Skip to main content
SpringerLink
Log in

Urologic Instrumentation: Endoscopes and Lasers

  • Chapter
  • First Online:
Book cover Practical Urology: Essential Principles and Practice

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

Abstract

Cystourethroscopic examination of the bladder and urethra is the gold standard for the diagnosis of lower urinary tract disorders. It offers direct visualization of the bladder urothelium and provides initial access to the ureteral orifices for assessment and treatment of the upper tracts. It is a cornerstone in the workup for gross and microscopic hematuria and useful in the investigation of lower urinary tract symptoms stemming from anatomic obstruction or neurologic, inflammatory, neoplastic, or congenital disorders. Beyond this, instruments passed through the cystoscope or specially designed resectoscopes allow minimally invasive treatment of identified pathology.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Chapter 6 Basic instrumentation and cystoscopy. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders Elsevier; 2007:168-70

    Google Scholar 

  2. Borin JF, Abdelshehid CS, Clayman RV. Comparison of resolution, contrast, and color differentiation among fiberoptic and digital flexible cystoscopes. J Endourol. 2006;20(1):54-58

    Article  PubMed  Google Scholar 

  3. Preminger GM, Tiselius HG, Assimos DG, et al. 2007 guideline for management of ureteral calculi. J Urol. 2007;178:2418-34

    Article  PubMed  Google Scholar 

  4. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Chapter 45 Ureteroscopy and retrograde ureteral access. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders Elsevier; 2007:1508

    Google Scholar 

  5. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Chapter 43 Evaluation and medical management of urinary lithiasis. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders Elsevier; 2007:1433

    Google Scholar 

  6. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Chapter 49 Management of urothelial tumors of the renal pelvis and ureter. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders Elsevier; 2007:1674

    Google Scholar 

  7. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Chapter 44 Surgical management of upper urinary tract calculi. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders Elsevier; 2007:1489

    Google Scholar 

  8. Beaghler MA, Poon MW, Dushinski JW, Lingeman JE. Expanding role of flexible nephroscopy in the upper urinary tract. J Endourol. 1999;13(2):93-7

    Article  PubMed  CAS  Google Scholar 

  9. Nedas T, Challacombe B, Dasgupta P. Virtual reality in urology. BJU Int. 2004;93:255-7

    Article  Google Scholar 

  10. Kuo RL, Delvecchio FC, Preminger GM. Virtual reality: current urologic applications and future developments. J Endourol. 2001;15:117-22

    Google Scholar 

  11. Reich O, Noll M, Gratze C, et al. High-level virtual reality simulator for endourologic procedures of lower urinary tract. Urology. 2006;67:1144-8

    Article  PubMed  Google Scholar 

  12. Shah J, Darzi A. Virtual reality flexible cystoscopy: a validation study. BJU Int. 2002;90:828-32

    Article  PubMed  CAS  Google Scholar 

  13. Chou DS, Abdelshehid C, Clayman RV, McDougall EM. Comparison of results of Virtual-reality simulators and training model for basic urertoscopy training. J Endourol. 2006;20:266-71

    Article  PubMed  Google Scholar 

  14. Gross AJ, Herrmann TR. History of lasers. World J Urol. 2007;25(3):217-20

    Article  PubMed  Google Scholar 

  15. Grasso M, Green D. Lasers in urology. E Medicine. 2008 http://emedicine.medscape.com

  16. Schaeffer AJ. Use of the CO2 laser in urology. Urol Clin North Am. 1986;3:393-404

    Google Scholar 

  17. Floratos DL, de la Rosette JJ. Lasers in urology. BJU Int. 1999;84(2):204-11

    Article  PubMed  CAS  Google Scholar 

  18. Grocela JA, Dretler SP. Intracorporeal lithotripsy. Instrumentation and development. Urol Clin North Am. 1997;24(1):13-23

    Article  PubMed  CAS  Google Scholar 

  19. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Chapter 45 Ureteroscopy and retrograde ureteral access. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. Philadelphia, PA: Saunders Elsevier; 2007:1460

    Google Scholar 

  20. Dushinski JW, Lingeman JE. High-speed photographic evaluation of the holumium laser. J Endourol. 1998;12(2):177-81

    Article  PubMed  CAS  Google Scholar 

  21. Vassar GJ, Chan KF, Teichman JM, et al. Holmium:YAG lithotripsy: photothermal mechanism. J Endourol. 1999;13(3):181-190

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  23. Santa-Cruz RW, Leveillee RJ, Kronrad A. Ex vivo comparison of four lithotripters commonly used in the ureter: what does it take to perforate? J Endourol. 1998;12(5):417-22

