Korean J Urol.  2015 Oct;56(10):680-688. 10.4111/kju.2015.56.10.680.

Current status of flexible ureteroscopy in urology

• Cho SY

• KMID: 2344110
• DOI: http://doi.org/10.4111/kju.2015.56.10.680

Abstract

Retrograde intrarenal surgery (RIRS) is being performed for the surgical management of upper urinary tract pathology. With the development of surgical instruments with improved deflection mechanisms, visuality, and durability, the role of RIRS has expanded to the treatment of urinary calculi located in the upper urinary tract, which compensates for the shortcomings of shock wave lithotripsy and percutaneous nephrolithotomy. RIRS can be considered a conservative treatment of upper urinary tract urothelial cancer (UTUC) or for postoperative surveillance after radical treatment of UTUC under an intensive surveillance program. RIRS has a steep learning curve and various surgical techniques can be used. The choice of instruments during RIRS should be based on increased surgical efficiency, decreased complications, and improved cost-benefit ratio.

Keyword

Laser lithotripsy; Surgical equipment; Transitional cell carcinoma; Urolithiasis

MeSH Terms

Carcinoma, Transitional Cell/surgery
Humans
Lithotripsy, Laser/methods
Perioperative Care/methods
Ureteroscopy/*methods/trends
Urolithiasis/surgery
Urologic Neoplasms/surgery

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