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Related Experiment Videos

One-session bilateral ureteroscopy: is it safe in selected patients?

C Deliveliotis1, D Picramenos, K Alexopoulou

  • 1Department of Urology, University of Athens, Sismanoglion Hospital, Greece.

International Urology and Nephrology
|January 1, 1996
PubMed
Summary

Bilateral ureteroscopy in a single session is a safe and effective procedure for selected patients, reducing the need for repeat anesthesia and procedures. This approach successfully treated lower ureteral stones and investigated other conditions with a high stone-free rate.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Bilateral ureteroscopy is typically performed in separate sessions.
  • Performing the procedure bilaterally in one session may offer efficiency benefits.

Purpose of the Study:

  • To evaluate the feasibility, indications, and complication rate of performing bilateral ureteroscopy in a single session.
  • To assess the safety and efficacy of same-session bilateral ureteroscopy.

Main Methods:

  • Twenty-two patients underwent bilateral ureteroscopy in one session.
  • Procedures utilized rigid ureteroscopes for stones and flexible scopes for hematuria/hydronephrosis.
  • Ureteral catheters were placed in all patients.

Main Results:

  • The overall stone-free rate was 83.3%.

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  • The procedure was indicated for bilateral lower ureteral stones (18 patients), unexplained hematuria (3 patients), and hydronephrosis (1 patient).
  • No major complications were observed; diagnosis was not confirmed in 2 patients with unexplained hematuria.

    • Conclusions:

    • Bilateral ureteroscopy can be safely performed in selected patients during a single session.
    • This approach avoids a second procedure and anesthesia, enhancing patient convenience.
    • The method demonstrates a low complication rate for indicated conditions.