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Erschienen in: Urolithiasis 1/2018

08.12.2017 | Invited Review

Flexible ureteroscopy: technique, tips and tricks

verfasst von: Steeve Doizi, Olivier Traxer

Erschienen in: Urolithiasis | Ausgabe 1/2018

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Abstract

During the last decades, the surgical management of kidney stones benefited of many technological advances and one of them is the development of flexible ureteroscopy (fURS). This tool, ancillary equipment such as graspers and baskets, and lithotripsy technique with Holmium:YAG laser underwent many improvements leading to a widening of its indications with diagnostic and therapeutic management of upper urinary tract pathologies such as urolithiasis and urothelial tumors. The objective of this review is to describe the surgical technique for fURS as well as tips and tricks for the treatment of renal stones.
Literatur
2.
Zurück zum Zitat Takayasu H, Aso Y, Takagi T, Go T (1971) Clinical application of fiber-optic pyeloureteroscope. Urol Int 26(2):97–104PubMedCrossRef Takayasu H, Aso Y, Takagi T, Go T (1971) Clinical application of fiber-optic pyeloureteroscope. Urol Int 26(2):97–104PubMedCrossRef
3.
Zurück zum Zitat Takayasu H, Aso Y (1974) Recent development for pyeloureteroscopy: guide tube method for its introduction into the ureter. J Urol 112(2):176–178PubMedCrossRef Takayasu H, Aso Y (1974) Recent development for pyeloureteroscopy: guide tube method for its introduction into the ureter. J Urol 112(2):176–178PubMedCrossRef
4.
Zurück zum Zitat Johnston WK 3rd, Low RK, Das S (2004) The evolution and progress of ureteroscopy. Urol Clin N Am 31(1):5–13CrossRef Johnston WK 3rd, Low RK, Das S (2004) The evolution and progress of ureteroscopy. Urol Clin N Am 31(1):5–13CrossRef
5.
Zurück zum Zitat Basillote JB, Lee DI, Eichel L, Clayman RV (2004) Ureteroscopes: flexible, rigid, and semirigid. Urol Clin N Am 31(1):21–32CrossRef Basillote JB, Lee DI, Eichel L, Clayman RV (2004) Ureteroscopes: flexible, rigid, and semirigid. Urol Clin N Am 31(1):21–32CrossRef
6.
Zurück zum Zitat Proietti S, Dragos L, Molina W, Doizi S, Giusti G, Traxer O (2016) Comparison of new single-use digital flexible ureteroscope versus nondisposable fiber optic and digital ureteroscope in a cadaveric model. J Endourol 30(6):655–659PubMedPubMedCentralCrossRef Proietti S, Dragos L, Molina W, Doizi S, Giusti G, Traxer O (2016) Comparison of new single-use digital flexible ureteroscope versus nondisposable fiber optic and digital ureteroscope in a cadaveric model. J Endourol 30(6):655–659PubMedPubMedCentralCrossRef
7.
Zurück zum Zitat Doizi S, Kamphuis G, Giusti G, Andreassen KH, Knoll T, Osther PJ, Scoffone C, Pérez-Fentes D, Proietti S, Wiseman O, de la Rosette J, Traxer O (2017) First clinical evaluation of a new single-use flexible ureteroscope (LithoVue™): a European prospective multicentric feasibility study. World J Urol 35(5):809–818PubMedCrossRef Doizi S, Kamphuis G, Giusti G, Andreassen KH, Knoll T, Osther PJ, Scoffone C, Pérez-Fentes D, Proietti S, Wiseman O, de la Rosette J, Traxer O (2017) First clinical evaluation of a new single-use flexible ureteroscope (LithoVue™): a European prospective multicentric feasibility study. World J Urol 35(5):809–818PubMedCrossRef
9.
Zurück zum Zitat Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, Pace KT, Pais VM Jr, Pearle MS, Preminger GM, Razvi H, Shah O, Matlaga BR (2016) Surgical management of stones: American Urological Association/Endourological Society Guideline, PART I. J Urol 196(4):1153–1160PubMedCrossRef Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, Pace KT, Pais VM Jr, Pearle MS, Preminger GM, Razvi H, Shah O, Matlaga BR (2016) Surgical management of stones: American Urological Association/Endourological Society Guideline, PART I. J Urol 196(4):1153–1160PubMedCrossRef
10.
