Abstract
Endourologic surgery has become successful in achieving its goals through the significant development of instruments and disposables. Obviously, one of the major improvements occurred in the optics and their miniaturization. Subsequently, a thorough understanding of the important details of the instruments and disposables is essential in efficient endourologic surgery. In this chapter, the emphasis will be mostly related to ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL), with discussion of common instruments and important disposables. A few practical points regarding associated problems and solutions will be discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Dickstein RJ, Kreshover JE, Babayan RK, Wang DS. Is a safety wire necessary during routine flexible ureteroscopy? J Endourol. 2010;24:1589–92.
Eandi JA, Hu B, Low RK. Evaluation of the impact and need for use of a safety guidewire during ureteroscopy. J Endourol. 2008;22:1653–8.
Holden T, Pedro RN, Hendlin K, Durfee W, Monga M. Evidence-based instrumentation for flexible ureteroscopy: a review. J Endourol. 2008;22:1423–6.
Clayman M, Uribe CA, Eichel L, Gordon Z, Mcdougall EM, Clayman R. Comparison of guide wires in urology. Which, when and why? J Urol. 2004;171:2146–50.
Hendlin K, Korman E, Monga M. Guidewires: lubricity and shaft stiffness (abstract). J Endourol. 2010;24:PS4–14.
Weiland D, Canales BK, Monga M. Medical devices used for ureteroscopy for renal calculi. Expert Rev Med Devices. 2006;3:73–80.
Shields JM, Tunuguntla HS, Bhalani VK, Ayyathurai R, Bird VG. Construction-related differences seen in ureteral access sheaths: comparison of reinforced versus nonreinforced ureteral access sheaths. Urology. 2009;73:241–4.
Monga M, Best S, Venkatesh R, Ames C, Lieber D, Vanlangendock R, et al. Prospective randomized comparison of 2 ureteral access sheaths during flexible retrograde ureteroscopy. J Urol. 2004;172:572–3.
Pedro RN, Hendlin K, Durfee WK, Monga M. Physical characteristics of next-generation ureteral access sheaths: buckling and kinking. Urology. 2007;70:440–2.
Delvecchio FC, Auge BK, Brizuela RM, Weizer AZ, Silverstein AD, Lallas CD, Pietrow PK, Albala DM, Preminger GM. Assessment of stricture formation with the ureteral access sheath. Urology. 2003;61(3):518–22; discussion 522.
Bach T, Geavlete B, Herrmann TR, Gross AJ. Working tools in flexible ureterorenoscopy – influence on flow and deflection: what does matter? J Endourol. 2008;22:1639–43.
Semins MJ, George S, Allaf ME, Matlaga BR. Ureteroscope cleaning and sterilization by the urology operating room team: the effect on repair costs. J Endourol. 2009;23:903–5.
Paffen ML, Keizer JG, De Winter GV, Arends AJ, Hendrikx AJ. A comparison of the physical properties of four new generation flexible ureteroscopes: (De)flection, flow properties, torsion stiffness, and optical characteristics. J Endourol. 2008;22:2227–34.
Knudsen BE, Pedro R, Hinck B, Monga M. Durability of reusable Holmium: Yag laser fibers: a multicenter study. J Urol. 2011;185:160–3.
Haberman K, Ortiz O, Chotikawanich E, Monga M. A dual channel flexible ureteroscope: in vitro evaluations of deflection flow, luminescence and resolution (abstract). J Endourol. 2010;24:PS1–13.
Ortiz-Alvarado O, Haberrman K, Chotikawanich E, Monga M. The Cobra dual-channel flexible ureteroscope: novel function, novel applications. J Endourol. 2011;25(9):1411–4.
Andonian S, Okeke Z, Smith AD. Digital ureteroscopy: the next step. J Endourol. 2008;22:603–6.
Shah K, Monga M, Knudsen BE. Prospective randomized trial comparing two flexible digital ureteroscopes: Gyrus ACMI/Olympus Invisio DUR-D and Olympus URF-V (abstract). J Endourol. 2010;24:PS28–28.
Multescu R, Geavlete B, Georgescu D, Geavlete P. Conventional fiberoptic flexible ureteroscope versus fourth generation digital flexible ureteroscope: a critical comparison. J Endourol. 2010;24:17–21.
Xavier K, Hruby GW, Kelly CR, Landman J, Gupta M. Clinical evaluation of efficacy of novel optically activated digital endoscope protection system against laser energy damage. Urology. 2009;73:37–40.
