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[Technics of ureteral endoscopic access]
J I Iglesias Prieto1, J M Mancebo Gómez, J Massarra Halabi
1Unidad de Urología, Clínica La Luz, Hospital La Paz, Madrid, España.
Archivos Espanoles De Urologia
|October 1, 1995
Summary
This review covers the history of ureteroscopy and ureteral dilatation, highlighting techniques for safe and effective endoscopic access to the ureter. The goal is to find simple, low-cost methods that minimize patient injury.
Area of Science:
- Urology
- Endourology
- Surgical Anatomy
Context:
- The historical development of endoscopic ureteral access.
- Challenges in ureteroscopy due to anatomical structures.
- Pathologies affecting the juxtavesical ureter.
Purpose:
- To review the history of endoscopic ureteral access.
- To discuss ureteral dilatation techniques and indications.
- To analyze preoperative evaluation and compare dilatation methods.
Summary:
- Reviews the evolution of ureteroscopy from initial attempts to Pérez-Castro's 1979 procedure.
- Details rigid ureteroscope development, anatomical challenges, and ureteral dilatation necessity.
- Compares various ureteral dilatation techniques, including preoperative assessment.
Impact:
- Informs the choice of ureteral dilatation techniques for improved patient outcomes.
- Aims to identify simple, cost-effective methods reducing iatrogenic injury.
- Contributes to shorter hospital stays and enhanced endoscopic ureteral procedures.