Zurück zum Zitat Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, Pace KT, Pais VM Jr, Pearle MS, Preminger GM, Razvi H, Shah O, Matlaga BR (2016) Surgical management of stones: American Urological Association/Endourological Society Guideline, PART II. J Urol 196(4):1161–1169PubMedCrossRef Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, Pace KT, Pais VM Jr, Pearle MS, Preminger GM, Razvi H, Shah O, Matlaga BR (2016) Surgical management of stones: American Urological Association/Endourological Society Guideline, PART II. J Urol 196(4):1161–1169PubMedCrossRef
11.
Zurück zum Zitat Park HK, Paick SH, Oh SJ, Kim HH (2004) Ureteroscopic lithotripsy under local anesthesia: analysis of the effectiveness and patient tolerability. Eur Urol 45(5):670–673PubMedCrossRef Park HK, Paick SH, Oh SJ, Kim HH (2004) Ureteroscopic lithotripsy under local anesthesia: analysis of the effectiveness and patient tolerability. Eur Urol 45(5):670–673PubMedCrossRef
12.
Zurück zum Zitat Cybulski PA, Joo H, Honey RJ (2004) Ureteroscopy: anesthetic considerations. Urol Clin N Am 31(1):43–7, viiiCrossRef Cybulski PA, Joo H, Honey RJ (2004) Ureteroscopy: anesthetic considerations. Urol Clin N Am 31(1):43–7, viiiCrossRef
13.
Zurück zum Zitat Emiliani E, Talso M, Baghdadi M, Ghanem S, Golmard J, Pinheiro H, Gkentzis A, Butticè S, Traxer O (2016) The use of apnea during ureteroscopy. Urology 97:266–268PubMedCrossRef Emiliani E, Talso M, Baghdadi M, Ghanem S, Golmard J, Pinheiro H, Gkentzis A, Butticè S, Traxer O (2016) The use of apnea during ureteroscopy. Urology 97:266–268PubMedCrossRef
14.
Zurück zum Zitat Johnson GB, Portela D, Grasso M (2006) Advanced ureteroscopy: wireless and sheathless. J Endourol 20(8):552–555PubMedCrossRef Johnson GB, Portela D, Grasso M (2006) Advanced ureteroscopy: wireless and sheathless. J Endourol 20(8):552–555PubMedCrossRef
15.
Zurück zum Zitat Dickstein RJ, Kreshover JE, Babayan RK, Wang DS (2010) Is a safety wire necessary during routine flexible ureteroscopy? J Endourol 24(10):1589–1592PubMedCrossRef Dickstein RJ, Kreshover JE, Babayan RK, Wang DS (2010) Is a safety wire necessary during routine flexible ureteroscopy? J Endourol 24(10):1589–1592PubMedCrossRef
16.
Zurück zum Zitat Patel SR, McLaren ID, Nakada SY (2012) The ureteroscope as a safety wire for ureteronephroscopy. J Endourol 26(4):351–354PubMedCrossRef Patel SR, McLaren ID, Nakada SY (2012) The ureteroscope as a safety wire for ureteronephroscopy. J Endourol 26(4):351–354PubMedCrossRef
17.
Zurück zum Zitat Ulvik Ø, Rennesund K, Gjengstø P, Wentzel-Larsen T, Ulvik NM (2013) Ureteroscopy with and without safety guide wire: should the safety wire still be mandatory? J Endourol 27(10):1197–1202PubMedCrossRef Ulvik Ø, Rennesund K, Gjengstø P, Wentzel-Larsen T, Ulvik NM (2013) Ureteroscopy with and without safety guide wire: should the safety wire still be mandatory? J Endourol 27(10):1197–1202PubMedCrossRef
18.
Zurück zum Zitat Dutta R, Vyas A, Landman J, Clayman RV (2016) Death of the safety guidewire. J Endourol 30(9):941–944PubMedCrossRef Dutta R, Vyas A, Landman J, Clayman RV (2016) Death of the safety guidewire. J Endourol 30(9):941–944PubMedCrossRef
19.
Zurück zum Zitat Giusti G, Proietti S, Villa L, Cloutier J, Rosso M, Gadda GM, Doizi S, Suardi N, Montorsi F, Gaboardi F, Traxer O (2016) Current standard technique for modern flexible ureteroscopy: tips and tricks. Eur Urol 70(1):188–194PubMedCrossRef Giusti G, Proietti S, Villa L, Cloutier J, Rosso M, Gadda GM, Doizi S, Suardi N, Montorsi F, Gaboardi F, Traxer O (2016) Current standard technique for modern flexible ureteroscopy: tips and tricks. Eur Urol 70(1):188–194PubMedCrossRef
20.
