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Urinary Stone Disease pp 589–607Cite as

Ureteroscopy

Technical Aspects

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Part of the book series: Current Clinical Urology ((CCU))

Abstract

Ureteroscopy has gained widespread use for diagnosis and treatment of diseases of the upper urinary tract. Ureteroscopy came as an extension of cystoscopy and was based to a large extent on technologic advances in instrumentation. In 1912, Young and McKay passed a rigid cystoscope into the dilated ureter of a boy with posterior urethral valves (1). Since then, vast alterations in the concept and design of endoscopes occurred. Miniaturization of both rigid and flexible ureteroscopes was made possible mainly by fiberoptic imaging technology. Ancillary instruments for ureteral access, stone fragmentation and retrieval, and other diagnostic and therapeutic applications have also been developed. In this chapter, we review the technical aspects of ureteroscopy, including ureteral access and instrumentation available for endoscopie stone management.

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References

  1. Young HH, McKay RW. Congenital valvular obstruction of the prostatic urethra. Surg Gynecol Obstet 1929; 48: 509.

    Google Scholar 

  2. Ford TF, Parkinson MC, Wickham JE. Clinical and experimental evaluation of ureteric dilatation. Br J Urol. 1984; 56(5): 460–463.

    PubMed  CAS  Google Scholar 

  3. Huffman JL, Bagley DH. Balloon dilation of the ureter for ureteroscopy. J Urol. 1988; 140(5): 954–956.

    PubMed  CAS  Google Scholar 

  4. Garvin TJ, Clayman RV. Balloon dilation of the distal ureter to 24F. an effective method for ureteroscopic stone retrieval. J Urol 1991; 146(3): 742–745.

    PubMed  CAS  Google Scholar 

  5. Eshghi M. Dilatation of ureteral orifice for ureterorenoscopy. Urol Clin North Am 1988; 15(3): 301–314.

    PubMed  CAS  Google Scholar 

  6. Smith AD. Rapid dilatation of ureteral orifice for ureteroscopy. Urology 1985; 26(4): 407.

    Article  PubMed  CAS  Google Scholar 

  7. Pérez-Castro E. Ureteromat; Method to facilitate ureterorenoscopy and avoid dilatation. Urol Clin North Am 1988; 15(3): 315–321.

    PubMed  Google Scholar 

  8. Kourambas J, Byrne RR, Preminger GM. Does a ureteral access sheath facilitate ureteroscopy? J Urol 2001; 165(3): 789–793.

    Article  PubMed  CAS  Google Scholar 

  9. Delvecchio FC, Auge BK, Brizuela RM, et al. Assessment of stricture formation with the ureteral access sheath. Urology 2003; 61(3): 518–522.

    Article  PubMed  Google Scholar 

  10. Rehman J, Monga M, Landman J, et al. Characterization of intrapelvic pressure during ureteropyeloscopy with ureteral access sheaths. Urology 2003; 61(4): 713–718.

    Article  PubMed  Google Scholar 

  11. Landman J, Venkatesh R, Ragab M, et al. Comparison of intrarenal pressure and irrigant flow during percutaneous nephroscopy with an indwelling ureteral catheter, ureteral occlusion balloon, and ureteral access sheath. Urology 2002; 60(4): 584–587.

    Article  PubMed  Google Scholar 

  12. Auge BK, Wu NZ, Pietrow PK, Delvecchio FC, Preminger GM. Ureteral access sheath facilitates inspection of incision of ureteropelvic junction. J Urol 2003; 169(3): 1070–1073.

    Article  PubMed  Google Scholar 

  13. Hafez KS, Wolf JS Jr. Update on minimally invasive management of ureteral strictures. J Endourol 2003; 17(7): 453–464.

    Article  PubMed  Google Scholar 

  14. Goodman TM. Ureteroscopy with pediatric cystoscope in adults. Urology 1977; 9(4): 394.

    Article  PubMed  CAS  Google Scholar 

  15. Abdel Razzak OM, Bagley DH. Rigid ureteroscopes with fiberoptic imaging bundles: features and irrigating capacity. J Endourol 1994; 8(6): 411–414.

    PubMed  CAS  Google Scholar 

  16. Marshall VF. Fiber optics in urology. J Urol 1964; 91: 110–114.

    PubMed  CAS  Google Scholar 

  17. Aso Y. Takayasu H, Ohta N, Tajima A. Flexible ureterorenoscopy Urol Clin North Am 1988; 15: 329–338.

    PubMed  CAS  Google Scholar 

  18. Parkin J, Keeley FX, Jr, Timoney AG, Flexible ureteroscopes: a user’s guide. BJU Int 2002; 90: 640–643.

    Article  PubMed  CAS  Google Scholar 

  19. Grasso M, Bagley D. Small diameter, actively deflectable, flexible ureteropyeloscopy. J Urol 1998; 160(5): 1648–1653.

