The Ureter pp 397-415 | Cite as

Ureterorenoscopy and Transurethral Endoscopic Surgery of the Ureter and Renal Pelvis

  • Irving M. Bush
  • Paul R. Fieldstone
  • Patrick Guinan


Clark [21] has stated, “Few urologists would operate upon a bladder without looking inside it first, but how many will look inside a kidney?” When this statement was made a few years ago, it seemed quite futuristic. But with recent developments in nephroscopy and ureterorenoscopy, it is now feasible to visually examine the ureter, renal pelvis, calyces, and renal papillae [8,10]; basket high ureteral stones under vision [11], break stones apart inside the kidney [11]; and biopsy and fulgurate upper urinary tract lesions [11]. In the near future, ureteropelvic junction and calyceal obstructions may be dilated and desiccated open [18], and the function of individual segments of the kidney will be determined by direct observation and by selective catheterization of individual collecting ducts, as has recently been performed through a pyelotomy (Fig. 18.1)[19]. Earlier detection and perhaps even local treatment of ureteral, renal pelvic, and some renal tumors will be possible.


Renal Pelvis Ureteral Stone Indigo Carmine American Urologic Association Ureteropelvic Junction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Aso, Y., Yokoyama, M., Fukutani, K., Kakizoe, T.: New trial for fiberoptic cystourethroscopy: The use of metal sheath. J. Urol. 115: 99, 1976.PubMedGoogle Scholar
  2. 2.
    Baird, J.L., British Patent 285, 738. February 15, 1928.Google Scholar
  3. 3.
    Balin, H., Wan, L.S., Rajan, R., Kaiser, A., McMann, R.: Experimental applications of endoscopy. Clin. Obstet. Gynecol. 12: 534, 1969.PubMedCrossRefGoogle Scholar
  4. 4.
    Bibbo, M., Gill, W.B., Harris, M.J., Lu, C.T., Thomsen, S., Wied, G.L.: Retrograde brushing as a diagnostic procedure of ureteral, renal pelvic and renal calyceal lesions. A preliminary report. Acta Cytol. 18: 137, 1974.PubMedGoogle Scholar
  5. 5.
    Boyce, W.: Note. In: Yearbook of Urology, 1977, edited by J.T. Grayhack Chicago, Yearbook Medical, 1977, p. 89.Google Scholar
  6. 6.
    Bozzini, P.: Lichleiter, eine Erfindung zur Anschauung innerer Theile und Krankheiten nebst der Abbildung. J. Pract. Arzneykunde Wundarz- neykunst edited by C.W. Hufeland, 24:107, 1806. Translated by Bush, R.B., Leonhardt, H., Bush, I.M., and Landes, R.R.: Urology 3:119, 1974.Google Scholar
  7. 7.
    Bush, I.M.: Viewing the Internal Lumen of the Ureter and Renal Pelvis through Fiberoptic Instruments in Unanesthetized Patients. Film presented at the Annual Meeting, North Central Section, American Urological Association, Cincinnati, Ohio, 1970. Bush, I.M.: Observation Renoscopy. Film presented at the Annual Meeting, American Urological Association, Chicago, 1971.Google Scholar
  8. 8.
    Bush, I.M.: Ureterorenoscopy. A New Diagnostic Tool for Ureteral and Intrarenal Diagnosis. Film presented at XVI Congress of the International Society for Urology, Amsterdam, 1973. Bush I.M.: Ureterorenoscopy. Film presented at Annual Meeting, American Medical Association, Chicago, 1974.Google Scholar
  9. 9.
    Bush, I.M., Goldberg, E., Javadpour, N., Chakrobortty, H., Morelli, F.: Ureteroscopy and renoscopy: A preliminary report. Chicago Med. School Q. 30: 46, 1970.Google Scholar
  10. 10.
