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Miscellaneous endoscopic surgical procedures and treatments

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Endoscopy

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Abstract

Ureteral dilation for the treatment of ureteritis and of stenosis of the ureteral lumen is practiced extensively by many urologists and is condemned by others. A middle road between the two extremes is the preferable course Hunner; Millin. When definite dilatation of the ureter and/or renal pelvis exists above a ureteral stenosis, progressive dilation of the ureter is indicated. Many patients present symptoms characteristic of obstruction to the flow of urine through the ureters, although there is no evidence of ureteral obstruction or of renal pelvic back pressure. A few will be helped by ureteral dilation, but it is difficult to predetermine which individuals these are. Reproduction of the pain by a catheter passed up the ureter or by distention of the renal pelvis with fluid injected through the catheter is believed by some to be an indication for treatment by ureteral dilation. Such treatments are best spaced at intervals of ten days to two weeks. More frequent application is likely to cause edema and excessive trauma. Large cystoscopes are available for use by urologists who practice dilation of the ureters to a large size (Chap. 1, p. 21). Braasch bulb catheters cause less trauma than dilating instruments which are a uniform diameter all along the shaft. The calibre is increased one or two sizes at each treatment; when the ureter does not dilate easily, it is necessary to repeat the same size for several treatments. Many urologists lavage the renal pelvis with 1:500 silver nitrate or other antiseptic solution injected through the catheter which is used to dilate the ureter.

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Authors and Affiliations

  1. Los Angeles, USA

    Roger W. Barnes, R. Theodore Bergman & Henry L. Hadley

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  1. Roger W. Barnes
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  2. R. Theodore Bergman
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© 1959 Springer-Verlag OHG. Berlin · Göttingen · Heidelberg

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Barnes, R.W., Bergman, R.T., Hadley, H.L. (1959). Miscellaneous endoscopic surgical procedures and treatments. In: Endoscopy. Handbuch der Urologie / Encyclopedia of Urology / Encyclopédie d’Urologie, vol 6. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86571-8_14

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  • DOI: https://doi.org/10.1007/978-3-642-86571-8_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-86573-2

  • Online ISBN: 978-3-642-86571-8

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