Transurethral ureteroscopy and stone manipulation under direct vision

Area of Science:

• Urology
• Minimally Invasive Surgery
• Endourology

Background:

• Ureteral calculi can cause significant pain and obstruction.
• Traditional methods for calculus removal may involve multiple attempts or less direct techniques.
• Pediatric cystoscopes offer a smaller caliber option for ureteral access.

Observation:

• A case of terminal ureteral calculus obstruction was managed.
• Transurethral ureteroscopy was performed using a pediatric cystoscope.
• A stone basket was utilized for calculus removal under direct vision.

Findings:

• Direct visual guidance during ureteroscopy facilitated successful calculus retrieval.
• The pediatric cystoscope enabled effective navigation to the terminal ureter.
• Basket extraction proved successful after prior unsuccessful closed manipulation attempts.

Implications:

• Direct visual control enhances the success rate of ureteral calculus removal.
• Pediatric instruments can be valuable tools in adult endourology for challenging cases.
• This technique offers a minimally invasive option for managing ureteral stones.