Ureteroscopy: Difference between revisions
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Importing Wikidata short description: "Examination of the upper urinary tract" |
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{{Short description|Examination of the upper urinary tract}} |
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An examination of the inside of the ureter. |
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{{medical |
{{Infobox medical intervention |
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| Name = Ureteroscopy |
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| ICD10 = |
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| ICD9 = {{ICD9proc|56.31}} |
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| MeshID = D018666 |
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'''Ureteroscopy''' is an examination of the upper urinary tract, usually performed with a [[endoscope|ureteroscope]] that is passed through the [[urethra]] and the [[Urinary bladder|bladder]], and then directly into the [[ureter]].<ref name=":0">{{cite journal|last1=Doizi|first1=Steeve|last2=Traxer|first2=Olivier|date=February 2018|title=Flexible ureteroscopy: technique, tips and tricks|journal=Urolithiasis|volume=46|issue=1|pages=47–58|doi=10.1007/s00240-017-1030-x|issn=2194-7236|pmid=29222575|s2cid=21774294 |url=https://hal.sorbonne-universite.fr/hal-01990093/file/Flexible%20ureteroscopy-%20technique%2C%20tips%20and%20tricks_sans%20marque.pdf}}</ref> The procedure is useful in the diagnosis and treatment of disorders such as [[kidney stone]]s and urothelial carcinoma of the upper urinary tract.<ref name=":0" /> Smaller stones in the bladder or lower ureter can be removed in one piece, while bigger ones are usually broken before removal during ureteroscopy.{{cn|date=February 2022}} |
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The examination may be performed with either a flexible, semi-rigid or rigid device while the patient is under anesthesia.<ref name=":0" /> In specific cases, the patient is free to go home after the examination.<ref>Ureteropyeloscopy. [[Baylor College of Medicine]]. 2018 [accessed 2018 Mar 5]. [https://www.bcm.edu/healthcare/care-centers/urology/procedures/minimally-invasive-surgery/ureteropyeloscopy]</ref> |
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In '''pyeloscopy''', the endoscope is designed to reach all the way to the [[renal pelvis]] (also called ''pyelum''), thereby allowing visualisation of the entire drainage system of the kidney.<ref name="ko">[http://www.kidneystoneclinic.com.au/flexible-pyeloscopy.html Laser Stone Surgery using Flexible Pyeloscopy] at Kidney Stone Clinic, Dr. Raymond Ko. Retrieved September 2011</ref> The endoscope can contain an instrument port which allows for introduction of laser fibres to fragment stones, and micro-baskets to retrieve stone fragments.<ref name="ko"/> Kidney stones up to 2 cm in size can be treated by pyeloscopy.<ref name="ko"/> |
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==References== |
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{{reflist}} |
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== External links == |
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* [http://www.iksi.org International Kidney Stone Institute] |
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* [http://www.emedicine.com/med/topic3079.htm Ureteroscopy on eMedicine] |
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{{Urologic surgical and other procedures}} |
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{{Endoscopy}} |
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[[Category:Urologic procedures]] |
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[[Category:Endoscopy]] |
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{{med-diagnostic-stub}} |
Latest revision as of 19:05, 4 May 2024
Ureteroscopy | |
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ICD-9-CM | 56.31 |
MeSH | D018666 |
Ureteroscopy is an examination of the upper urinary tract, usually performed with a ureteroscope that is passed through the urethra and the bladder, and then directly into the ureter.[1] The procedure is useful in the diagnosis and treatment of disorders such as kidney stones and urothelial carcinoma of the upper urinary tract.[1] Smaller stones in the bladder or lower ureter can be removed in one piece, while bigger ones are usually broken before removal during ureteroscopy.[citation needed]
The examination may be performed with either a flexible, semi-rigid or rigid device while the patient is under anesthesia.[1] In specific cases, the patient is free to go home after the examination.[2]
In pyeloscopy, the endoscope is designed to reach all the way to the renal pelvis (also called pyelum), thereby allowing visualisation of the entire drainage system of the kidney.[3] The endoscope can contain an instrument port which allows for introduction of laser fibres to fragment stones, and micro-baskets to retrieve stone fragments.[3] Kidney stones up to 2 cm in size can be treated by pyeloscopy.[3]
References
[edit]- ^ a b c Doizi, Steeve; Traxer, Olivier (February 2018). "Flexible ureteroscopy: technique, tips and tricks" (PDF). Urolithiasis. 46 (1): 47–58. doi:10.1007/s00240-017-1030-x. ISSN 2194-7236. PMID 29222575. S2CID 21774294.
- ^ Ureteropyeloscopy. Baylor College of Medicine. 2018 [accessed 2018 Mar 5]. [1]
- ^ a b c Laser Stone Surgery using Flexible Pyeloscopy at Kidney Stone Clinic, Dr. Raymond Ko. Retrieved September 2011