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Ureteroscopy pp 85–99Cite as

Devices for Stone Management

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Abstract

Stone retrieval devices may be used to remove stones or their fragments from a kidney or ureter or to reposition stones to aid better fragmentation. The more commonly used devices include helical baskets, tipless baskets and reusable graspers. The choice of device may be determined by the stone size, location and the stone treatment strategy employed. Care must be taken not to pick up too large a fragment in a basket which might then become entrapped in the ureter and lead to a ureteral injury.

Antiretropulsion devices may be deployed proximal to a stone to which it is being fragmented. The stone fragments are then less likely to wash out of reach. A variety of different antriretropulsion devices are available, and there is some evidence that they may improve stone clearance rates and reduce the need for ancillary procedure, particularly where flexible ureteroscopy is not immediately available.

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Authors and Affiliations

  1. Gow Gibbon Department of Urology, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Kent, Lodge, Broadgreen Hospital, Thomas Drive, UK

    Robert C. Calvert

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  1. Robert C. Calvert
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Correspondence to Robert C. Calvert .

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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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Calvert, R.C. (2020). Devices for Stone Management. In: F. Schwartz, B., D. Denstedt, J. (eds) Ureteroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-26649-3_7

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  • DOI: https://doi.org/10.1007/978-3-030-26649-3_7

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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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