Postoperative Care of the Ureteroscopy Patient
- 404 Downloads
Ureteroscopy (URS) is the first-line therapy for ureteral and renal stones. Stone-free status may be as high as 90–100%. In parallel to high stone-free rates and the use of miniaturized flexible instruments, the postoperative complication rates still remain a major issue. The postoperative care of the patient submitted to ureteroscopy depends on the type of instrumentation (rigid, flexible), on the size of the ureteroscope, on the type of the procedure (diagnostic, therapeutic for stone or tumor), on the anatomic location the procedure is focused (ureter or kidney), the duration of the operation, the use or not of upper urinary tract drainage, and finally on the occurrence of intraoperative complications. The main issues to consider during the postoperative course are the infections, including sepsis-SIRS, pain management, perirenal hematoma, initial imaging, obstruction and upper urinary tract drainage, and postoperative antibiotic administration. Apart from the administration of antibiotics and perhaps the use of a stent, there are not specific guidelines for the postoperative care of the ureteroscopy patient, and more studies are needed in order a standardized protocol to be proposed.
KeywordsΑntibiotics Complications Endourology Follow-up of the ureteroscopy Infections Obstruction Pain management Postoperative care of the ureteroscopy patient Retrograde intrarenal surgery Sepsis Upper urinary tract drainage Ureteroscopy
Medical expulsive therapy
Nonsteroidal anti-inflammatory drugs
Shock wave lithotripsy
- 12.Türk C, Neisius A, Petrik A, Seitz C, Skolarikos A, Tepeler A, et al. EUA Nephrolithiasis guidelines 2017. Retrieved from: https://uroweb.org/guideline/2017. Nephrolithiasis guidelines/accessed 11.06.2017.
- 30.Wilson W, Taubert K, Gewitz M, et al. Prevention of Infective Endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007;116:1736–54.CrossRefGoogle Scholar