    Article  PubMed  CAS  Google Scholar 

  20. Chiu KY, Cai Y, Marcovich R, El-Hakim A, Smith AD, Lee BR. Comparison of the mechanical, flow, and optical properties of contemporary flexible ureteroscopes. Urology 2003; 62(5): 800–804.

    Article  PubMed  Google Scholar 

  21. Bercowsky E, Shalhav AL, Elbahnasy AM, Owens E, Clayman RV. The effect of patient position on intrarenal anatomy. J Endourol 1999; 13(4): 257–260.

    PubMed  CAS  Google Scholar 

  22. Afane JS, Olweny EO, Bercowsky E, et al. Flexible ureteroscopes: a single center evaluation of the durability and function of the new endoscopes smaller than 9Fr. J Urol 2000; 164(4): 1164–1168.

    Article  PubMed  CAS  Google Scholar 

  23. Green DF, Lytton B. Early experience with direct vision electrohydraulic lithotripsy of ureteral calculi. J Urol 1985; 133(5): 767–770.

    PubMed  CAS  Google Scholar 

  24. Begun FP, Jacobs SC, Lawson RK. Use of prototype 3F electrohydraulic electrode with ureteroscopy for treatment of ureteral calculus disease. J Urol 1988; 139(6): 1188–1191.

    PubMed  CAS  Google Scholar 

  25. Vorreuther R, Corleis R, Klotz T, Bernards P, Engelmann U. Impact of shock wave pattern and cavitation bubble size on tissue damage during ureteroscopic electrohydraulic lithotripsy. J Urol 1995; 153: 849–853.

    Article  PubMed  CAS  Google Scholar 

  26. Segura JW. Intracorporeal lithotripsy. AUA Update Series 1999; 18: 66–71.

    Google Scholar 

  27. Denstedt JD, Clayman RV. Electrohydraulic lithotripsy of renal and ureteral calculi. J Urol 1990; 143: 13–17.

    PubMed  CAS  Google Scholar 

  28. Elashry OM, DiMeglio RB, Nakada SY, McDougall EM, Clayman RV. Intracorporeal lithotripsy of ureteral and renal calculi using small caliber (1.9 Fr) electrohydraulic lithotripsy probes. J Urol 1996; 156: 1581–1585.

    Article  PubMed  CAS  Google Scholar 

  29. Basar H, Ohta N, Kageyama S, Suzuki K, Kawabi K. Treatment of ureteral and renal stones by electrohydraulic lithotripsy. Int Urol Nephrol 1997; 29: 275–280.

    Article  PubMed  CAS  Google Scholar 

  30. Hofbauer J, Hobarth K, Marberger M. Electrohydraulic versus pneumatic disintegration in the treatment of ureteral stones: A randomized, prospective trial. J Urol 1995; 153: 623–625.

    Article  PubMed  CAS  Google Scholar 

  31. Teichman JMH, Rao RD, Rogenes VJ, Harris JM. Ureteroscopic management of ureteral calculi. Electrohydraulic versus holmium:YAG lithotripsy. J Urol 1997; 158: 1357–1361.

    Article  PubMed  CAS  Google Scholar 

  32. Tawfiek ER, Grasso M, Bagley DH. The initial use of the Browne Pneumatic Impactor. J Endourol 1997; 11: 121–124.

    PubMed  CAS  Google Scholar 

  33. Grocela JA, Dretler SP. Intracorporeal lithotripsy. Urol Clin North Am 1997; 24: 13–23.

    Article  PubMed  CAS  Google Scholar 

  34. Delvecchio FC, Kuo RL, Preminger GM. Clinical efficacy of combined lithoclast and Lithovac stone removal during ureteroscopy. J Urol 2000; 164: 40–42.

    Article  PubMed  CAS  Google Scholar 

  35. Knispel HH, Klan R, Heicappell R, Miller K. Pneumatic lithotripsy applied through deflected working channel of mini-ureteroscope: Results in 143 patients. J Endourol 1998; 12: 513–515.

    PubMed  CAS  Google Scholar 

  36. Keeley FX, Pillai M, Smith G, Krisofos M, Tolley DA. Electrokinetic lithotripsy: Safety, efficacy and limitations of a new form of ballistic lithotripsy. Br J Urol 1999; 84: 261–263.

