoscopic management of iatrogenic ureteral strictures: A multicenter study Open
View article: Real-world safety profile of Tiopronin: A pharmacovigilance study using the FDA adverse event reporting system (FAERS) by the EAU YAU Endourology and Urolithiasis Working Group
Real-world safety profile of Tiopronin: A pharmacovigilance study using the FDA adverse event reporting system (FAERS) by the EAU YAU Endourology and Urolithiasis Working Group Open
View article: Standardized lower pole renal pelvicalyceal system measurement: a semi-autonomous approach from EAU Endourology
Standardized lower pole renal pelvicalyceal system measurement: a semi-autonomous approach from EAU Endourology Open
View article: Head-to-head comparison of novel suction technologies in endourology: Suction mini-PCNL versus flexible ureteroscopy using flexible and navigable suction ureteral access sheaths for renal stone management. An EAU-Endourology, propensity score-matched analysis of 1,372 patients.
Head-to-head comparison of novel suction technologies in endourology: Suction mini-PCNL versus flexible ureteroscopy using flexible and navigable suction ureteral access sheaths for renal stone management. An EAU-Endourology, propensity score-matched analysis of 1,372 patients. Open
View article: Frailty scoring systems in urological surgery: Current status and future perspectives
Frailty scoring systems in urological surgery: Current status and future perspectives Open
Frailty refers to a state of increased vulnerability and is recognised to be multifactorial. It is associated with a higher likelihood for functional dependency and a reduced life expectancy. In the surgical setting, frailty has attracted …
View article: Beyond Da Vinci: Comparative Review of Next-Generation Robotic Platforms in Urologic Surgery
Beyond Da Vinci: Comparative Review of Next-Generation Robotic Platforms in Urologic Surgery Open
Robotic surgery has become a cornerstone of modern urologic practice, with the da Vinci system maintaining dominance for over two decades. In recent years, however, a new generation of robotic platforms has emerged, introducing greater com…
View article: Single-Port vs. Multi-Port Robotic Surgery in Urologic Oncology: A Comparative Analysis of Current Evidence and Future Directions
Single-Port vs. Multi-Port Robotic Surgery in Urologic Oncology: A Comparative Analysis of Current Evidence and Future Directions Open
The evolution of robotic surgery in urologic oncology has led to the emergence of single-port (SP) robotic systems as a potential alternative to the widely adopted multi-port (MP) platforms. This narrative review provides a comprehensive c…
View article: Long‐term outcomes in patients with intracorporeal robot‐assisted pyramid neobladder
Long‐term outcomes in patients with intracorporeal robot‐assisted pyramid neobladder Open
Objectives A range of techniques have been described for robotic‐assisted intracorporeal neobladder construction. The pyramid neobladder has now been performed for over 10 years. We now describe the long‐term outcomes, including the impact…
View article: How Does RIRS Impact on Stent-Related Symptoms? Insights from a Prospective Observational Study by EAU-YAU Endourology and Urolithiasis Working Group
How Does RIRS Impact on Stent-Related Symptoms? Insights from a Prospective Observational Study by EAU-YAU Endourology and Urolithiasis Working Group Open
Purpose To assess the perception and severity of stent-related symptoms (SRS) in patients undergoing retrograde intrarenal surgery (RIRS). Material and methods A prospective observational study was performed including patients with single …
View article: Inverted Urothelial Papilloma in a Young Woman: A Case Report and Review of Diagnostic Advances
Inverted Urothelial Papilloma in a Young Woman: A Case Report and Review of Diagnostic Advances Open
Inverted urothelial papilloma (IUP) is an uncommon benign urothelial tumor characterized by an endophytic growth pattern. While it most commonly affects older male patients, we report the case of a young female patient with a bladder lesio…
View article: Metabolic evaluation of urolithiasis: a narrative review
Metabolic evaluation of urolithiasis: a narrative review Open
Urolithiasis is a common condition with high recurrence rates, often driven by metabolic abnormalities, dietary habits, and systemic disorders. Metabolic evaluation plays a key role in identifying modifiable risk factors such as hypercalci…
View article: Evaluation and validation of 3D-printed anatomical urinary system model and virtual reality RIRS simulators in RIRS training: a comparative study
Evaluation and validation of 3D-printed anatomical urinary system model and virtual reality RIRS simulators in RIRS training: a comparative study Open
3D-printed models and VR simulators are safe, cost-effective tools for developing essential surgical skills. While 3D-AUSM provides realistic anatomical feedback, VRRS offers unlimited practice opportunities. Both models are valuable in su…
View article: Circulating Tumor DNA in Muscle-Invasive Bladder Cancer: Implications for Prognosis and Treatment Personalization
Circulating Tumor DNA in Muscle-Invasive Bladder Cancer: Implications for Prognosis and Treatment Personalization Open
Muscle-invasive bladder cancer (MIBC) is a biologically aggressive disease with high recurrence rates, despite advances in surgical and systemic therapies. Circulating tumor DNA (ctDNA), a tumor-specific fraction of cell-free DNA, has emer…
View article: Innovations in Robot-Assisted Surgery for Genitourinary Cancers: Emerging Technologies and Clinical Applications
Innovations in Robot-Assisted Surgery for Genitourinary Cancers: Emerging Technologies and Clinical Applications Open