Zurück zum Zitat Newman RC, Hunter PT, Hawkins IF, Finlayson B (1987) The ureteral access system: a review of the immediate results in 43 cases. J Urol 137(3):380–383PubMedCrossRef Newman RC, Hunter PT, Hawkins IF, Finlayson B (1987) The ureteral access system: a review of the immediate results in 43 cases. J Urol 137(3):380–383PubMedCrossRef
21.
Zurück zum Zitat Rehman J, Monga M, Landman J, Lee DI, Felfela T, Conradie MC, Srinivas R, Sundaram CP, Clayman RV (2003) Characterization of intrapelvic pressure during ureteropyeloscopy with ureteral access sheaths. Urology 61(4):713–718PubMedCrossRef Rehman J, Monga M, Landman J, Lee DI, Felfela T, Conradie MC, Srinivas R, Sundaram CP, Clayman RV (2003) Characterization of intrapelvic pressure during ureteropyeloscopy with ureteral access sheaths. Urology 61(4):713–718PubMedCrossRef
22.
Zurück zum Zitat Auge BK, Pietrow PK, Lallas CD, Raj GV, Santa-Cruz RW, Preminger GM (2004) Ureteral access sheath provides protection against elevated renal pressures during routine flexible ureteroscopic stone manipulation. J Endourol 18(1):33–36PubMedCrossRef Auge BK, Pietrow PK, Lallas CD, Raj GV, Santa-Cruz RW, Preminger GM (2004) Ureteral access sheath provides protection against elevated renal pressures during routine flexible ureteroscopic stone manipulation. J Endourol 18(1):33–36PubMedCrossRef
23.
Zurück zum Zitat Kaplan AG, Lipkin ME, Scales CD Jr, Preminger GM (2016) Use of ureteral access sheaths in ureteroscopy. Nat Rev Urol 13(3):135–140PubMedCrossRef Kaplan AG, Lipkin ME, Scales CD Jr, Preminger GM (2016) Use of ureteral access sheaths in ureteroscopy. Nat Rev Urol 13(3):135–140PubMedCrossRef
24.
Zurück zum Zitat Al-Qahtani SM, Letendre J, Thomas A, Natalin R, Saussez T, Traxer O (2014) Which ureteral access sheath is compatible with your flexible ureteroscope? J Endourol 28(3):286–290PubMedCrossRef Al-Qahtani SM, Letendre J, Thomas A, Natalin R, Saussez T, Traxer O (2014) Which ureteral access sheath is compatible with your flexible ureteroscope? J Endourol 28(3):286–290PubMedCrossRef
25.
Zurück zum Zitat Emre Sener T, Cloutier J, Villa L, Marson F, Butticè S, Doizi S, Traxer O (2016) Can we provide low intrarenal pressures with good irrigation flow by decreasing the size of ureteral access sheaths? J Endourol 30(1):49–55CrossRef Emre Sener T, Cloutier J, Villa L, Marson F, Butticè S, Doizi S, Traxer O (2016) Can we provide low intrarenal pressures with good irrigation flow by decreasing the size of ureteral access sheaths? J Endourol 30(1):49–55CrossRef
26.
Zurück zum Zitat Doizi S, Knoll T, Scoffone CM, Breda A, Brehmer M, Liatsikos E, Cornu JN, Traxer O (2014) First clinical evaluation of a new innovative ureteral access sheath (Re-Trace™): a European study. World J Urol 32(1):143–147PubMedCrossRef Doizi S, Knoll T, Scoffone CM, Breda A, Brehmer M, Liatsikos E, Cornu JN, Traxer O (2014) First clinical evaluation of a new innovative ureteral access sheath (Re-Trace™): a European study. World J Urol 32(1):143–147PubMedCrossRef
27.
Zurück zum Zitat Breda A, Emiliani E, Millán F, Scoffone CM, Knoll T, Osther PJ, Liatsikos E (2016) The new concept of ureteral access sheath with guidewire disengagement: one wire does it all. World J Urol 34(4):603–606PubMedCrossRef Breda A, Emiliani E, Millán F, Scoffone CM, Knoll T, Osther PJ, Liatsikos E (2016) The new concept of ureteral access sheath with guidewire disengagement: one wire does it all. World J Urol 34(4):603–606PubMedCrossRef
28.
