Get Advanced Endourology: The Complete Clinical Guide PDF

By David S. Chou MD, Elspeth M. McDougall MD, FRCSC (auth.), Stephen Y. Nakada MD, Margaret S. Pearle MD, PhD (eds.)

ISBN-10: 1588294463

ISBN-13: 9781588294463

ISBN-10: 1592599540

ISBN-13: 9781592599547

Although such a lot medical urologists use numerous easy endourological options of their practices, the complicated higher tract pathology and anatomy usually calls for extra complicated endoscopic talents and instrumentation. In complicated Endourology: the full medical advisor, prime nationwide and foreign urologists within the box of endourology describe general and complex endoscopic tactics for treating higher tract pathology. The authors offer step by step directions for the most recent endoscopic systems, starting from higher urinary tract calculi and strictures to urothelial melanoma.
Authoritative and hugely instructive, complicated Endourology: the entire medical advisor deals energetic urologists and urology citizens not just a finished, illustrated advisor to endourological procedures-particularly the extra complicated techniques-but additionally a realistic skill to extend the variety and scope of the tactics they perform.

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Extra info for Advanced Endourology: The Complete Clinical Guide

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The single arrow delineates the end of the 8-Fr dilator which is almost in the renal pelvis. The 10-Fr sheath is advanced up to the hub of the patient’s urethral meatus and the proximal end reaches the midureter in this case since the patient is female. In males, the 10-Fr sheath reaches just above the iliac vessels. likelihood of ureteral or guidewire damage. Shearing forces can damage the ureter or guidewire, which will either prevent advancement of the ureteroscope or damage the working channel during advancement of a flexible ureteroscope.

From the standpoint of infection and the requirement for urinary decompression, it appears that nephrostomy tube drainage and ureteral stents offer equal drainage of the upper urinary tract. Symptoms of pain and irritation are also similar. Placement of a nephrostomy tube or ureteral stent depends on availability of good interventional radiologists and the urologist’s access to the cystoscopy suite or operating room. At some hospitals, the radiology suite may be more accessible than the operating room or cystoscopy suite or vice versa.

Ureteral Access: Step 3—Difficulties With the Ureteral Orifice Once two guidewires are advanced into the renal pelvis, difficulty may be encountered at the ureteral orifice when introducing a flexible ureteroscope. This can be counteracted by gently rotating the scope over the guidewire while advancing it into the ureter. Ureteral dilation is not routinely necessary for ureteroscopy (75), but if a truly stenotic orifice is encountered, balloon or coaxial dilatation may be necessary (76). An alternative technique is to place an indwelling stent for 7 to 10 days to passively dilate the ureter and resume ureteroscopy at that time.

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Advanced Endourology: The Complete Clinical Guide by David S. Chou MD, Elspeth M. McDougall MD, FRCSC (auth.), Stephen Y. Nakada MD, Margaret S. Pearle MD, PhD (eds.)


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