What is the role for robotic pyelolithotomy in the modern era of lasers, PCNLs, and flexible and navigable suction ureteral access sheathes?

Laparoscopic or open pyelolithotomy still plays a role in regions where access to technology may be limited. For surgeons who have access to the technology mentioned (including robotics), the need for robotic pyelolithotomy would be limited to those patients undergoing robotic pyeloplasty. There may...

Great question. As noted in both the AUA and EAU Guidelines and with the increasing arsenal of endoscopic tools, I think the indications for robotic or laparoscopic stone treatments are pretty small. I think an easy scenario would be a patient needing a concurrent upper tract reconstructive procedur...