How Should Be Performed an Optimal Ureterorenoscopy Procedure?

Abstract

Ureterorenoscopy URS is an important part of current urological practice. With increased experience and development of the new generation devices, URS is not only used for the treatment of ureteral stones but also for the diagnosis of ureteral pathologies, treatment of ureteral strictures and tumor ablation. Although URS is not a very common endoscopic procedure, the overall complication rate is 9-25%. In this review, we discuss the indications, optimal surgical conditions, and complications of the URS procedure. Clinical clues that can be used in challenging cases are also provided

Keywords

• Ureterorenoscopy, Ureteral stone, Lithotripsy, Surgical technique

Optimal Bir Üreterorenoskopi İşlemi Nasıl Yapılmalıdır?

Öz

Üreterorenoskopi URS işlemi güncel üroloji pratiğinin önemli bir kısmını oluşturmaktadır. Artmış deneyim ve yeni nesil cihazların geliştirilmesiyle birlikte günümüzde URS sadece üriner sistem taşlarının tedavisinde değil, aynı zamanda üreteral patolojilerin tanısı, darlıkların tedavisi ve tümör ablazyonu için de kullanıma girmiştir. URS her ne kadar çok sık uygulanan bir endoskopik girişim olsa da, URS sonrası genel komplikasyonların oranı %9-25’dir. Bu derlemede URS’nin endikasyonları, optimal koşullarda işlemin nasıl yapılması gerektiği ve komplikasyonları tartışılmış, aynı zamanda zorlu durumlarda uygulanabilecek klinik ipuçları verilmiştir

Anahtar Kelimeler

• Üreterorenoskopi, Üreter taşı, Litotripsi, Cerrahi teknik

Kaynakça

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