    Article  PubMed  CAS  Google Scholar 

  24. Scarpa RM, De Lisa A, Porru D, et al. Holmium:YAG laser ureterolithotripsy. Eur Urol. 1999;35:233-8

    Article  PubMed  CAS  Google Scholar 

  25. Gomella LG, Lofti MA, Rivas DA, et al. Contact laser vaporization techniques for benign prostatic hyperplasia. J Endourol. 1995;9:117-23

    Article  PubMed  CAS  Google Scholar 

  26. Wang X, Chen J, Jiao D et al. The beam characteristic of Nd:YAG frequency doubling in a KTP crystal by the resonant external ring cavity. Nonlinear Optical Phenomena and Applications. Proc SPIE. 2005;5646:636-642

    Google Scholar 

  27. Reich O, Bachmann A, Siebels M, et al. High power (80 W) potassium-titanyl-phosphate laser vaporization of the prostate in 66 high risk patients. J Urol. 2005;173:158-60

    Article  PubMed  Google Scholar 

  28. Gilling PJ, Cass CB, Malcolm AR, et al. Combination holmium and Nd:YAG laser ablation of the prostate: initial clinical experience. J Endourol. 1995;9:151

    Article  PubMed  CAS  Google Scholar 

  29. Johnson DE, Cromeens DM, Price RE. Use of holmium:YAG laser in urology. Lasers Surg Med. 1992;12:353

    Article  PubMed  CAS  Google Scholar 

  30. Gilling PJ, Cass CB, Cresswell MD. Holmium laser resection of the prostate: preliminary results of a new method for the treatment of benign prostatic hyperplasia. Urology. 1996;47(1):48-51

    Article  PubMed  CAS  Google Scholar 

  31. Gilling PJ. Holmium laser enucleation of the prostate. BJU Int. 2008;101:131-42

    Article  PubMed  Google Scholar 

  32. Tan AHH, Gilling PJ, Kennett KM, et al. A randomized trial comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia in large glands (40–200 g). J Urol. 2003;170:1270-4

    Article  PubMed  CAS  Google Scholar 

  33. Kuntz RM, Lehrich K, Ahyai SA. Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100 g: 5 years follow-up results of a randomised clinical trial. Eur Urol. 2008;53(1):160-6

    Article  PubMed  Google Scholar 

  34. Shah HN, Mahajan AP, Sodha HS, et al. Prospective evaluation of the learning curve for holmium laser enucleation of the prostate. J Urol. 2007;177:1468-74

    Article  PubMed  Google Scholar 

  35. Knudsen BE, Cook AJ, Watterson JD, et al. Percutaneous antegrade endopyelotomy: long-term results from one institution. Urology. 2004;63(2):230-4

    Article  PubMed  Google Scholar 

  36. Springhart WP, Preminger GM. Chapter 11 Retrograde endopyelotomy. In: Nakada SY, Pearle MS, eds. Advanced Endourology: The Complete Clinical Guide. Totowa, NJ: Humana Press; 2006:183-95

    Google Scholar 

  37. Watterson JD, Sofer M, Wollin TA, et al. Holmium:YAG laser endoureterotomy for ureterointestinal strictures. J Urol. 2002;167:1692-5

    Article  PubMed  Google Scholar 

  38. Hibi H, Ohori T, Taki T, et al. Long-term results of endoureterotomy using a holmium laser. Int J Urol. 2007;14:872-4

    Article  PubMed  Google Scholar 

  39. Lane BR, Desai MM, Hegarty NJ, Streem SB. Long-term efficacy of holmium laser endoureterotomy for benign ureteral strictures. Urology. 2006;67:894-7

    Article  PubMed  Google Scholar 

  40. Dogra PN, Nabi G. Core-through urethrotomy using the neodymium:YAG laser for obliterative urethral strictures after traumatic urethral disruption and/or distraction defects: long-term outcome. J Urol. 2002;167:543-6

    Article  PubMed  CAS  Google Scholar 

  41. Kamp S, Knoll T, Osman MM, et al. Low-power holmium:YAG laser urethrotomy for treatment of urethral strictures: functional outcome and quality of life. J Endourol. 2006;20:38-41

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

    Erica H. Lambert, Nicole L. Miller & S. Duke Herrell

Authors
  1. Erica H. Lambert
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nicole L. Miller
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Duke Herrell
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Dept. of Urology, J Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, United Kingdom

    Christopher R. Chapple

  2. Dept. Urology, University of Virginia Health System, Charlottesville, Virgin Islands, USA

    William D. Steers

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer London

About this chapter

Cite this chapter

Lambert, E.H., Miller, N.L., Herrell, S.D. (2011). Urologic Instrumentation: Endoscopes and Lasers. In: Chapple, C., Steers, W. (eds) Practical Urology: Essential Principles and Practice. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-034-0_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-84882-034-0_21

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-033-3

  • Online ISBN: 978-1-84882-034-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation