Advanced Endourology by Stephen Y. Nakada, Margaret S. Pearle

By Stephen Y. Nakada, Margaret S. Pearle

Prime nationwide and overseas urologists within the box of endourology describe common and complicated endoscopic methods for treating upper-tract pathology. The authors supply step by step directions for the most recent endoscopic techniques, starting from top urinary tract calculi and strictures to urothelial melanoma. An accompanying DVD contains movies that basically illustrate severe elements of the options and supply suggestions and tips from the specialists. complicated Endourology: the entire medical advisor bargains practising urologists and urology citizens not just a finished, illustrated advisor to endourological techniques-particularly the extra complex procedures-but additionally a pragmatic skill to extend the variety and scope of the strategies they practice.

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Stents are also used to provide urinary drainage in nongenitourinary causes of ureteral obstruction, such as pregnancy and malignant ureteral obstruction. An alternative and effective method of urinary drainage is the percutaneous nephrostomy tube which is easily placed in patients with significant hydronephrosis and may be even more successful than retrograde ureteral stenting when urinary drainage is required as a result of obstruction of the distal ureter. Incompressible stents incorporating metal into the stent material have been used to provide urinary drainage to patients with malignant ureteral obstruction.

Chapter 2 / Access, Stents, and Urinary Drainage 39 7. , Timoney AG, Barry MJ. Indwelling ureteral stents: evaluation of symptoms, quality of life and utility. J Urol 2003; 169(3): 1065–1069. 8. , Timoney AG. Ureteral stent symptom questionnaire: development and validation of a multidimensional quality of life measure. J Urol 2003; 169(3): 1060–1064. 9. Pryor JL, Jenkins AD. Use of double-pigtail stents in extracorporeal shock wave lithotripsy. J Urol 1990; 143(3): 475–478. 10. Ryan PC, Lennon GM, McLean PA, Fitzpatrick JM.

85. Kourambas J, Byrne RR, Preminger GM. Does a ureteral access sheath facilitate ureteroscopy? J Urol 2001; 165(3): 789–793. 86. Wu NZ, Auge BK, Preminger GM. Simplified ureteral stent placement with the assistance of a ureteral access sheath. J Urol 2001; 166(1): 206–208. 42 Chew and Denstedt 87. Pietrow PK, Auge BK, Delvecchio FC, et al. Techniques to maximize flexible ureteroscope longevity. Urology 2002; 60(5): 784–788. 87a. Delvecchio FC, Auge BK, Brizuela RM, et al. Assessment of structure formation with the ureteral access sheath.

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