Techniques of ureteroscopy

Sprunger, Jason K.; Herrell, S. Duke

doi:10.1016/s0094-0143(03)00093-4

Cited by 12 publications

(15 citation statements)

References 23 publications

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“…This can be done either by a manual pressure pump or pressure irrigation bag or a mechanical irrigator. [1415]…”

Section: Introductionmentioning

confidence: 99%

“…For all ureteroscopic procedures a ‘safety wire’, which provides access to the renal pelvis should be placed and kept secure at all times. [121315] In males, the penis is held straight to straighten the urethra. Under fluoroscopy, F-URS (or the access sheath if it is being used) is then passed over a second ‘working’ wire.…”

Section: Introductionmentioning

confidence: 99%

“…The scope should be kept straight without any distal tip deflection and inserted into the intra-renal collecting system over the working guide wire. [15] The working wire is then withdrawn and cold-light cable, the camera and irrigation system is attached. Recently wireless ureteroscopy has been described, but this is not standard practice and may be operator skill dependent.…”

Section: Introductionmentioning

confidence: 99%

“…Recently wireless ureteroscopy has been described, but this is not standard practice and may be operator skill dependent. [15]…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Flexible ureterorenoscopy: Tips and tricks

Somani¹,

Aboumarzouk²,

Srivastava³

et al. 2013

Urol Ann

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With advancement in technology, improvement in endoscope and ancillary equipment, more complex procedures can be performed using flexible ureterorenoscopy. In this review article we provide a summary of flexible ureterorenoscopic procedures with “tips and tricks” for success for each type of procedure. It looks at the disposables used with flexible ureterorenoscopic procedures, set up and patient positioning for gaining access, insertion and handling of scope and the use of urethral access sheath. We also provide techniques for various flexible ureterorenoscopic procedures including management of renal stones, calyceal diverticula and upper tract urothelial tumours.

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“…This can be done either by a manual pressure pump or pressure irrigation bag or a mechanical irrigator. [1415]…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Recently wireless ureteroscopy has been described, but this is not standard practice and may be operator skill dependent. [15]…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Flexible ureterorenoscopy: Tips and tricks

Somani¹,

Aboumarzouk²,

Srivastava³

et al. 2013

Urol Ann

View full text Add to dashboard Cite

show abstract

“…1 It is generally advised to have a safety guidewire (SGW) present during URS to allow placement of a ureteral stent in order to manage possible complications. 2,3 However, there is a lack of solid data to support this longstanding principle in endourology.…”

mentioning

confidence: 99%

Is a safety guidewire needed for retrograde ureteroscopy?

Molina

Pessôa

Silva

et al. 2017

Rev. Assoc. Med. Bras.

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Introduction:It is generally advised to have a safety guidewire (SGW) present during ureteroscopy (URS) to manage possible complications. However, it increases the strenght needed to insert and retract the endoscope during the procedure, and, currently, there is a lack of solid data supporting the need for SGW in all procedures. We reviewed the literature about SGW utilization during URS. Method: A review of the literature was conducted through April 2017 using PubMed, Ovid, and The Cochrane Library databases to identify relevant studies. The primary outcome was to report stone-free rates, feasibility, contraindications to and complications of performing intrarenal retrograde flexible and semi-rigid URS without the use of a SGW. Results: Six studies were identified and selected for this review, and overall they included 1,886 patients where either semi-rigid or flexible URS was performed without the use of a SGW for the treatment of urinary calculi disease. Only one study reported stone-free rates with or without SGW at 77.1 and 85.9%, respectively (p=0.001). None of the studies showed increased rates of complications in the absence of SGW and one of them showed more post-endoscopic ureteral stenosis whenever SGW was routinely used. All studies recommended utilization of SGW in complicated cases, such as ureteral stones associated with significant edema, ureteral stricture, abnormal anatomy or difficult visualization. Conclusion: Our review showed a lack of relevant data supporting the use of SGW during retrograde URS. A well-designed prospective randomized trial is in order.

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Ureteroscopy for Ureteral Stones: Case Discussion of Impacted Stone

Snow-Lisy

Monga

2013

Surgical Management of Urolithiasis

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Techniques of ureteroscopy

Cited by 12 publications

References 23 publications

Flexible ureterorenoscopy: Tips and tricks

Flexible ureterorenoscopy: Tips and tricks

Is a safety guidewire needed for retrograde ureteroscopy?

Ureteroscopy for Ureteral Stones: Case Discussion of Impacted Stone

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