Stephen Y. Nakada, Margaret S. Pearle's Advanced Endourology PDF
By Stephen Y. Nakada, Margaret S. Pearle
Best nationwide and overseas urologists within the box of endourology describe normal and complex endoscopic methods for treating upper-tract pathology. The authors offer step by step directions for the most recent endoscopic tactics, starting from higher urinary tract calculi and strictures to urothelial melanoma. An accompanying DVD comprises video clips that essentially illustrate serious components of the strategies and supply guidance and methods from the specialists. complex Endourology: the whole medical advisor deals training urologists and urology citizens not just a accomplished, illustrated advisor to endourological techniques-particularly the extra complex procedures-but additionally a realistic capability to extend the diversity and scope of the techniques they practice.
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Additional resources for Advanced Endourology
Denstedt JD, Reid G, Sofer M. Advances in ureteral stent technology. World J Urol 2000; 18(4): 237–242. 94. Lingeman JE, Preminger GM, Berger Y, et al. Use of a temporary ureteral drainage stent after uncomplicated ureteroscopy: results from a phase II clinical trial. J Urol 2003; 169(5): 1682–1688. 95. Beiko DT, Knudsen BE, Denstedt JD. Advances in ureteral stent design. J Endourol 2003; 17(4): 195–199. 96. Beiko DT, Knudsen BE, Watterson JD, Denstedt JD. Biomaterials in urology. Curr Urol Rep 2003; 4(1): 51–55.
Likewise, the ideal stent diameter is still a matter of debate as sizes from 7- to 27-Fr have been shown to produce equal results. Malignant Ureteric Obstruction Malignant extramural compression of the ureter causing hydronephrosis and renal compromise may be a consequence of many nongenitourinary cancers. When faced with this 26 Chew and Denstedt situation, the urologist must decide if the patient needs decompression and if so, whether it is urgent and if a stent or antegrade nephrostomy tube should be placed (58).
Pull ureteral catheter back, re-insert guidewire using the catheter to buttress the guidewire and give it support (Note: careful of ureteral perforation, only soft-tipped guidewires should be used in this situation). 4. Remove guidewire, and perform retrograde pyelogram to push stone back into renal pelvis (ureteral perforation will also be detected at this point, if present). 5. If the stone is very distal, leave the wire at the level of the stone, insert semirigid ureteroscope and treat the stone with intracorporeal lithotripsy (ensure the safety wire is visible at all times).
Advanced Endourology by Stephen Y. Nakada, Margaret S. Pearle