    Bush, I.M., Guinan, P., Zamora, S., Talluri, K.M., Gonzalez. R.I., Schroff, N., Bush, R.B., Abiin, R.J.: Clinical use of a new ureteroreno-scope. American Urological Association, May. 1978.Google Scholar
  11. 11.
    Bush, Zamora, S., John, T. Guinan, P., Cohen, E., Podlusky, G., Spirek, G., Garry, P., Bush, R.B., Sohn, H., Eggers, J., Reddy, K., and De- Graffenried, T.: Ureteral calculus basketing under vision. Presented at the American Urological Association Meeting, May 1979.Google Scholar
  12. 12.
    Bush, I.M., Khanna, R., Cohen, E., Podlusky, G., Spirek, G.: Transuretheral endoscopic surgery of the ureter and renal pelvis with a first report of successful fragmentation and removal of a large renal calculus under direct vision without surgical intervention. Presented at the American Urological Association Meeting, May, 1979.Google Scholar
  13. 13.
    Bush, I.M., Krishnamurthy, T., John T., Ablin, R.J.: A comparison of nephroscopes presented at the Annual Meeting, American Urological Association, Miami Beach, 1975.Google Scholar
  14. 14.
    Bush, I.M., John, T., Garlovsky, S., Bush, R.B., Ablin, R.J.: Ureterorenoscopy in Upper Urinary Tract Infection. Exhibit booklet presented at Annual Meeting, American Urological Association, New York City, 1973.Google Scholar
  15. 15.
    Bush, I.M., Whitmore, W.F.: Occult cancer of the bladder. J. Med. Soc. N.J. 64: 56, 1967.PubMedGoogle Scholar
  16. 16.
    Bush, I.M., Whitmore, W.F.: A fiberoptic ultraviolet cystoscope. J. Urol. 97: 156, 1967.PubMedGoogle Scholar
  17. 17.
    Bush, I.M., Whitmore, W.F., Lieberman, P.H., Paananen, R., Whitehouse, D.: Experimental use of lasers in Urology. Presented at Annual Meeting, American Urological Association, Chicago, May, 1966.Google Scholar
  18. 18.
    Bush, I.M., Whitmore, W.F., Lieberman, P.H., Paananen, R., Whitehouse, D.: Experimental surgical applications of the laser. Presented at the Association for the Advancement of Medical Instrumentation, Boston, July 27, 1966.Google Scholar
  19. 19.
    Bush, I.M., Zamora, S., Gonzales, R., Khanna, R., Guinan, P.: Catheterization of tfre human collecting duct in the unanesthetized patient: preliminary report. Submitted for publication.Google Scholar
  20. 20.
    Bush, R.B., Bush, I.M., JavadpourN., Landes, R., Wilkey, J.L., Lambiasi, C., Uhlir, B., Ferguson, E.E.: Phillip Bozzini’s lichtleiter. Monograph on urologic instruments for the American Urological Association, Chicago, 1971.Google Scholar
  21. 21.
    Clark, P.: Nephroscopy. Br. J. Urol. 47: 599, 1975.PubMedCrossRefGoogle Scholar
  22. 22.
    Crispin, H.A., Buscher, G.: Recent advances in intravascular surgery (film). Acta Chirurgica Belg., 2: 181, 1975.Google Scholar
  23. 23.
    Cruise, F.R.: The utility of the endoscope as an aid in the diagnosis and treatment of disease. Dublin Q. J. Med. Soc. 39: 329, 1865.Google Scholar
  24. 24.
    Curtiss, L.E., Hirschowitz, B.I., Peters, C.W.: A long fiberscope for internal medical examinations. J. Am. Optic. Soc. 46: 1030, 1956.Google Scholar
  25. 25.
    Curtiss, L.E., Hirschowitz, B.I., Peters, C.W.: A long fiberscope for internal medical examinations. J. Optic. Soc. Am. 47: 117, 1957.Google Scholar
  26. 26.