Zurück zum Zitat Gupta PK (2007) Is the holmium:YAG laser the best intracorporeal lithotripter for the ureter? A 3-year retrospective study. J Endourol 21(3):305–309PubMedCrossRef Gupta PK (2007) Is the holmium:YAG laser the best intracorporeal lithotripter for the ureter? A 3-year retrospective study. J Endourol 21(3):305–309PubMedCrossRef
29.
Zurück zum Zitat Rassweiler J, Rassweiler MC, Klein J (2016) New technology in ureteroscopy and percutaneous nephrolithotomy. Curr Opin Urol 26(1):95–106PubMedCrossRef Rassweiler J, Rassweiler MC, Klein J (2016) New technology in ureteroscopy and percutaneous nephrolithotomy. Curr Opin Urol 26(1):95–106PubMedCrossRef
30.
Zurück zum Zitat Zhong P, Tong HL, Cocks FH, Pearle MS, Preminger GM (1998) Transient cavitation and acoustic emission produced by different laser lithotripters. J Endourol 12(4):371–378PubMedCrossRef Zhong P, Tong HL, Cocks FH, Pearle MS, Preminger GM (1998) Transient cavitation and acoustic emission produced by different laser lithotripters. J Endourol 12(4):371–378PubMedCrossRef
31.
Zurück zum Zitat Rassweiler JJ, Klein J (2016) Re: update on lasers in urology. Current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers. Eur Urol 70(3):538–539PubMedCrossRef Rassweiler JJ, Klein J (2016) Re: update on lasers in urology. Current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers. Eur Urol 70(3):538–539PubMedCrossRef
32.
Zurück zum Zitat Villa L, Cloutier J, Compérat E, Kronemberg P, Charlotte F, Berthe L, Rouchausse Y, Salonia A, Montorsi F, Traxer O (2016) Do we really need to wear proper eye protection when using holmium:YAG laser during endourologic procedures? Results from an ex vivo animal model on pig eyes. J Endourol 30(3):332–337PubMedCrossRef Villa L, Cloutier J, Compérat E, Kronemberg P, Charlotte F, Berthe L, Rouchausse Y, Salonia A, Montorsi F, Traxer O (2016) Do we really need to wear proper eye protection when using holmium:YAG laser during endourologic procedures? Results from an ex vivo animal model on pig eyes. J Endourol 30(3):332–337PubMedCrossRef
33.
Zurück zum Zitat Kronenberg P, Traxer O (2015) Are we all doing it wrong? Influence of stripping and cleaving methods of laser fibers on laser lithotripsy performance. J Urol 193(3):1030–1035PubMedCrossRef Kronenberg P, Traxer O (2015) Are we all doing it wrong? Influence of stripping and cleaving methods of laser fibers on laser lithotripsy performance. J Urol 193(3):1030–1035PubMedCrossRef
34.
Zurück zum Zitat Haddad M, Emiliani E, Rouchausse Y, Coste F, Berthe L, Doizi S, Butticè S, Somani B, Traxer O (2017) Impact of laser fiber tip cleavage on power output for ureteroscopy and stone treatment. World J Urol 35(11):1765–1770PubMedCrossRef Haddad M, Emiliani E, Rouchausse Y, Coste F, Berthe L, Doizi S, Butticè S, Somani B, Traxer O (2017) Impact of laser fiber tip cleavage on power output for ureteroscopy and stone treatment. World J Urol 35(11):1765–1770PubMedCrossRef
35.
Zurück zum Zitat Talso M, Emiliani E, Haddad M, Berthe L, Baghdadi M, Montanari E, Traxer O (2016) Laser fiber and flexible ureterorenoscopy: the safety distance concept. J Endourol 30(12):1269–1274PubMedCrossRef Talso M, Emiliani E, Haddad M, Berthe L, Baghdadi M, Montanari E, Traxer O (2016) Laser fiber and flexible ureterorenoscopy: the safety distance concept. J Endourol 30(12):1269–1274PubMedCrossRef
36.
Zurück zum Zitat Kronenberg P, Traxer O (2015) Update on lasers in urology 2014: current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers. World J Urol 33(4):463–469PubMedCrossRef Kronenberg P, Traxer O (2015) Update on lasers in urology 2014: current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers. World J Urol 33(4):463–469PubMedCrossRef
37.
