Turkish urologists determine candidacy for combined transthoracic flexible URS and laparoscopic pyelolitotomy through advanced imaging and anatomical assessment. Experts evaluate stone size, location, and density to confirm if a hybrid approach provides the highest stone-free results in a single session. Doctors prioritize this complex method for patients with large stones in difficult-to-reach areas.
- Radiological review: Surgeons analyze high-resolution CT scans to measure stone density and precise anatomical coordinates.
- Anatomical access: Doctors assess pelvic anatomy and prior surgical scars to ensure safe laparoscopic entry.
- Stone burden: The procedure is indicated when stones exceed sizes manageable by ureteroscopy alone.
- Physiological readiness: Specialists verify cardiovascular health to manage anesthesia during this precise, combined surgical intervention.
Bookimed Expert Insight: Data shows that candidacy is often determined by a surgeon's specific international fellowship training. Dr. Ramazan Gökhan Atis and Dr. Ali Ferruh Akay both completed advanced laparoscopy and endourology training at prestigious institutions in Germany and the USA. This specialized background allows them to successfully recommend this rare combination for patients who previously failed standard stone treatments.
Patient Consensus: Patients note that doctors often suggest this hybrid approach when they want a 'one-and-done' solution for large stones. Many realize the decision depends on whether the surgeon has the specific expertise to combine both techniques. They feel relieved when imaging shows the combined method can clear the stone without needing multiple follow-up surgeries.
