Related Experiment Video
Updated: Aug 24, 2025
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.5K
[Endoscopic papillary abnormalities and urinary stone recognition (EPSR): How and why?]
A Touzani1, B Pradère1, J-B Beauval1
1UroSud, clinique La Croix du Sud, Quint-Fonsegrives, France.
Summary
Endoscopic papillary abnormalities and stone recognition (EPSR) aids operating room nurses in analyzing fragmented stones. This technique helps identify stone causes and reduce recurrence risk, improving urolithiasis management.
Area of Science:
- Urology
- Gastroenterology
- Surgical Nursing
Background:
- Fragmented stones from minimally invasive surgery pose analytical challenges for biologists.
- Endoscopic papillary abnormalities and stone recognition (EPSR) offer a solution to compensate for lost morphological data.
- EPSR is crucial for identifying lithogenesis causes and reducing stone recurrence.
Approach:
- Literature review and author's clinical experience in endoscopic papillary abnormalities and stone recognition.
- Focus on practical application for state-certified nurses (IDE and IBODE) in the operating room.
Key Points:
- Fragmented stones reduce morphological data available for analysis.
- EPSR provides essential information for understanding stone formation.
- This technique is vital for complete urolithiasis management.
Conclusions:
- EPSR is a valuable tool for operating room nurses.
- While requiring learning, the benefits of EPSR in managing urolithiasis are proven.
- Implementing EPSR enhances patient care by enabling better stone management strategies.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
20
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...
20
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
122
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
122
01:26Endoscopic Procedures V: ERCP
761
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
761
01:30Urinary Tract Calculi III: Medical Management
16
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
16
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
249
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
249
01:24Imaging Studies II: Ultrasonography
39
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...
39