Controversies in ureteroscopy: lasers, scopes, ureteral access sheaths, practice patterns and beyond

Frontiers in Surgery

Surgery

Mathias Sørstrand Æsøy¹  Christian Beisland¹  Øyvind Ulvik¹  Patrick Juliebø-Jones²  Sabine Uguzova³  Bhaskar K. Somani⁴  Lazaros Tzelves⁵  Vincent De Coninck⁶  Etienne Xavier Keller⁷ 

[1] Department of Urology, Haukeland University Hospital, Bergen, Norway;Department of Clinical Medicine, University of Bergen, Bergen, Norway;Department of Urology, Haukeland University Hospital, Bergen, Norway;Department of Clinical Medicine, University of Bergen, Bergen, Norway;EAU Young Academic urology Urolithiasis Group, Arnhem, Netherlands;Department of Urology, Royal Preston Hospital, Preston, United Kingdom;Department of Urology, Southampton General Hospital, United Kingdom;EAU Young Academic urology Urolithiasis Group, Arnhem, Netherlands;2nd Department of Urology, Sismanogleion Hospital, National and Kapodistrian University of Athens, Athens, Greece;EAU Young Academic urology Urolithiasis Group, Arnhem, Netherlands;Department of Urology, AZ Klina, Brasschaat, Belgium;EAU Young Academic urology Urolithiasis Group, Arnhem, Netherlands;Department of Urology, University Hospital Zurich, University of Zurich, Zurich, Switzerland;

关键词: ureteroscopy;    ureteral access sheath;    fluroscopy;    laser;    lithotripsy;   

DOI  :  10.3389/fsurg.2023.1274583

 received in 2023-08-08, accepted in 2023-09-04,  发布年份 2023

来源: Frontiers

【 摘 要 】

Ureteroscopy has become an increasingly popular surgical intervention for conditions such as urinary stone disease. As new technologies and techniques become available, debate regarding their proper use has risen. This includes the role of single use ureteroscopes, optimal laser for stone lithotripsy, basketing versus dusting, the impact of ureteral access sheath, the need for safety guidewire, fluoroscopy free URS, imaging and follow up practices are all areas which have generated a lot of debate. This review serves to evaluate each of these issues and provide a balanced conclusion to guide the clinician in their practice.

【 授权许可】

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© 2023 Juliebø-Jones, Keller, De Coninck, Uguzova, Tzelves, Æsøy, Beisland, Somani and Ulvik.