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Flexible Ureteropyeloscopy: Diagnosis and Treatment in the Upper Urinary Tract

1987; Lippincott Williams & Wilkins; Volume: 138; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(17)43119-3

1527-3792

Demetrius H. Bagley, Jeffry L. Huffman, Edward S. Lyon,

Renal and Vascular Pathologies

No AccessJournal of Urology1 Aug 1987Flexible Ureteropyeloscopy: Diagnosis and Treatment in the Upper Urinary Tract Demetrius H. Bagley, Jeffry L. Huffman, and Edward S. Lyon Demetrius H. BagleyDemetrius H. Bagley , Jeffry L. HuffmanJeffry L. Huffman , and Edward S. LyonEdward S. Lyon View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)43119-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Flexible ureteropyeloscopy was performed on 59 patients with 2.7, 3.2 or 3.6mm. endoscopes with a deflectable tip. Techniques for use of these flexible endoscopes are discussed in detail. The endoscope could be passed into the ureter in 58 patients and into the kidney in 52 (88 per cent). The entire collecting system was visualized in 23 of the most recent 29 patients (79 per cent). A diagnosis was achieved in all 23 patients with an intrarenal filling defect demonstrated radiographically. The source of gross hematuria alone could be defined in 9 of 17 patients. Surveillance for tumor was achieved in 5 of 5 patients and for residual calculus in 4 of 4. The endoscope was used to establish continuity successfully in 3 patients with an obstructed ureteropelvic junction. An instrument with a deflectable tip and some technique for irrigation are essential for intrarenal inspection and complete visualization of the ureter. This procedure is valuable in selected patients and it rapidly may become the technique of choice for the diagnosis of intrarenal filling defects. It also is of value in patients with benign, essential hematuria. © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByBoylu U, Oommen M, Thomas R and Lee B (2018) In Vitro Comparison of a Disposable Flexible Ureteroscope and Conventional Flexible UreteroscopesJournal of Urology, VOL. 182, NO. 5, (2347-2351), Online publication date: 1-Nov-2009.Mugiya S, Ozono S, Nagata M, Takayama T, Furuse H and Ushiyama T (2018) Ureteroscopic Evaluation and Laser Treatment of Chronic Unilateral HematuriaJournal of Urology, VOL. 178, NO. 2, (517-520), Online publication date: 1-Aug-2007.KOURAMBAS J, BYRNE R and PREMINGER G (2018) DOSE A URETERAL ACCESS SHEATH FACILITATE URETEROSCOPY?Journal of Urology, VOL. 165, NO. 3, (789-793), Online publication date: 1-Mar-2001.AFANE J, OLWENY E, BERCOWSKY E, SUNDARAM C, DUNN M, SHALHAV A, McDOUGALL E and CLAYMAN R (2018) FLEXIBLE URETEROSCOPES: A SINGLE CENTER EVALUATION OF THE DURABILITY AND FUNCTION OF THE NEW ENDOSCOPES SMALLER THAN 9FrJournal of Urology, VOL. 164, NO. 4, (1164-1168), Online publication date: 1-Oct-2000.GRASSO M and FICAZZOLA M (2018) RETROGRADE URETEROPYELOSCOPY FOR LOWER POLE CALICEAL CALCULIJournal of Urology, VOL. 162, NO. 6, (1904-1908), Online publication date: 1-Dec-1999.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.TAWFIEK E and BAGLEY D (2018) URETEROSCOPIC EVALUATION AND TREATMENT OF CHRONIC UNILATERAL HEMATURIAJournal of Urology, VOL. 160, NO. 3 Part 1, (700-702), Online publication date: 1-Sep-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.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.Jarrett T, Sweetser P, Weiss G and Smith A (2018) Percutaneous Management of Transitional Cell Carcinoma of the Renal Collecting System: 9-Year ExperienceJournal of Urology, VOL. 154, NO. 5, (1629-1635), Online publication date: 1-Nov-1995.Gerber G and Lyon E (2018) Endourological Management of Upper Tract Urothelial TumorsJournal of Urology, VOL. 150, NO. 1, (2-7), Online publication date: 1-Jul-1993.Kerbl K and Clayman R (2018) Incision of the Ureterovesical Junction for Endoscopic Surveillance of Transitional Cell Cancer of the Upper Urinary TractJournal of Urology, VOL. 150, NO. 5 Part 1, (1440-1443), Online publication date: 1-Nov-1993.Lim D, Shattuck M and Cook W (2018) Pyelovenous Lymphatic Migration of Transitional Cell Carcinoma Following Flexible UreterorenoscopyJournal of Urology, VOL. 149, NO. 1, (109-111), Online publication date: 1-Jan-1993.Abdel-Razzak O and Bagley D (2018) Clinical Experience with Flexible UreteropyeloscopyJournal of Urology, VOL. 148, NO. 6, (1788-1792), Online publication date: 1-Dec-1992.Minowada S, Higashihara E, Kameyama S, Oshi M, Homma Y and Aso Y (2018) Advantage of a Smaller Caliber Fiberscope and Learning Curve on Transurethral LithotripsyJournal of Urology, VOL. 147, NO. 5, (1243-1244), Online publication date: 1-May-1992.Kavoussi L, Clayman R, Mikkelsen D and Meretyk S (2018) Ureteronephroscopic Marsupialization of Obstructing Peripelvic Renal CystJournal of Urology, VOL. 146, NO. 2 Part 1, (411-414), Online publication date: 1-Aug-1991.Yoshida K, Nishimura T, Tsuboi N, Hasegawa J, Kawamura N, Chorazy Z and Akimoto M (2018) Clinical Application of Video Image Flexible Ureteronephroscope for Diagnosis of Upper Urinary Tract DisordersJournal of Urology, VOL. 146, NO. 3, (809-812), Online publication date: 1-Sep-1991.Caione P, De Gennaro M, Capozza N, Zaccara A, Appetito C, Lais A, Gallucci M and di Silverio F (2018) Endoscopic Manipulation of Ureteral Calculi in Children by Rigid Operative UreterorenoscopyJournal of Urology, VOL. 144, NO. 2 Part 2, (484-485), Online publication date: 1-Aug-1990.Martínez-Piñeiro J (2018) Re: Impact of Endourology on Diagnosis and Management of Upper Urinary Tract Urothelial Cancer, by M. 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Volume 138Issue 2August 1987Page: 280-285 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Demetrius H. Bagley More articles by this author Jeffry L. Huffman More articles by this author Edward S. Lyon More articles by this author Expand All Advertisement Loading ...