Urology

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

By Stephen Y. Nakada, Margaret S. Pearle

Best nationwide and overseas urologists within the box of endourology describe normal and complicated endoscopic techniques for treating upper-tract pathology. The authors offer step by step directions for the newest endoscopic methods, starting from higher urinary tract calculi and strictures to urothelial melanoma. An accompanying DVD contains movies that essentially illustrate severe components of the strategies and supply counsel and tips from the specialists. complex Endourology: the entire medical advisor bargains training urologists and urology citizens not just a finished, illustrated consultant to endourological techniques-particularly the extra complicated procedures-but additionally a realistic potential to extend the diversity and scope of the strategies they practice.

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A double-blinded prospective randomized controlled trial assessing the safety and efficacy of intravesical agents for ureteral stent symptoms following extracorporeal shockwave lithotripsy. J Endourol 2004; 18(8): 723–730. 3 Percutaneous Access to the Urinary Tract Samuel C. Kim, MD and James E. Lingeman, MD, FACS CONTENTS INTRODUCTION INDICATIONS PATIENT CLINICAL FACTORS INSTRUMENT STRATEGY TECHNIQUE RESULTS TIPS AND TRICKS CONCLUSIONS REFERENCES SUMMARY Percutaneous access to the kidney is the most important step in percutaneous nephrolithotomy because the site of puncture determines how easily the targeted stone can be treated.

Leventhal EK, Rozanski TA, Crain TW, Deshon GE, Jr. Indwelling ureteral stents as definitive therapy for distal ureteral calculi. J Urol 1995; 153(1): 34–36. 6. , Timoney AG. Characterization of urinary symptoms in patients with ureteral stents. Urology 2002; 59(4): 511–516. 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.

Metal stents should be used sparingly and perhaps only in patients who have not tolerated regular double-J stents. Further development of more rigid, uncompressible stents may make this modality more effective in the future. TIPS AND TRICKS During stenting or ureteroscopy, a large or impacted stone can often impede passage of the guidewire into the renal pelvis. Table 4 outlines a treatment algorithm for advancing Chapter 2 / Access, Stents, and Urinary Drainage 37 Fig. 11. Radiographic appearance as the guidewire is withdrawn and the stent curls in the bladder.

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