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Postoperative Care of the Ureteroscopy Patient

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Ureteroscopy

Abstract

Ureteroscopy (URS) is the first-line therapy for ureteral and renal stones. Stone-free status may be as high as 90–100%. In parallel to high stone-free rates and the use of miniaturized flexible instruments, the postoperative complication rates still remain a major issue. The postoperative care of the patient submitted to ureteroscopy depends on the type of instrumentation (rigid, flexible), on the size of the ureteroscope, on the type of the procedure (diagnostic, therapeutic for stone or tumor), on the anatomic location the procedure is focused (ureter or kidney), the duration of the operation, the use or not of upper urinary tract drainage, and finally on the occurrence of intraoperative complications. The main issues to consider during the postoperative course are the infections, including sepsis-SIRS, pain management, perirenal hematoma, initial imaging, obstruction and upper urinary tract drainage, and postoperative antibiotic administration. Apart from the administration of antibiotics and perhaps the use of a stent, there are not specific guidelines for the postoperative care of the ureteroscopy patient, and more studies are needed in order a standardized protocol to be proposed.

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Abbreviations

CT:

Computer tomography

DJS:

Double-J stent

MET:

Medical expulsive therapy

NSAIDs:

Nonsteroidal anti-inflammatory drugs

PCNL:

Percutaneous nephrolithotomy

PRH:

Perirenal hematoma

SFR:

Stone-free rate

SWL:

Shock wave lithotripsy

UC:

Ureter catheter

URS:

Ureteroscopy

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Authors and Affiliations

  1. Department of Urology, Hadassah Hebrew University Medical Center, Jerusalem, Israel

    Itay M. Sabler, Ioannis Katafygiotis & Mordechai Duvdevani

Authors
  1. Itay M. Sabler
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  2. Ioannis Katafygiotis
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  3. Mordechai Duvdevani
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Editor information

Editors and Affiliations

  1. Southern Illinois University, School of Medicine, Springfield, IL, USA

    Bradley F. Schwartz

  2. University of Western Ontario, London, ON, Canada

    John D. Denstedt

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Sabler, I.M., Katafygiotis, I., Duvdevani, M. (2020). Postoperative Care of the Ureteroscopy Patient. In: F. Schwartz, B., D. Denstedt, J. (eds) Ureteroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-26649-3_11

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  • DOI: https://doi.org/10.1007/978-3-030-26649-3_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26648-6

  • Online ISBN: 978-3-030-26649-3

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