Special situations in ureteroscopy

Johann P. Ingimarsson, Amy Krambeck

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Ureteroscopy is the treatment of choice for small ureteral or renal calculi and for diagnosis of ureteral abnormalities suspicious for urothelial carcinoma. in certain scenarios ureteroscopy may be used to treat large stones or tumors when other more favorable treatment modalities are not possible. in such situations ureteroscopy can prove to be a challenging procedure. Specifc patient anatomic and physiological characteristics can make even a simple ureteroscopy a diffcult procedure. Such situations include surgically altered urinary tract anatomy, congenital anomalies and obesity. Pathologic and iatrogenic bleeding diatheses are examples of where pathophysiology can adversely affect the procedure. finally, pregnancy is an example of where a normal physiologic condition can make diagnosis and treatment of urolithiasis diffcult due to concerns for the fetus. In this review we will discuss the use of ureteroscopy in such challenging patient scenarios.

Original languageEnglish (US)
Pages (from-to)547-559
Number of pages13
JournalMinerva Urologica e Nefrologica
Volume68
Issue number6
StatePublished - Dec 1 2016
Externally publishedYes

Keywords

  • Anticoagulants
  • Obesity
  • Pregnancy
  • Ureteroscopy
  • Urinary diversion

ASJC Scopus subject areas

  • Medicine(all)

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