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Ureteroscopy under local anesthesia.

M H Rittenberg1, D J Ellis, D H Bagley

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

Urology
|November 1, 1987
PubMed
Summary
This summary is machine-generated.

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Local anesthesia with ureteroscopy offers a successful and well-tolerated option for select patients undergoing ureteral stone removal or diagnosis. This minimally invasive approach demonstrates feasibility for various ureteroscopic procedures.

Area of Science:

  • Urology
  • Endourology

Background:

  • Ureteroscopy is a common procedure for diagnosing and treating ureteral conditions.
  • Evaluating minimally invasive techniques like local anesthesia is crucial for patient comfort and procedural efficiency.

Observation:

  • Thirty patients underwent ureteroscopy using flexible and/or rigid endoscopes under local anesthesia, with or without sedation.
  • Flexible endoscopes (4F-10F) were used in 18 patients, rigid endoscopes (10F-12F) in 7, and a combination in 5.
  • Procedures included diagnosis and removal of distal and midureteral calculi, with one case utilizing ultrasonic lithotripsy.

Findings:

  • Ureteroscopy with local anesthesia demonstrated success and good patient tolerance.
  • The technique was effective for both diagnostic procedures and the removal of ureteral calculi.

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Implications:

  • Flexible or distal rigid ureteroscopy under local anesthesia is a viable and recommended option for carefully selected patients.
  • This approach may reduce the need for general anesthesia, potentially lowering risks and recovery times.