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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Imaging Studies II: Ultrasonography01:24

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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Ureters01:22

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The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Updated: Mar 7, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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[Ureterorenoscopy].

A J Gross1, J Rassweiler2, K D Sievert3

  • 1Abteilung für Urologie, Asklepios Klinik Barmbek, Rübenkamp 220, 22291, Hamburg, Deutschland. an.gross@asklepios.com.

Der Urologe. Ausg. A
|March 1, 2017
PubMed
Summary
This summary is machine-generated.

Ureterorenoscopy (URS) is a minimally invasive kidney stone removal technique. This important procedure is also used for diagnosing and treating upper urinary tract tumors.

Keywords:
Minimally invasive techniquesSurgical techniquesTumors of the upper urinary tractUreterorenoscopyUrolithiasis

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Ureterorenoscopy (URS) has become a crucial minimally invasive treatment for kidney stones over the last 20 years.
  • URS has increasingly replaced extracorporeal shock wave lithotripsy (ESWL) for various stone removal indications.
  • The technique is also vital for diagnosing and treating upper urinary tract tumors.

Purpose of the Study:

  • To describe the indications for Ureterorenoscopy (URS).
  • To detail the surgical technique employed in URS.
  • To outline the management of potential complications associated with URS.

Main Methods:

  • Literature review of URS indications, techniques, and complication management.
  • Description of the standard URS procedure.
  • Analysis of complication data and their treatment strategies.

Main Results:

  • URS is a well-established, minimally invasive option for kidney stones, often preferred over ESWL.
  • The diagnostic and therapeutic utility of URS extends to upper urinary tract tumors.
  • Effective management strategies exist for URS-related complications.

Conclusions:

  • Ureterorenoscopy (URS) is a versatile and important procedure in modern urology.
  • Indications for URS include kidney stones and upper urinary tract tumors.
  • Understanding URS techniques and complication management is essential for urologists.