Robot-assisted surgery has transformed the landscape of genitourinary cancer treatment, offering enhanced precision, reduced morbidity, and improved recovery compared to open or conventional laparoscopic approaches. As the field matures, a…
View article: Ureteroscopy for Urolithiasis in Pregnancy: Outcomes of a Multicentre Study on Behalf of the European Association of Urology Section of Endourology
Ureteroscopy for Urolithiasis in Pregnancy: Outcomes of a Multicentre Study on Behalf of the European Association of Urology Section of Endourology Open
View article: Reporting the Impact of Pelvicalyceal System (PCS) Anatomy on Clinical Outcomes in Retrograde Intrarenal Surgery (RIRS) Studies: Can We Do Better? – Methodological Review from the Section of EAU Endourology
Reporting the Impact of Pelvicalyceal System (PCS) Anatomy on Clinical Outcomes in Retrograde Intrarenal Surgery (RIRS) Studies: Can We Do Better? – Methodological Review from the Section of EAU Endourology Open
To analyze available randomized clinical trials (RCTs) comparing retrograde intrarenal surgery (RIRS) with other modalities for urinary stone treatment to determine the extent of comparing the pelvicalyceal system (PCS) anatomy between pat…
View article: Bladder Spasm Discomfort After Transurethral Surgery: A Prospective Observational Study of Preoperative, Intraoperative, and Postoperative Predictive Factors
Bladder Spasm Discomfort After Transurethral Surgery: A Prospective Observational Study of Preoperative, Intraoperative, and Postoperative Predictive Factors Open
Catheter-related bladder discomfort (CRBD) is a common and distressing complication following transurethral urologic procedures such as transurethral resection of the prostate (TURP) and transurethral resection of bladder tumors (TURBT). T…
View article: Machine Learning and Urinary Incontinence in Prostate Cancer: A Generalized Additive Model of Physical Activity and Recovery Patterns
Machine Learning and Urinary Incontinence in Prostate Cancer: A Generalized Additive Model of Physical Activity and Recovery Patterns Open
The ASCAPE project aims to improve the health-related quality of life of prostate cancer patients using artificial intelligence-driven solutions. This study tries to unravel the complex relationships between patient data variables and urin…
View article: Real-Time Assessment of Surgical Margins During Radical Prostatectomy: A Comprehensive Review
Real-Time Assessment of Surgical Margins During Radical Prostatectomy: A Comprehensive Review Open
Background/Objectives: Radical prostatectomy (RP) is a widely used treatment for localized prostate cancer, where achieving negative surgical margins is essential to reduce the risk of biochemical recurrence (BCR) and avoid additional trea…
View article: Outcomes in BCG failure: Outcome from a single centre UK experience
Outcomes in BCG failure: Outcome from a single centre UK experience Open
Objective To describe real‐world outcomes of patients with BCG failure undergoing bladder‐sparing treatments (BSTs) vs radical cystectomy in the UK. Patients and Methods A single institution audit was conducted at a tertiary bladder cancer…
View article: Phytotherapy in Urolithiasis: An Updated Overview of Current Knowledge
Phytotherapy in Urolithiasis: An Updated Overview of Current Knowledge Open
Urolithiasis is one of the most burdensome urinary tract conditions with a prevalence ranging from 1% to 20%. Approximately half of the patients experience a recurrence, while 10% face multiple stone episodes. Long before the advent of sur…
View article: SMART Stone Multidisciplinary Team (MDT) and patient care: recommendations for the adult high-risk kidney stone patient pathway
SMART Stone Multidisciplinary Team (MDT) and patient care: recommendations for the adult high-risk kidney stone patient pathway Open
Purpose The SMART Stone Multidisciplinary Team (MDT) recommendations aim to provide guidance on the role of the MDT in the early identification, referral and assessment of adult high-risk recurrent kidney stone formers to advance patient c…
View article: The Role of Salvage Cystectomy After Prior Trimodality Therapy: A Multinational Match-paired Analysis
The Role of Salvage Cystectomy After Prior Trimodality Therapy: A Multinational Match-paired Analysis Open
Salvage RC after TMT and primary RC have comparable perioperative outcomes. Patients undergoing salvage RC after TMT may have worse overall survival in the long term, likely reflecting tumor biology.
View article: Patient consent in the modern era: Novel tools and practical considerations in urology
Patient consent in the modern era: Novel tools and practical considerations in urology Open
Informed consent is a cornerstone of ethically acceptable surgical interventions. Traditional methods primarily rely on verbal explanations by clinicians and, at times, the use of supplementary resources such as information leaflets. In th…
View article: Catheter-Related Bladder Discomfort: Insights Into Pathophysiology, Clinical Impact, and Management
Catheter-Related Bladder Discomfort: Insights Into Pathophysiology, Clinical Impact, and Management Open
Catheter-related bladder discomfort (CRBD) is a frequent postoperative complication that significantly impacts the quality of recovery in patients undergoing transurethral surgeries. It manifests as suprapubic pain, an intense urge to void…
View article: Phytotherapy in Urolithiasis: An Updated Overview of Current Knowledge
Phytotherapy in Urolithiasis: An Updated Overview of Current Knowledge Open
Urolithiasis is one of the most burdensome urinary tract conditions with a prevalence ranging from 1% to 20%. Approximately half of the patients experience a recurrence, while 10% face multiple stone episodes. Long before the advent of sur…