Staged ureteroscopy in complicated cases

Jiahua Pan; Wei Xue; Haige Chen; Qi Chen; Yonghui Chen; Ming Cao; Yiran Huang

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Staged ureteroscopy in complicated cases

VernacularTitle:复杂输尿管条件下的分期输尿管镜术
Author: Jiahua PAN ; Wei XUE ; Haige CHEN ; Qi CHEN ; Yonghui CHEN ; Ming CAO ; Yiran HUANG
Publication Type:Journal Article
Keywords: Staged ureteroscopy; Ureteric stricture; Ureteric diseases
From: Chinese Journal of Urology 2011;32(6):396-398
CountryChina
Language:Chinese
Abstract: Objective To discuss the feasibility and benefits of staged ureteroscopic laser lithotripsy in complicated cases. Methods From May 2005 to May 2008, the staged ureteroscopic procedure was done in 56 cases for ureteric stricture, kinking, spasm or high mobility of ureteric mucosa. Encountering difficulties, with the guide wire settled in place, the endoscopic procedure was ended and a ureteral stent was set. A second ureteroscopic procedure was carried out two weeks later. Results There was no difficulty for the insertion and the advancing of the ureteroscope two weeks later in all 56 cases. Among the 41 cases previously having the ureteric calculi, the stone was pushed into the kidney by the stent in 16 cases. There was no surgical complication during the second procedure. After three months the complete evacuation rate of the calculus was 96.4%. No patient experienced a fever >39.1 ℃ after the first attempt. Conclusions For complicated cases, such as ureteric stricture, spasm, kinking and high mobility of the ureteric mucosa which hinder the safe advancing of the ureteroscope, staged ureteroscopic procedure might be a safe and effective choice.