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[Complications of rigid ureteroscopy]
J Vicente1, J Salvador, J Caparrós
1IUNA, Fundación Puigvert, Servicio de Urología, Barcelona.
Actas Urologicas Espanolas
|January 1, 1991
Summary
Complications from urethroscopy were analyzed, revealing a 15% rate. Newer techniques like ultrasonic lithotrity significantly reduced complications compared to older methods.
Area of Science:
- Urology
- Surgical Complications
Context:
- Analysis of peri- and post-operative complications in 250 urethroscopies performed between May 1985 and January 1989.
- Comparison with 20 other series encompassing 2,599 urethroscopies, showing a similar complication rate of 14.5%.
Purpose:
- To investigate the pathogeny of complications encountered during urethroscopy.
- To evaluate the impact of evolving techniques on complication rates.
Summary:
- Complication rates varied chronologically, with 16% in 1985 and 7% in 1986.
- Technique comparison showed electrohydraulic lithotrity (42%) had higher complications than ultrasonic lithotrity (12%).
- Major complications identified include perforation, avulsion, and ureteral stenosis.
Impact:
- Highlights the importance of technique selection in minimizing urethroscopy complications.
- Provides insights into the causes of severe complications such as perforation and stenosis.
- Suggests advancements in lithotripsy technology have improved patient safety in urological procedures.