Abhay Rané, Burak Turna, Riccardo Autorino and Jens J. Rassweiler (eds.)Practical Tips in Urology10.1007/978-1-4471-4348-2_40

40. Tips for Flexible Ureteroscopy

Jonathan Cloutier¹ and Olivier Traxer¹

(1)

Department of Urology, Tenon Hospital, Pierre and Marie Curie University, 4 Rue de la Chine, Paris, Cedex 20, 75970, France

Olivier Traxer

Email: olivier.traxer@tnn.aphp.fr

Abstract

The first flexible ureteroscope was introduced in 1983 and since then, the use of flexible ureterorenoscopy (F-URS) has never ceased to grow, and its indications have continued to expand. This chapter presents some particularities, tips and tricks of F-URS that could accommodate urologists throughout general and particular circumstances. Urologists who have an interest in flexible ureteroscopy should be armed of patience, and be always on the lookout for the next step and the technical possibilities to assist him in troublesome situations. There are plenty of equipments and tricks in flexible ureteroscopy, and the surgeon needs to know the existence of them and accomplish his own experience and familiarity.

Keywords

Flexible ureteroscopyKidney stonesLaser lithotripsy

Introduction

The first flexible ureteroscope was introduced in 1983 by Bagley and colleagues. Since then, the use of flexible ureterorenoscopy (F-URS) has never ceased to grow, and the indications have continued to expand. This chapter presents some particularities, tips and tricks of F-URS that could accommodate urologists throughout general and particular circumstances.

The Equipment

Urologist’s knowledge regarding his own equipment application and limitation should be well understood. The new digital flexible ureteroscopes are highly attractive with their higher visual quality and lightness. However, the user should know that, during a lower pole calyx surgery with a high angulation degree, the digital ureteroscope have more limitation and principally when a fiber laser or basket is into the working channel. Don’t forget: the fiberoptic can remain useful and efficient particularly in particular situations.

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