Abstract
There is no procedure in endourology changing more rapidly than ureteroscopy for renal and ureteral stones. Improved ureteroscopes, lasers, and laser fibers, along with lower stone-free rates using newer generation lithotripters all combine to support this trend. Today, endourologists must select only technical adjuncts which offer clear value clinically, resulting in either improved efficacy or efficiency. As such, my standard ureteroscopic technique does not routinely include ureteral access sheaths.
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Nakada, S.Y. (2013). Ureteroscopy: Opinion – No Access Sheath. In: Knoll, T., Pearle, M. (eds) Clinical Management of Urolithiasis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28732-9_9
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DOI: https://doi.org/10.1007/978-3-642-28732-9_9
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