    Google Scholar 

  37. Piergiovanni M, Desgrandchamps F, Cochand-Priollet B, et al. Ureteral and bladder lesions after ballistic, ultrasonic, electrohydraulic or laser lithotripsy. J Endourol 1994; 8: 293–299.

    PubMed  CAS  Google Scholar 

  38. Murthy PV, Rao HS, Meherwade S, Rao PV, Srivastava A, Sasidharan K. Ureteroscopic lithotripsy using mini-endoscope and Swiss lithoclast: Experience in 147 cases. J Endourol 1997; 11: 327–330.

    PubMed  CAS  Google Scholar 

  39. Marberger M. Disintegration of renal and ureteral calculi with ultrasound. Urol Clin North Am 1983; 10: 729–742.

    PubMed  CAS  Google Scholar 

  40. Mulvaney WP, Beck CW. The laser beam in urology. J Urol 1968; 99: 112–115.

    PubMed  CAS  Google Scholar 

  41. Floratos DL, Rosette JJM. Lasers in urology. Br J Urol 1999; 84: 204–211.

    CAS  Google Scholar 

  42. Vassar GJ, Teichman JMH, Glickman RD. Holmium:YAG lithotripsy efficiency varies with energy density. J Urol 1998; 160: 471–476.

    Article  PubMed  CAS  Google Scholar 

  43. Coptcoat MJ, Ison KT, Watson G, Wickham JEA. Lasertripsy for ureteric stones in 120 cases: Lessons learned. Br J Urol 1988; 61: 487–489.

    Article  PubMed  CAS  Google Scholar 

  44. Bhatta KM, Prien EL, Dretler SP. Cystine calculi-rough and smooth: A new clinical distinction. J Urol 1989; 142: 937–940.

    PubMed  CAS  Google Scholar 

  45. Wollin TA, Denstedt JD. The holmium laser in urology. J Clin Laser Med Surg 1998; 16: 13–20.

    PubMed  CAS  Google Scholar 

  46. Santa-Cruz RW, Leveille RJ, Krongard A. Ex vivo comparison of four lithotriptors commonly used in the ureter: What does it take to perforate? J Endourol 1998; 12: 417–422.

    PubMed  CAS  Google Scholar 

  47. Grasso M, Chalik Y. Principles and applications of laser lithotripsy: Experience with the holmium laser lithotrite. J Clin Lasers Surg Med 1998; 16: 3–7.

    CAS  Google Scholar 

  48. Devarajan R, Ashraf M, Beck RO, Lemberger RJ, Taylor MC. Holmium:YAG lasertripsy for ureteric calculi: An experience of 300 procedures. Br J Urol 1998; 82: 342–347.

    PubMed  CAS  Google Scholar 

  49. Teichman JM, Vassar GJ, Bishoff JT, Bellman GC. Holmium: YAG lithotripsy yields smaller fragments than lithoclast, pulsed dye laser or electrohydraulic lithotripsy. J Urol 1998; 159: 17–23.

    Article  PubMed  CAS  Google Scholar 

  50. Chan KF, Lee H, Teichman JM, et al. Erbium: YAG laser lithotripsy mechanism. J Urol 2002; 168(2): 436–441.

    Article  PubMed  Google Scholar 

  51. Teichman JM, Johnson AJ, Yates JT, et al. Color vision deficits during laser lithotripsy using safety goggles for coumarin green or alexandrite but not with holmium: YAG laser safety goggles. J Urol 1998; 159(3): 683–689.

    Article  PubMed  CAS  Google Scholar 

  52. Teichman JMH, Champion PC, Wollin TA, Denstedt JD. Holmium: YAG lithotripsy of uric acid calculi. J Urol 1998; 160: 2130–2132.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Assaad El-Hakim MD
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  2. Beng Jit Tan MD
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  3. Arthur D. Smith MD
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Editor information

Editors and Affiliations

  1. Department of Urology, University of California, San Francisco, School of Medicine, San Francisco, CA

    Marshall L. Stoller MD  & Maxwell V. Meng MD  & 

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© 2007 Humana Press Inc.

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El-Hakim, A., Tan, B.J., Smith, A.D. (2007). Ureteroscopy. In: Stoller, M.L., Meng, M.V. (eds) Urinary Stone Disease. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59259-972-1_30

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  • DOI: https://doi.org/10.1007/978-1-59259-972-1_30

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-219-3

  • Online ISBN: 978-1-59259-972-1

  • eBook Packages: MedicineMedicine (R0)

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