Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3827604 | Progrès en Urologie | 2008 | 5 Pages |
Abstract
Indication for ureteroscopy of an upper urinary tract stone depends on the location and size of the stone. For small proximal ureteral stones, first-line treatment is extracorporeal lithotripsy (ESWL). For big or distal ureteral stones, ureteroscopy (URS) is the more efficient urological treatment. URS has a higher morbidity than ESWL. URS must be careful, urines must be sterile, and a renal safety wire is mandatory. Ideal intracorporeal lithotripsy means are ballistic energy or holmium laser. Ureteral drainage is not always needed in case of easy monobloc removal of a small non impacted stone. In other cases an ureteral drainage is safer. The Stone Free rate of URS is 65-90%. The risk of ureteral stenosis is 1%.
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Authors
E. Lechevallier, C. Saussine, O. Traxer,