    Désormeauz, A.J.: De Tendoscope et de ses applications au diagnostic et au traitement des affections de l’urethre et de la vessie. Paris, Bailtiere, 1865.Google Scholar
  27. 27.
    Fenger, C.: Endoscopy of the urethra: A contribution to the local treatment of gonorrhea. Hospitals—Tidende 14: 25, 1871.Google Scholar
  28. 28.
    Fine, H., Keen, E.N.: Some observations on the medulla of the kidney. Br. J. Urol. 48: 161, 1976.PubMedCrossRefGoogle Scholar
  29. 29.
    Fragenheim, H., Mariow, L.: Viewing life before birth. Time March 14, 1977.Google Scholar
  30. 30.
    Freedman, L.R.: Pathophysiology of pyelonephritis. In: Scientific Foundations of Urology, edited by D.I. Williams and G.D. Chisholm. London, Heinemann, 1976, pp. 71–78.Google Scholar
  31. 31.
    Gamble, W.J., Innis, R.E.: Experimental intracardiac visualization. N. Engl. J. Med. 276: 1397, 1967.PubMedCrossRefGoogle Scholar
  32. 32.
    Gibbons, R.P., Correa, R.J., Cummings, B., Mason, J.T.: Experience with indwelling ureteral stent catheters. J. Urol. 115: 22, 1976.PubMedGoogle Scholar
  33. 33.
    Gill, W.B., Lu, C.T., Thomsen, S.: Retrograde brushing: A new technique for obtaining histologic and cytologic material from ureteral, renal pelvis, and renal caliceal lesions. J. Pathol. 109: 573, 1973.Google Scholar
  34. 34.
    Gittes, R.F.: Operative nephroscopy. J. Urol. 116: 148, 1976.PubMedGoogle Scholar
  35. 35.
    Goodale, R.L., Okada, A., Gonzales, R., Borner, J.W., Edlich, R.F., Wangensteen, O.H.: Rapid endoscopic control of bleeding gastric erosions by laser radiation. Arch. Surg. 101: 211, 1970.PubMedGoogle Scholar
  36. 36.
    Goodman, T.M.: Ureteroscopy with pediatric cystoscope in adults. Urology 9: 394, 1977.PubMedCrossRefGoogle Scholar
  37. 37.
    Graves. F.T.: The vascular tree. In: Scientific Foundations of Urology, Vol. 2. Chicago, Heinemann, 1976.Google Scholar
  38. 38.
    Greenstone, S.M., Shore, J.M., Heringman, E.C., Massell, R.B.: Arterial endoscopy (arterio- scopy). Arch. Surg. 93: 811, 1966.PubMedGoogle Scholar
  39. 39.
    Hansell, C.W.: U.S. Patent 1, 751, 584, 1930.Google Scholar
  40. 40.
    Harris, R.D., McLaughlin, A.P., Harrell, J.H.: Percutaneous nephroscopy using fiberoptic bronchoscope. Urology 6: 367, 1975.PubMedCrossRefGoogle Scholar
  41. 41.
    Hayes, I.: Note on Dr. John D. Fisher of Boston, and his endoscope. Phil. J. Med. Phys. Sci. 14: 409, 1827.Google Scholar
  42. 42.
    Hett, J.H., Curtiss, L.E.: Fiber optics duodeno- scope and ureteroscope J. Optic Soc. Am. 51: 581, 1961.CrossRefGoogle Scholar
  43. 43.
    Hirschowitz, B.I.: Endoscopic examination of the stomach and duodenal cap with fiberscope. Lancet 1074, 1960.Google Scholar
  44. 44.
    Hirschowitz, B.I., Curtiss, L.E., Peters, C.W., Pollard, H.M.: Demonstration of new gastro- scope, the “fiberscope.” Gastroenterology 35: 50, 1958.PubMedGoogle Scholar
  45. 46.
