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Related Experiment Videos

Techniques to negotiate the tortuous ureter

D M Schwalb1, M Eshghi

  • 1Department of Urology, New York Medical College, Valhalla 10595.

The Journal of Urology
|April 1, 1994
PubMed
Summary

Navigating a tortuous ureter for retrograde ureteral access can be challenging. This study reviews techniques and introduces a novel endourological maneuver for difficult ureteral kinks.

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Area of Science:

  • Urology
  • Endourology
  • Nephrology

Background:

  • Retrograde ureteral access is crucial for various urological procedures.
  • Tortuous ureters present a significant challenge to successful access.
  • Conventional methods may fail, risking ureteral injury.

Observation:

  • Forceful catheterization of ureteral kinks can lead to perforation and urinary extravasation.
  • Existing techniques for managing tortuous ureters are reviewed.
  • A novel endourological maneuver is presented for refractory cases.

Findings:

  • The study details established techniques for negotiating ureteral tortuosity.
  • A new maneuver is described to bypass challenging ureteral kinks.
  • This approach aims to improve success rates in difficult ureteral access.

Implications:

  • Provides clinicians with a broader range of options for difficult ureteral access.
  • May reduce the risk of complications associated with forceful catheterization.
  • Enhances the safety and efficacy of endourological procedures in complex anatomy.

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