Fiber Optics in Urology

Marshall, Victor F.

doi:10.1016/s0022-5347(17)64066-7

Cited by 281 publications

(96 citation statements)

References 2 publications

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“…In 1964, Marshall [6] has reported the first use of fURS, and has been able to see a ureteral stone with a ureteroscope passing through a 26 Fr cystoscope. At the end of 1980s, use of flexible ureteroscopes has gained acceleration with the introduction of devices that have an irrigation channel and a flexible tip (active and passive deflection).…”

Section: Historymentioning

confidence: 99%

Retrograde intrarenal surgery for renal stones - Part 1

Cleynenbreugel

Kılıç

Akand

2017

Turkish Journal of Urology

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The main aim in the treatment of renal stones is to clearance of the stones completely with the least morbidity. Parallel to the improvements in technology during recent years, new flexible ureterorenoscopes and effective lithotripters such as holmium laser have been developed, thus retrograde intrarenal surgery (RIRS) has become an efficient and safe option in the management of urinary system stone disease with a gradually increasing popularity. Therewithal, innovations in auxiliary equipment such as guide-wires, ureteral access sheath and stone baskets have made this procedure more effective. With this modality, nowadays, the vast majority of renal stones can be treated successfully without need of open surgery or percutaneous nephrolithotomy. RIRS can be used as a primary treatment in patients with renal stones smaller than 2 cm, in cases with prior unsuccessful shock wave lithotripsy (SWL), infundibular stenosis, renoureteral malformation, musculoskeletal deformity, bleeding diathesis as well as obese patients. The efficiency of this procedure has been also proved in pediatric patients. In the first part of this detailed review for RIRS, history, indications and contraindications, preoperative preparation, antibiotic prophylaxis, anesthesia, surgical technique related to flexible ureteroscopes and auxiliary equipment being used, postoperative care and complications of this operation are discussed with up-to-date literature.

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Section: Historymentioning

confidence: 99%

Retrograde intrarenal surgery for renal stones - Part 1

Cleynenbreugel

Kılıç

Akand

2017

Turkish Journal of Urology

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“…5 Marshall described fiberoptic ureteroscopy in 1964 and the first build ureteroscopy was reported in 1979. 6 The new generation small bore rigid and semi rigidfiberopticureteroscopes have become integral to the modern management of ureteric calculi. Open ureterolithotomy is rare except in a select subgroup of patients i.e.…”

Section: Success Ratementioning

confidence: 99%

Ureteroscopy for management of ureteric calculi: Five years experience in Erbil, Iraq

Bazzaz¹,

Toma

2017

ZJMS

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Background and objective:Retrograde ureteroscope has recently gained a broaden indication for use in from diagnostic to a variety of disorders that occur in the upper urinary tract. This study aimed to review our five years experience with ureteroscopic management for ureteral stones and to compare our rates of efficacy and safety of ureteroscopy with other centers. Methods: Review of 736 consecutive patients who underwent ureteroscopic procedures for the treatment of upper urinary tract problems between January 2010 and January 2015 was done in Erbil, Iraq. Out of those patients, 587 patients underwent a ureteroscopic procedure for the treatment of ureteric calculi. The studied variables were patients and stones characteristics, in addition to the mean operative time and mean hospital stay, the stone-free rate, and complication rates were also calculated. Results: The overall success rate (complete stone clearance) in 587 patients was 550 patients (93.7%). Mean operative time was 26.1 minutes and mean hospital stay was <24 hours. The overall complication rate was 12%. The intra-operative complication rate was 3.2%, the early postoperative complication rate was 8 %, and the late postoperative complication rate was 0.85%. Conclusion: Growing skill and experience of ureteroscopy will lead to a significant increase in the success rate and reduce complications.

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“…The first flexible ureteroscope was introduced through a ureterotomy at open surgery in 1960 [5]. The first trans-urethral instrument was used in 1962 to treat a stone in the lower ureter.…”

Section: Historical Perspectivementioning

confidence: 99%