REVIEWS  ENDOUROLOGIC DISEASE GROUP FOR EXCELLENCE (EDGE) RESEARCH CONSORTIUM: A PRIMER ON ADVANCED URETEROSCOPY FOR STONE DISEASE Free access

Minerva Urologica e Nefrologica 2016 December;68(6):516-26

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Ureteroscopy for management of stone disease: an up to date on surgical technique and disposable devices

Fabio C. TORRICELLI ^{1, 3}, Giovanni S. MARCHINI ^{1, 3}, Renato N. PEDRO ^{2, 3}, Manoj MONGA ³ ✉

¹ University of São Paulo Medical School, São Paulo, Brazil; ² Universidade Estadual de Campinas, Campinas, Brazil; ³ Glickman Urological & Kidney Institute, The Cleveland Clinic, Cleveland, OH, USA

The surgical management of urinary stone disease developed substantially over the past decades and advanced minimally invasive techniques have been successfully introduced into clinical practice. Retrograde ureteroscopy and ureterorrenoscopy have become the first-line option for treatment of ureteral and renal stones worldwide with high success rates allied with a low morbidity profile. In this review, we will discuss some key points in ureteroscopy for stone disease, such as the access to upper urinary tract, including balloon and catheter dilation; how to choose and use some disposable devices (hydrophilic versus PTFE guide wires, ureteral catheters, and laser fiber setting); and lastly present and compare different techniques for kidney or ureteral stone treatment (dusting versus basketing).