Urology Research & Practice
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FLEXIBLE URETEROSCOPY IN THE DIAGNOSIS AND MANAGEMENT OF UPPER URINARY TRACT DISORDERS

1.

Florance Nightingale Hastaneleri Üroloji Bölümü, İSTANBUL

2.

Grup Florence Nightingale Hastanesi Üroloji Kliniği, İSTANBUL

3.

İstanbul Bilim Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, İstanbul

Urol Res Pract 2003; 29: 454-459
Read: 1479 Downloads: 997 Published: 25 July 2019

Abstract

Introduction: In this study our flexible ureterorenoscopy (f-URS) experience is presented.

Materials and Methods: Between January 2001 and September 2002, in 31 patients (23 for treatment of upper urinary tract (UUT) stone disease, 5 for diagnostic purposes, 2 for treatment of UUT transitional cell carcinoma (TCC) detected during diagnostic f-URS and 1 for incision of ureteral stricture) 7.5F f-URS was used.

Results: In the stone disease group; 20 patients had stones in the collecting system and 3 in the proximal ureter.

Pelvicalyceal system could not be reached in 2 patients and percutaneous nephrolithotripsy was performed. In another patient there was 7 mm. lower calyceal residual stone after f-URS. Remaining 20 patients (87%) became stone-free after the treatment.

F-URS was done for diagnostic purposes in 7 patients and no pathology was revealed in 5. Two patients with intraureteral tumors had undergone f-URS and Holmium laser resection.

One patient had lower ureteral stricture and multiple stones proximal to it. By anterograde percutaneous access stones were extracted with f-URS and the stricture was ablated with f-URS and Holmium laser.

Conclusion: Flexible ureteroscopes can effectively and safely be used in the diagnosis and treatment of UUT disorders.

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EISSN 2980-1478