REVIEWPreoperative patient optimization for endourological procedures: the current best clinical practiceHalawani, Abdulghafoura,b; Koo, Kyo Chula,c; Wong, Victor K.F.a; Chew, Ben H.a Author Information aDepartment of Urological Sciences, University of British Columbia, Stone Centre at Vancouver General Hospital, Vancouver, British Columbia, Canada bDepartment of Urology, King Abdulaziz University, Jeddah, Saudi Arabia cDepartment of Urology, Yonsei University College of Medicine, Seoul, Republic of Korea Correspondence to Ben H. Chew, MD, MSc, FRCSC, Department of Urological Sciences, University of British Columbia, Stone Centre at Vancouver General Hospital, Vancouver, British Columbia, Canada V5Z 1M9. E-mail: [email protected] Current Opinion in Urology: November 11, 2022 - Volume - Issue - 10.1097/MOU.0000000000001060 doi: 10.1097/MOU.0000000000001060 Buy PAP Metrics Abstract Purpose of review Despite technological advancements in endourological surgery, there is room for improvement in preoperative patient optimization strategies. This review updates recent best clinical practices that can be implemented for optimal surgical outcomes. Recent findings Outcome and complication predictions using novel scoring systems and techniques have shown to assist clinical decision-making and patient counseling. Innovative preoperative simulation and localization methods for percutaneous nephrolithotomy have been evaluated to minimize puncture-associated adverse events. Novel antibiotic prophylaxis strategies and further recognition of risk factors that attribute to postoperative infections have shown the potential to minimize perioperative morbidity. Accumulating data on the roles of preoperative stenting and selective oral alpha-blockers adds evidence to the current paradigm of preventive measures for ureteral injury. Summary Ample tools and technologies exist that can be utilized preoperatively to improve surgical outcomes. The combination of these innovations, along with validation in larger-scale studies, presents the cornerstone of future urolithiasis management. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.