Flexible Ureteropyeloscopy: Diagnosis and Treatment in the Upper Urinary Tract

Bagley, Demetrius H.; Huffman, Jeffry L.; Lyon, Edward S.

doi:10.1016/s0022-5347(17)43119-3

Cited by 138 publications

(41 citation statements)

References 15 publications

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“…Immediate nephrectomies were performed in 1 of 19 patients with grade 1 carcinoma, 3 of 20 patients with grade 2 carcinoma, 3 of 14 patients with grade 3 carcinoma, and 3 of 30 patients with ungraded carcinoma. Recurrences developed during follow-up in 3 of 18 patients (17%) with grade 1 carcinoma, 4 of 17 patients (24%) with grade 2 carcinoma, 6 of 12 patients (50%) with grade 3 carcinoma, and 7 of 27 patients (26%) with ungraded carcinoma.…”

Section: Resultsmentioning

confidence: 99%

Percutaneous Treatment of Transitional Cell Carcinoma of the Upper Urinary Tract

et al. 1997

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Background:We evaluated the long-term effect of percutaneous resection in 2 Japanese patients with transitional cell carcinoma of the renal pelvis, and reviewed the medical literature on similar patients, to determine the appropriate indications for percutaneous treatment of transitional cell carcinoma in the upper urinary tract.Results: Indications for endoscopic resection in the 2 patients were renal insufficiency and unsuitability for major open surgery. The patients had no recurrence during follow-up. Seven previous reports described percutaneous resection of upper urinary tract transitional cell carcinoma in 82 patients.Although 72.6% of the patients were successfully treated by percutaneous resection, half of the patients with grade 3 carcinoma developed recurrence. Conclusion: These results, together with those of the 7 published reports, suggest that percutaneous resection should be limited to selected patients with low-grade transitional cell carcinoma. Int

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Section: Resultsmentioning

confidence: 99%

Percutaneous Treatment of Transitional Cell Carcinoma of the Upper Urinary Tract

et al. 1997

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“…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). Bagley et al [7] published their first fURS study in 1987, thereafter Kavoussi et al [8] reported their series including 76 fURS procedures in 68 patients in 1989. The developments in flexible ureteroscopes in this time have mainly related to decreasing the diameter of the devices and increasing the deflection angles.…”

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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“…Combined with new technologies for stone comminution (ultrasound, electrohydraulic, pneumatic, laser), electrocautery, and tissue ablation (electrosurgical units, both uni-and bipolar; laser; harmonic scalpel; argon beam; cryoablation; radiofrequency ablation), endourology, the urologic subspecialty of minimally invasive surgery, has experienced an unprecedented rise over the past 25 years [14][15][16][17][18][19][20].…”

Section: Current State-of-the-art In Minimally Invasive Urologic Surgerymentioning

confidence: 99%

Milestones in endoscope design for minimally invasive urologic surgery: the sentinel role of a pioneer

Fuchs

2006

Surg Endosc

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Endoscopically based techniques have revolutionized the entire field of surgical specialties over the past 50 years. Currently, minimal access surgery is commonplace for considerable segments of surgical procedures across specialty lines. Central to this revolution, and arguably foremost in its impact on the development of minimally invasive endoscopic surgery, was the development of the rod-lens optical system by Professor Harold H. Hopkins and the almost simultaneous development of the fiberoptic cold-light light source by Karl Storz. It was George Berci who acted as the catalyst in bringing these two men together in the early 1960s, and from that meeting ensued one of the most successful cooperations in the design of endoscopic equipment. Innovative surgeons quickly recognized the enormous potential of these inventions, and in this context, George Berci's work and vision provided the hallmark events leading to the clinical applications from which surgeons and their patients so greatly benefit currently. In urology, Berci's early work has been recognized as a sentinel event bringing endoscopic endoluminal surgery from the lower urinary tract (urethra, bladder, prostate) to the upper urinary tract (ureter, kidney), and eventually to extraluminal laparoendoscopic surgery. This work has been recognized by the Journal of Urology as a "milestone in urology" leading to the clinical application in the field of endoscopic surgery currently referred to as endourology. In this article, the current state-of-the-art urologic surgery for the management of stone disease, urologic tumors, and anatomic abnormalities is presented, which to a great extent has its roots in George Berci's contributions to the field of innovative endoscope design.

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Flexible Ureteropyeloscopy: Diagnosis and Treatment in the Upper Urinary Tract

Cited by 138 publications

References 15 publications

Percutaneous Treatment of Transitional Cell Carcinoma of the Upper Urinary Tract

Percutaneous Treatment of Transitional Cell Carcinoma of the Upper Urinary Tract

Retrograde intrarenal surgery for renal stones - Part 1

Milestones in endoscope design for minimally invasive urologic surgery: the sentinel role of a pioneer

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