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Related Experiment Videos

Clinical experience with flexible ureteropyeloscopy.

O M Abdel-Razzak1, D H Bagley

  • 1Department of Urology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107.

The Journal of Urology
|December 1, 1992
PubMed
Summary

Flexible ureteroscopy (FURS) is increasingly used for therapeutic upper urinary tract procedures. This study shows a high success rate (95.5%) with minimal complications for FURS in managing stones and tumors.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Endourology

Background:

  • Flexible ureteroscopes have advanced significantly since the 1960s.
  • Indications for flexible ureteroscopy (FURS) have expanded from diagnostic to therapeutic applications.
  • Modern FURS emphasizes interventional management of upper urinary tract pathology.

Purpose of the Study:

  • To evaluate the efficacy and safety of flexible ureteroscopy in a large patient cohort.
  • To assess the outcomes of FURS for various indications, including stones and tumors.
  • To analyze complication rates and postoperative recovery associated with FURS.

Main Methods:

  • Retrospective review of 290 FURS procedures performed on 222 patients.
  • Procedures included stone management (154 cases) and tumor/filling defect treatment (79 cases).

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  • Anesthesia varied, with 149 procedures under local anesthesia with sedation and 128 under general anesthesia.

    • Main Results:

    • A high overall success rate of 95.5% was achieved.
    • Common indications included stone retrieval/lithotripsy (42% of cases), often using laser technology.
    • Most frequent complications were colic/pain (9%) and fever (6.9%); stricture occurred in 2 patients.

    Conclusions:

    • Flexible ureteroscopy demonstrates a high success rate and favorable safety profile for managing upper urinary tract conditions.
    • The procedure is predominantly therapeutic, with minimal diagnostic-only applications.
    • Continued advancements in instrumentation will likely further enhance the role of FURS in urological practice.