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Related Experiment Videos

Ureteroscopic injuries to the upper urinary tract.

J L Huffman1

  • 1Division of Urology, University of Southern California School of Medicine, Los Angeles.

The Urologic Clinics of North America
|May 1, 1989
PubMed
Summary

Urologists must inform patients about ureteral injury risks during ureteroscopy and be prepared for potential complications. Careful consideration of upper ureteral stone extraction hazards is essential for patient safety.

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Area of Science:

  • Urology
  • Endourology

Background:

  • Ureteroscopy has advanced significantly, improving patient outcomes.
  • Historically, manipulation of upper ureteral stones carried risks due to ureteral mobility.

Purpose of the Study:

  • To highlight the inherent risks of ureteroscopy, specifically ureteral injury.
  • To emphasize the need for patient informed consent regarding procedural risks.
  • To caution urologists about potential complications during endoscopic procedures.

Main Methods:

  • Review of reported cases and established urological principles.
  • Discussion of traditional teaching versus modern endoscopic techniques.

Main Results:

  • Ureteroscopy, while beneficial, carries a risk of severe ureteral injury.
  • Endoscopic visualization does not eliminate hazards associated with upper ureteral stone extraction.
  • Urologists must be prepared for emergencies and potential instrument-related problems.

Conclusions:

  • Patient education on risks is crucial before ureteroscopy.
  • Urologists need vigilance and preparedness for complications, especially with upper ureteral procedures.
  • The principle of 'buyer beware' is relevant for new endoscopic techniques and instruments.

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