Mathew Sorensen, MD, MS, FACS, presented “Innovative Office-based Kidney Stone Treatment” at the 28th Annual Innovations in Urologic Practice conference on September 20, 2024.
How to cite: Sorensen, Mathew. “Innovative Office-based Kidney Stone Treatment.” September 2024. Accessed Nov 2024. https://grandroundsinurology.com/innovative-office-based-kidney-stone-treatment/
Innovative Office-based Kidney Stone Treatment – Summary
Mathew Sorensen, MD, MS, FACS, examines advances in non-invasive treatments for kidney stones, highlighting two key technologies poised to shift clinical practice.
In this 21-minute presentation, he first discusses ultrasonic propulsion, showing a video of the handheld ultrasound device pushing stone fragments from hard-to-clear areas toward the ureter for easier passage. He then transitions to a second innovation, burst wave lithotripsy, which fragments stones through lower-energy, multiple pulses, breaking them into fine particles. Sorenson illustrates a lithotripsy procedure both with animation and a video.
Clinical studies on these technologies indicate a shift toward managing smaller stones and residual fragments more proactively, potentially avoiding more invasive interventions. Dr. Sorenson shares that both treatments are well-tolerated, with minimal side effects. As these innovations advance, they could enable quicker interventions for small stones and residual fragments in clinic or emergency settings, suggesting a redefined goal in kidney stone management: focusing on preventing symptomatic events and minimizing surgical interventions.
About The 28th Annual Innovations in Urologic Practice:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Mathew Sorensen, MD, MS, FACS is an associate professor of urology at the University of Washington (UW) in Seattle. He is also the director of the Puget Sound VA’s Comprehensive Metabolic Stone Clinic and served as the urology residency program director from 2014 to 2023. Dr. Sorensen earned his medical degree from the University of Colorado School of Medicine. He completed his residency in urology and an internship in general surgery at UW, and he completed a fellowship in laparoscopy and endourology at the University of California, San Francisco.
Dr. Sorensen is a surgeon, educator, and researcher with a specialty interest in advanced laparoscopic surgery, endourology, and the medical and surgical management of kidney stones. His translational research efforts are focused on improving the detection, sizing, repositioning, and breaking of kidney stones with ultrasound through a strong collaborative effort with the UW Applied Physics Laboratory and the Center for Industrial and Medical Ultrasound.