Zurück zum Zitat Kronenberg P, Traxer O (2014) In vitro fragmentation efficiency of holmium:yttrium-aluminum-garnet (YAG) laser lithotripsy—a comprehensive study encompassing different frequencies, pulse energies, total power levels and laser fibre diameters. BJU Int 114(2):261–267PubMedCrossRef Kronenberg P, Traxer O (2014) In vitro fragmentation efficiency of holmium:yttrium-aluminum-garnet (YAG) laser lithotripsy—a comprehensive study encompassing different frequencies, pulse energies, total power levels and laser fibre diameters. BJU Int 114(2):261–267PubMedCrossRef
38.
Zurück zum Zitat Wezel F, Häcker A, Gross AJ, Michel MS, Bach T (2010) Effect of pulse energy, frequency and length on holmium:yttrium-aluminum-garnet laser fragmentation efficiency in non-floating artificial urinary calculi. J Endourol 24(7):1135–1140PubMedCrossRef Wezel F, Häcker A, Gross AJ, Michel MS, Bach T (2010) Effect of pulse energy, frequency and length on holmium:yttrium-aluminum-garnet laser fragmentation efficiency in non-floating artificial urinary calculi. J Endourol 24(7):1135–1140PubMedCrossRef
39.
Zurück zum Zitat Spore SS, Teichman JM, Corbin NS, Champion PC, Williamson EA, Glickman RD (1999) Holmium:YAG lithotripsy: optimal power settings. J Endourol 13(8):559–566PubMedCrossRef Spore SS, Teichman JM, Corbin NS, Champion PC, Williamson EA, Glickman RD (1999) Holmium:YAG lithotripsy: optimal power settings. J Endourol 13(8):559–566PubMedCrossRef
40.
Zurück zum Zitat Corbin NS, Teichman JM, Nguyen T, Glickman RD, Rihbany L, Pearle MS, Bishoff JT (2000) Laser lithotripsy and cyanide. J Endourol 14(2):169–173PubMedCrossRef Corbin NS, Teichman JM, Nguyen T, Glickman RD, Rihbany L, Pearle MS, Bishoff JT (2000) Laser lithotripsy and cyanide. J Endourol 14(2):169–173PubMedCrossRef
41.
Zurück zum Zitat Sea J, Jonat LM, Chew BH, Qiu J, Wang B, Hoopman J, Milner T, Teichman JM (2012) Optimal power settings for holmium:YAG lithotripsy. J Urol 187(3):914–919PubMedCrossRef Sea J, Jonat LM, Chew BH, Qiu J, Wang B, Hoopman J, Milner T, Teichman JM (2012) Optimal power settings for holmium:YAG lithotripsy. J Urol 187(3):914–919PubMedCrossRef
42.
Zurück zum Zitat Hecht SL, Wolf JS Jr (2013) Techniques for holmium laser lithotripsy of intrarenal calculi. Urology 81(2):442–445PubMedCrossRef Hecht SL, Wolf JS Jr (2013) Techniques for holmium laser lithotripsy of intrarenal calculi. Urology 81(2):442–445PubMedCrossRef
43.
Zurück zum Zitat Chawla SN, Chang MF, Chang A, Lenoir J, Bagley DH (2008) Effectiveness of high-frequency holmium:YAG laser stone fragmentation: the “popcorn effect”. J Endourol 22(4):645–650PubMedCrossRef Chawla SN, Chang MF, Chang A, Lenoir J, Bagley DH (2008) Effectiveness of high-frequency holmium:YAG laser stone fragmentation: the “popcorn effect”. J Endourol 22(4):645–650PubMedCrossRef
44.
Zurück zum Zitat Emiliani E, Talso M, Cho SY, Baghdadi M, Mahmoud S, Pinheiro H, Traxer O (2017) Optimal settings for the noncontact holmium:YAG stone fragmentation popcorn technique. J Urol 198(3):702–706PubMedCrossRef Emiliani E, Talso M, Cho SY, Baghdadi M, Mahmoud S, Pinheiro H, Traxer O (2017) Optimal settings for the noncontact holmium:YAG stone fragmentation popcorn technique. J Urol 198(3):702–706PubMedCrossRef
45.
Zurück zum Zitat Bach T, Geavlete B, Herrmann TR, Gross AJ (2008) Working tools in flexible ureterorenoscopy—influence on flow and deflection: what does matter? J Endourol 22(8):1639–1643PubMedCrossRef Bach T, Geavlete B, Herrmann TR, Gross AJ (2008) Working tools in flexible ureterorenoscopy—influence on flow and deflection: what does matter? J Endourol 22(8):1639–1643PubMedCrossRef
46.
