Stone Migration Devices
Fig. 15.1 Image of deployed Stone Cone (courtesy of Boston Scientific) Several studies have examined the efficacy of the Stone Cone® in prevention of stone migration. In the initial clinical…
Ureteroscopy for Lateralizing Hematuria
Vascular causes Arteriovenous malformations Renal hemangioma Renal vein hypertension Nutcracker syndrome Renal arteriovenous fistula Renal arteriopelvic fistula Nonvascular causes Bleeding diathesis Exercise-induced (“march”) hematuria Renal papillary necrosis Endometriosis Renal ptosis…
Flexible Ureteroscopy: Holmium:YAG Laser and Optical Fibers
Fig. 14.1 High incidence angles cause by bending of the light Flexible Ureteroscope Design: Impact on Fiber Performance Flexible ureteroscopes are capable of high degrees of both primary and secondary…
Ferromagnetics in Ureteroscopy
Trial Magnetic removal (s) Basket removal (s) Difference (s) Stones in ureteral orifice (magnetic, basket) 1 257 555a 298 1, 1 2 413 410 −3 2, 1 3 235 730…
Flexible Ureteroscopy: Access Sheath
Indwelling preoperative stent No preoperative stent Male 13/15 F or 14/16 F, 45 cm 11/13 F or 12/14 F, 45 cm Female 13/15 F or 14/16 F, 35 cm…
Laser Lithotripsy
Fig. 27.1 The basic structure of laser includes a gain medium, a resonant optical cavity, and an external energy source which excites the gain medium. The resonant cavity is formed…
Ureteroscopic Management of Stones During Pregnancy
Fig. 32.1 Intraoperative ultrasound monitoring of flexible ureteroscopy Lithotripsy Given the risks entailed and personnel and resources assembled, it is advisable to have appropriate tools for lithotripsy on hand. A…
Intracorporeal Lithotripsy: Electrohydraulic, Pneumatic, and Ultrasonic
Fig. 13.1 Electrohydraulic lithotrite Due in part to the higher risk of ureteral perforation, the use of EHL for the treatment of ureteral stones was largely supplanted by the other…
Surgical Simulation
Task 1 3 5 Identify anatomy No knowledge Moderate identification 100% identification Endoscopic maneuvers Significant trauma, trouble with luminal view Rare trauma, reasonable luminal view No trauma, excellent luminal view…