Garg S, Mandal AK, Singh SK, Naveen A, Ravimohan M, Aggarwal M, et al. Ureteroscopic laser lithotripsy versus ballistic lithotripsy for treatment of ureteric stones: a prospective comparative study. Urol Int. 2009;82:341–5.
Mues AC, Teichman JM, Knudsen BE. Evaluation of 24 Holmium:Yag laser optical fibers for flexible ureteroscopy. J Urol. 2009;182:348–54.
Kesler SS, Pierre SA, Brison DI, Preminger GM, Munver R. Use of the escape nitinol stone retrieval basket facilitates fragmentation and extraction of ureteral and renal calculi: a pilot study. J Endourol. 2008;22:1213–7.
Teichman JM, Kamerer AD. Use of the Holmium:Yag laser for the impacted stone basket. J Urol. 2000;164:1602–3.
Eisner BH, Dretler SP. Use of the stone cone for prevention of calculus retropulsion during Holmium:Yag laser lithotripsy: case series and review of the literature. Urol Int. 2009;82:356–60.
Lee HJ, Box GN, Abraham JB, Deane LA, Elchico ER, Eisner BH, et al. In vitro evaluation of nitinol urological retrieval coil and ureteral occlusion device: retropulsion and Holmium laser fragmentation efficiency. J Urol. 2008;180:969–73.
Ahmed M, Pedro RN, Kieley S, Akornor JW, Durfee WK, Monga M. Systematic evaluation of ureteral occlusion devices: Insertion, deployment, stone migration, and extraction. Urology. 2009;73:976–80.
Monga M, Hendlin K, Lee C, Anderson JK. Systematic evaluation of stone basket dimensions. Urology. 2004;63:1042–4.
Hendlin K, Lee C, Anderson JK, Monga M. Radial dilation force of tipless and helical stone baskets. J Endourol. 2004;18:946–7.
Lukasewycz S, Hoffman N, Botnaru A, Deka PM, Monga M. Comparison of tipless and helical baskets in an in vitro ureteral model. Urology. 2004;64:435–8.
Lukasewycz S, Skenazy J, Hoffman N, Kuskowski M, Hendlin K, Monga M. Comparison of nitinol tipless stone baskets in an in vitro caliceal model. J Urol. 2004;172:562–4.
Korman E, Hendlin K, Monga M. Next-generation nitinol stone baskets: radial dilation force and dynamics of opening (abstract). J Endourol. 2010;24:PS28–31.
Andonian S, Okeke Z, Anidjar M, Smith AD. Digital nephroscopy: the next step. J Endourol. 2008;22:601–2.
Gonen M, Istanbulluoglu OM, Cicek T, Ozturk B, Ozkardes H. Balloon dilatation versus Amplatz dilatation for nephrostomy tract dilatation. J Endourol. 2008;22:901–4.
Hendlin K, Monga M. Radial dilation of nephrostomy balloons: a comparative analysis. Int Braz J Urol. 2008;34:544–6.
Pugh JW, Canales BK. New instrumentation in percutaneous nephrolithotomy. Indian J Urol. 2010;26:389–94.
Rane A, Kommu SS, Kandaswamy SV, Rao P, Aron M, Kumar R, et al. Initial clinical evaluation of a new pneumatic intracorporeal lithotripter. BJU Int. 2007;100:629–32.
Zhu Z, Xi Q, Wang S, Liu J, Ye Z, Yu X, et al. Percutaneous nephrolithotomy for proximal ureteral calculi with severe hydronephrosis: assessment of different lithotriptors. J Endourol. 2010;24:201–5.
Hoffman N, Lukasewycz SJ, Canales B, Botnaru A, Slaton JW, Monga M. Percutaneous renal stone extraction: in vitro study of retrieval devices. J Urol. 2004;172:559–61.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag London
About this chapter
Cite this chapter
Al-Kandari, A.M. (2013). Difficulties in Instrumentation of Endourologic Procedures. In: Al-Kandari, A., Desai, M., Shokeir, A., Shoma, A., Smith, A. (eds) Difficult Cases in Endourology. Springer, London. https://doi.org/10.1007/978-1-84882-083-8_3
Download citation
DOI: https://doi.org/10.1007/978-1-84882-083-8_3
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-84882-082-1
Online ISBN: 978-1-84882-083-8
eBook Packages: MedicineMedicine (R0)