Zurück zum Zitat Pasqui F, Dubosq F, Tchala K, Tligui M, Gattegno B, Thibault P, Traxer O (2004) Impact on active scope deflection and irrigation flow of all endoscopic working tools during flexible ureteroscopy. Eur Urol 45(1):58–64PubMedCrossRef Pasqui F, Dubosq F, Tchala K, Tligui M, Gattegno B, Thibault P, Traxer O (2004) Impact on active scope deflection and irrigation flow of all endoscopic working tools during flexible ureteroscopy. Eur Urol 45(1):58–64PubMedCrossRef
47.
Zurück zum Zitat Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck AC, Gallucci M, Knoll T, Lingeman JE, Nakada SY, Pearle MS, Sarica K, Türk C, Wolf JS Jr, American Urological Association Education and Research, Inc, European Association of Urology (2007) 2007 Guideline for the management of ureteral calculi. Eur Urol 52(6):1610–1631PubMedCrossRef Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck AC, Gallucci M, Knoll T, Lingeman JE, Nakada SY, Pearle MS, Sarica K, Türk C, Wolf JS Jr, American Urological Association Education and Research, Inc, European Association of Urology (2007) 2007 Guideline for the management of ureteral calculi. Eur Urol 52(6):1610–1631PubMedCrossRef
48.
Zurück zum Zitat Proietti S, Dragos L, Somani BK, Butticè S, Talso M, Emiliani E, Baghdadi M, Giusti G, Traxer O (2017) In vitro comparison of maximum pressure developed by irrigation systems in a kidney model. J Endourol 5 Proietti S, Dragos L, Somani BK, Butticè S, Talso M, Emiliani E, Baghdadi M, Giusti G, Traxer O (2017) In vitro comparison of maximum pressure developed by irrigation systems in a kidney model. J Endourol 5
49.
Zurück zum Zitat Dragos LB, Somani BK, Sener ET, Buttice S, Proietti S, Ploumidis A, Iacoboaie CT, Doizi S, Traxer O (2017) Which flexible ureteroscopes (digital vs. fiber-optic) can easily reach the difficult lower pole calices and have better end-tip deflection: in vitro study on K-box. A PETRA evaluation. J Endourol 31(7):630–637PubMedCrossRef Dragos LB, Somani BK, Sener ET, Buttice S, Proietti S, Ploumidis A, Iacoboaie CT, Doizi S, Traxer O (2017) Which flexible ureteroscopes (digital vs. fiber-optic) can easily reach the difficult lower pole calices and have better end-tip deflection: in vitro study on K-box. A PETRA evaluation. J Endourol 31(7):630–637PubMedCrossRef
50.
Zurück zum Zitat Auge BK, Dahm P, Wu NZ, Preminger GM (2001) Ureteroscopic management of lower-pole renal calculi: technique of calculus displacement. J Endourol 15(8):835–838PubMedCrossRef Auge BK, Dahm P, Wu NZ, Preminger GM (2001) Ureteroscopic management of lower-pole renal calculi: technique of calculus displacement. J Endourol 15(8):835–838PubMedCrossRef
51.
Zurück zum Zitat Seto C, Ishiura Y, Egawa M, Komatsu K, Namiki M (2006) Durability of working channel in flexible ureteroscopes when inserting ureteroscopic devices. J Endourol 20(3):223–226PubMedCrossRef Seto C, Ishiura Y, Egawa M, Komatsu K, Namiki M (2006) Durability of working channel in flexible ureteroscopes when inserting ureteroscopic devices. J Endourol 20(3):223–226PubMedCrossRef
52.
Zurück zum Zitat Baghdadi M, Emiliani E, Talso M, Servián P, Barreiro A, Orosa A, Proietti S, Traxer O (2017) Comparison of laser fiber passage in ureteroscopic maximum deflection and their influence on deflection and irrigation: do we really need the ball tip concept? World J Urol 35(2):313–318PubMedCrossRef Baghdadi M, Emiliani E, Talso M, Servián P, Barreiro A, Orosa A, Proietti S, Traxer O (2017) Comparison of laser fiber passage in ureteroscopic maximum deflection and their influence on deflection and irrigation: do we really need the ball tip concept? World J Urol 35(2):313–318PubMedCrossRef
53.
