2010
DOI: 10.1089/end.2010.0145
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Is a Safety Wire Necessary During Routine Flexible Ureteroscopy?

Abstract: This study demonstrates that, in a large series of patients, a safety guidewire was not necessary for routine cases of flexible URS with laser lithotripsy on renal or UPJ stones. Particular cases with complicated anatomy, difficult access, concomitant ureteral stones, simultaneous stone basketing, or bulky stone burden still necessitate use of a safety guidewire because of increased risk of adverse outcomes.

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Cited by 66 publications
(40 citation statements)
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“…Therefore, we concur with the recommendations to use an SGW whenever a more difficult procedure is anticipated such as in cases with ureteral edema, ureteral strictures, abnormal anatomy, sub-optimal visualization, encrusted ureteral stents and concomitant longstanding obstructive ureteral stones. 5,6 The main limitation of our study is the low level of evidence of the articles available. Most of them are retrospective analysis of series of cases without a comparative group.…”
Section: Discussionmentioning
confidence: 96%
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“…Therefore, we concur with the recommendations to use an SGW whenever a more difficult procedure is anticipated such as in cases with ureteral edema, ureteral strictures, abnormal anatomy, sub-optimal visualization, encrusted ureteral stents and concomitant longstanding obstructive ureteral stones. 5,6 The main limitation of our study is the low level of evidence of the articles available. Most of them are retrospective analysis of series of cases without a comparative group.…”
Section: Discussionmentioning
confidence: 96%
“…5,9,12 Moreover, many publications have described their successful experience with both semi-rigid and flexible URS for the treatment of both ureteral and renal stones without the use of an SGW. 5,6,[9][10][11][12] The idea of historical longstanding dogma of "SGW always in endourology" may have come from a time when the ureteroscopes, lithotripsy equipment and disposable materials were under development. Nowadays, small digital flexible ureteroscopes with 270 degrees of deflection, small laser fibers, hydrophilic ureteral access sheaths, hybrid guide-wires and nitinol baskets have raised the safety and precision of the procedure to a new level.…”
Section: Discussionmentioning
confidence: 99%
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