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• W2000821999 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1996Ureteroscopic Removal of Mid and Proximal Ureteral Calculiis corrected byUreteral Calculi Michael Erhard, Julia Salwen, and Demetrius H. Bagley Michael ErhardMichael Erhard More articles by this author , Julia SalwenJulia Salwen More articles by this author , and Demetrius H. BagleyDemetrius H. Bagley More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66533-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Extracorporeal shock wave lithotripsy (ESWL [dagger]) is considered standard therapy for most renal calculi as well as more than 80 percent of all upper urinary tract stones. The development of flexible and small diameter rigid ureteroscopes, and the increased availability of laser lithotriptors have made endoscopic treatment of ureteral calculi more successful and safe. This report represents our contemporary series of 80 single mid and proximal ureteral calculi treated endoscopically. [dagger] Dornier Medical Systems, Marietta, Georgia. Materials and Methods: A total of 78 patients underwent 80 primary endoscopic procedures with 3 auxiliary ESWL and 2 endoscopic re-treatments for 41 mid and 39 proximal ureteral calculi. Lithotripsy was performed for 55 of the 80 stones. Results: Of the 80 stones 75 (94 percent) successfully cleared 1 month after 1 endoscopic procedure. The success rate was 38 of 39 (97 percent) for proximal calculi and 37 of 41 (90 percent) for mid ureteral stones. With a single re-treatment overall success increased to 96 percent. If adjuvant ESWL was added, 100 percent success was attained. Currently all procedures are performed on an outpatient basis. Morbidity is low and there have been no major complications, such as stricture, renal loss or death. Conclusions: Our series demonstrates the high success rate that can be achieved with ureteroscopic removal of mid and proximal ureteral calculi. Thus, ureteroscopic treatment should be considered a treatment of choice for upper ureteral calculi. References 1 : The role of percutaneous surgery in renal and ureteral stone removal. J. Urol., part 21989; 141: 780. Abstract, Google Scholar 2 : Ureteroscopic stone retrieval: rigid versus flexible endoscopes. Sem. Urol.1994; 12: 32. Google Scholar 3 : Ureteral lithotripsy with the Holmium:YAG laser. J. Laser Surg. Med.1993; 11: 61. Google Scholar 4 Erhard, M. and Bagley, D. H.: Urologic applications of the Holmium laser: preliminary experience. J. Endourol., in press. Google Scholar 5 : Ureteroscopy under local anesthesia. Urology1987; 30: 475. 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Abstract, Google Scholar Department of Urology, Jefferson Medical College, Thomas Jefferson University and Department of Radiology, Albert Einstein Medical Center, Philadelphia, Pennsylvania.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRippel C, Nikkel L, Lin Y, Danawala Z, Olorunnisomo V, Youssef R, Pearle M, Lotan Y and Raman J (2018) Residual Fragments Following Ureteroscopic Lithotripsy: Incidence and Predictors on Postoperative Computerized TomographyJournal of Urology, VOL. 188, NO. 6, (2246-2251), Online publication date: 1-Dec-2012.HEMAL A, GOEL A and GOEL R (2018) Minimally Invasive Retroperitoneoscopic UreterolithotomyJournal of Urology, VOL. 169, NO. 2, (480-482), Online publication date: 1-Feb-2003.LAM J, GREENE T and GUPTA M (2018) Treatment of Proximal Ureteral Calculi: Holmium:Yag Laser Ureterolithotripsy Versus Extracorporeal Shock Wave LithotripsyJournal of Urology, VOL. 167, NO. 5, (1972-1976), Online publication date: 1-May-2002.Lotan Y, Gettman M, Roehrborn C, Cadeddu J and Pearle M (2018) Management Of Ureteral Calculi: A Cost Comparison And Decision Making AnalysisJournal of Urology, VOL. 167, NO. 4, (1621-1629), Online publication date: 1-Apr-2002.MUGIYA S, NAGATA M, UN-NO T, TAKAYAMA T, SUZUKI K and FUJITA K (2018) ENDOSCOPIC MANAGEMENT OF IMPACTED URETERAL STONES USING A SMALL CALIBER URETEROSCOPE AND A LASER LITHOTRIPTORJournal of Urology, VOL. 164, NO. 2, (329-331), Online publication date: 1-Aug-2000.GRASSO M and BAGLEY D (2018) SMALL DIAMETER, ACTIVELY DEFLECTABLE, FLEXIBLE URETEROPYELOSCOPYJournal of Urology, VOL. 160, NO. 5, (1648-1654), Online publication date: 1-Nov-1998.NAKADA S, SABAN R, ZINE M, UEHLING D and BJORLING D (2018) IN VITRO PASSIVE SENSITIZATION OF THE URETER AS A BASIS FOR THE STUDY OF NONINFECTIOUS URETERAL INFLAMMATIONJournal of Urology, VOL. 160, NO. 5, (1924-1927), Online publication date: 1-Nov-1998.FABRIZIO M, BEHARI A and BAGLEY D (2018) URETEROSCOPIC MANAGEMENT OF INTRARENAL CALCULIJournal of Urology, VOL. 159, NO. 4, (1139-1143), Online publication date: 1-Apr-1998.Bagley D (2018) Editorial: Endourology ProgressesJournal of Urology, VOL. 157, NO. 1, (42-43), Online publication date: 1-Jan-1997.Elashry O, Elbahnasy A, Rao G, Nakada S and Clayman R (2018) Flexible Ureteroscopy: Washington University Experience With the 9.3F and 7.5F Flexible UreteroscopesJournal of Urology, VOL. 157, NO. 6, (2074-2080), Online publication date: 1-Jun-1997.Nakada S, Elashry O, Picus D and Clayman R (2018) Long-Term Outcome of Flexible Ureterorenoscopy in the Diagnosis and Treatment of Lateralizing Essential HematuriaJournal of Urology, VOL. 157, NO. 3, (776-779), Online publication date: 1-Mar-1997.Related articlesJournal of Urology9 Nov 2018Ureteral Calculi Volume 155Issue 1January 1996Page: 38-42 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Michael Erhard More articles by this author Julia Salwen More articles by this author Demetrius H. Bagley More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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