Zurück zum Zitat Shin RH, Lautz JM, Cabrera FJ, Shami CJ, Goldsmith ZG, Kuntz NJ, Kaplan AG, Neisius A, Simmons WN, Preminger GM, Lipkin ME (2016) Evaluation of novel ball-tip holmium laser fiber: impact on ureteroscope performance and fragmentation efficiency. J Endourol 30(2):189–194PubMedCrossRef Shin RH, Lautz JM, Cabrera FJ, Shami CJ, Goldsmith ZG, Kuntz NJ, Kaplan AG, Neisius A, Simmons WN, Preminger GM, Lipkin ME (2016) Evaluation of novel ball-tip holmium laser fiber: impact on ureteroscope performance and fragmentation efficiency. J Endourol 30(2):189–194PubMedCrossRef
54.
Zurück zum Zitat Kronenberg P, Traxer O (2016) Lithotripsy performance of specially designed laser fiber tips. J Urol 195(5):1606–1612PubMedCrossRef Kronenberg P, Traxer O (2016) Lithotripsy performance of specially designed laser fiber tips. J Urol 195(5):1606–1612PubMedCrossRef
55.
Zurück zum Zitat Haddad M, Emiliani E, Rouchausse Y, Coste F, Doizi S, Berthe L, Butticè S, Somani B, Traxer O (2017) Impact of the curve diameter and laser settings on laser fiber fracture. J Endourol 31(9):918–921PubMedCrossRef Haddad M, Emiliani E, Rouchausse Y, Coste F, Doizi S, Berthe L, Butticè S, Somani B, Traxer O (2017) Impact of the curve diameter and laser settings on laser fiber fracture. J Endourol 31(9):918–921PubMedCrossRef
56.
Zurück zum Zitat Sejiny M, Al-Qahtani S, Elhaous A, Molimard B, Traxer O (2010) Efficacy of flexible ureterorenoscopy with holmium laser in the management of stone-bearing caliceal diverticula. J Endourol 24(6):961–967PubMedCrossRef Sejiny M, Al-Qahtani S, Elhaous A, Molimard B, Traxer O (2010) Efficacy of flexible ureterorenoscopy with holmium laser in the management of stone-bearing caliceal diverticula. J Endourol 24(6):961–967PubMedCrossRef
57.
Zurück zum Zitat Traxer O, Thomas A (2013) Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. J Urol 189(2):580–584PubMedCrossRef Traxer O, Thomas A (2013) Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. J Urol 189(2):580–584PubMedCrossRef
58.
Zurück zum Zitat Auge BK, Preminger GM (2002) Ureteral stents and their use in endourology. Curr Opin Urol 12(3):217–222PubMedCrossRef Auge BK, Preminger GM (2002) Ureteral stents and their use in endourology. Curr Opin Urol 12(3):217–222PubMedCrossRef
59.
Zurück zum Zitat Harmon WJ, Sershon PD, Blute ML, Patterson DE, Segura JW (1997) Ureteroscopy: current practice and long-term complications. J Urol 157(1):28–32PubMedCrossRef Harmon WJ, Sershon PD, Blute ML, Patterson DE, Segura JW (1997) Ureteroscopy: current practice and long-term complications. J Urol 157(1):28–32PubMedCrossRef
60.
Zurück zum Zitat Netto Júnior NR, Claro Jde A, Esteves SC, Andrade EF (1997) Ureteroscopic stone removal in the distal ureter. Why change? J Urol 157(6):2081–2083PubMedCrossRef Netto Júnior NR, Claro Jde A, Esteves SC, Andrade EF (1997) Ureteroscopic stone removal in the distal ureter. Why change? J Urol 157(6):2081–2083PubMedCrossRef
61.
Zurück zum Zitat Knudsen BE, Beiko DT, Denstedt JD (2004) Stenting after ureteroscopy: pros and cons. Urol Clin N Am 31(1):173–180CrossRef Knudsen BE, Beiko DT, Denstedt JD (2004) Stenting after ureteroscopy: pros and cons. Urol Clin N Am 31(1):173–180CrossRef
62.
Zurück zum Zitat Rapoport D, Perks AE, Teichman JM (2007) Ureteral access sheath use and stenting in ureteroscopy: effect on unplanned emergency room visits and cost. J Endourol 21(9):993–997PubMedCrossRef Rapoport D, Perks AE, Teichman JM (2007) Ureteral access sheath use and stenting in ureteroscopy: effect on unplanned emergency room visits and cost. J Endourol 21(9):993–997PubMedCrossRef
63.
Zurück zum Zitat Nabi G, Cook J, N’Dow J, McClinton S (2007) Outcomes of stenting after uncomplicated ureteroscopy: systematic review and meta-analysis. BMJ 334(7593):572PubMedPubMedCentralCrossRef Nabi G, Cook J, N’Dow J, McClinton S (2007) Outcomes of stenting after uncomplicated ureteroscopy: systematic review and meta-analysis. BMJ 334(7593):572PubMedPubMedCentralCrossRef
64.
Zurück zum Zitat Song T, Liao B, Zheng S, Wei Q (2012) Meta-analysis of postoperatively stenting or not in patients underwent ureteroscopic lithotripsy. Urol Res 40(1):67–77PubMedCrossRef Song T, Liao B, Zheng S, Wei Q (2012) Meta-analysis of postoperatively stenting or not in patients underwent ureteroscopic lithotripsy. Urol Res 40(1):67–77PubMedCrossRef
65.
Zurück zum Zitat Haleblian G, Kijvikai K, de la Rosette J, Preminger G (2008) Ureteral stenting and urinary stone management: a systematic review. J Urol 179(2):424–430PubMedCrossRef Haleblian G, Kijvikai K, de la Rosette J, Preminger G (2008) Ureteral stenting and urinary stone management: a systematic review. J Urol 179(2):424–430PubMedCrossRef
66.
Zurück zum Zitat Tang L, Gao X, Xu B, Hou J, Zhang Z, Xu C, Wang L, Sun Y (2011) Placement of ureteral stent after uncomplicated ureteroscopy: do we really need it? Urology 78(6):1248–1256PubMedCrossRef Tang L, Gao X, Xu B, Hou J, Zhang Z, Xu C, Wang L, Sun Y (2011) Placement of ureteral stent after uncomplicated ureteroscopy: do we really need it? Urology 78(6):1248–1256PubMedCrossRef
67.
Zurück zum Zitat Netto NR Jr, Ikonomidis J, Zillo C (2001) Routine ureteral stenting after ureteroscopy for ureteral lithiasis: is it really necessary? J Urol 166(4):1252–1254PubMedCrossRef Netto NR Jr, Ikonomidis J, Zillo C (2001) Routine ureteral stenting after ureteroscopy for ureteral lithiasis: is it really necessary? J Urol 166(4):1252–1254PubMedCrossRef
68.
Zurück zum Zitat Keeley FX Jr, Timoney AG (2007) Routine stenting after ureteroscopy: think again. Eur Urol 52(3):642–644PubMedCrossRef Keeley FX Jr, Timoney AG (2007) Routine stenting after ureteroscopy: think again. Eur Urol 52(3):642–644PubMedCrossRef
69.
Zurück zum Zitat Gerber GS, Stockton BR (2006) Use of stents after ureteroscopic stone removal. J Endourol 20(6):383–385PubMedCrossRef Gerber GS, Stockton BR (2006) Use of stents after ureteroscopic stone removal. J Endourol 20(6):383–385PubMedCrossRef
70.
Zurück zum Zitat de la Rosette J, Denstedt J, Geavlete P, Keeley F, Matsuda T, Pearle M, Preminger G, Traxer O, CROES URS Study Group (2014) The clinical research office of the endourological society ureteroscopy global study: indications, complications, and outcomes in 11,885 patients. J Endourol 28(2):131–139PubMedCrossRef de la Rosette J, Denstedt J, Geavlete P, Keeley F, Matsuda T, Pearle M, Preminger G, Traxer O, CROES URS Study Group (2014) The clinical research office of the endourological society ureteroscopy global study: indications, complications, and outcomes in 11,885 patients. J Endourol 28(2):131–139PubMedCrossRef
71.
Zurück zum Zitat Auge BK, Sarvis JA, L’esperance JO, Preminger GM (2007) Practice patterns of ureteral stenting after routine ureteroscopic stone surgery: a survey of practicing urologists. J Endourol 21(11):1287–1291PubMedCrossRef Auge BK, Sarvis JA, L’esperance JO, Preminger GM (2007) Practice patterns of ureteral stenting after routine ureteroscopic stone surgery: a survey of practicing urologists. J Endourol 21(11):1287–1291PubMedCrossRef
Metadaten
Titel
Flexible ureteroscopy: technique, tips and tricks
verfasst von
Steeve Doizi
Olivier Traxer
Publikationsdatum
08.12.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Urolithiasis / Ausgabe 1/2018
Print ISSN: 2194-7228
Elektronische ISSN: 2194-7236
DOI
https://doi.org/10.1007/s00240-017-1030-x

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