    Keyes, E.L., Ferguson, R.S.: Ureter catheterism and ureter stricture. In: Urology, 6th ed. New York, Apple ton-Century, 1936, pp. 50–51, 163–164.Google Scholar
  46. 47.
    Koff, S.A.: Simplified operative nephroscopy. Urology 7: 260 1976.PubMedCrossRefGoogle Scholar
  47. 48.
    Koike, R.: A new apparatus with interchangeable lens groups for fluorescence cystoscopy, photography, biopsy, and coagulation. J. Urol. 111: 31, 1974.PubMedGoogle Scholar
  48. 49.
    Leadbetter, W.F.: Instrumental visualization of the renal pelvis at operation as an aid to diagnosis. Presentation of a new instrument. J. Urol. 63: 1006, 1950.PubMedGoogle Scholar
  49. 50.
    Lyon, E.S.: Ureteroscopy with pediatric cystoscopes. J. Urol. 1978.Google Scholar
  50. 51.
    Lyon, E.S.; Kyker, J.S., Schoenberg H.W., Transurethral ureteroscopy in women: a ready addition to the urological armamentarium. J. Urol. 119: 35–36, 1978.PubMedGoogle Scholar
  51. 52.
    Marshall, V.: Fiber optics in Urology. J. Urol. 91: 110, 1964.PubMedGoogle Scholar
  52. 53.
    Mering, J., Ill: The use of the nephroscope to diagnose ectopic or aberrant renal papillae. Presented at the Western Section of the American Urological Association, 1977.Google Scholar
  53. 54.
    Mitchell, J.P.: Optical criteria of urological endoscopes. Proc. Soc. Med. 67: 803, 1974.Google Scholar
  54. 55.
    Mulvaney, W.P., Beck, C.W.: The laser beam in Urology. J. Urol. 99: 112, 1968.PubMedGoogle Scholar
  55. 56.
    Noth, G., Gorisch, W., Kiefhaber, P.: Reports on new instruments and new methods. First laser endoscopy via a fiberoptic transmission system. Endoscopy 5: 208, 1973.CrossRefGoogle Scholar
  56. 57.
    Noth, G., Gorisch, W., Kreitmair, A., Kiefhaber, P.: Transmission of a powerful argon laser beam through a fiberoptic flexible gastroscope for operative gastroscopy. Endoscopy 5: 213, 1973.CrossRefGoogle Scholar
  57. 58.
    Quint, R.: The use of fiberscopes in industry and aeronautics. Personal communication, 1970.Google Scholar
  58. 59.
    Ransley, P.G.: The renal papilla and intrarenal reflux. In: Scientific Foundations of Urology, Vol. 1, edited by D.I. Williams and G.D. Chisholm. London, Heinemann, 1976, pp. 79–87.Google Scholar
  59. 60.
    Roberts, J.A.: Retroperitoneal endoscopy, J. Med. Primatol. 5: 124, 1976.PubMedGoogle Scholar
  60. 61.
    Rolnick, H.C.: Urologic instruments. In: The Practice of Urology, Vol. 1. Philadelphia, Lippin- cott, 1949, pp. 82–83.Google Scholar
  61. 62.
    Rupel, E., Brown, R.: Nephroscopy with removal of stone following nephrostomy for obstructive calculous anuria. J. Urol. 46: 177, 1941.Google Scholar
  62. 63.
    Shore, J.M., Lippman, H.N.: A flexible choledo-choscope. Lancet 1: 1200, 1965.PubMedGoogle Scholar
  63. 64.
    Silverstein, F.E., Auth, D.C., Rubin, E.E., Protell, R.L.: High power argon laser treatment via standard endoscopes. I. A preliminary study of efficacy in control of experimental bleeding. Gastroenterology 71: 558, 1976.PubMedGoogle Scholar
  64. 65.
    Staehler, G., Hobstetter, A., Gorisch, W., Kieditsch, E., Mussiggang, M.: Endoscopy in experimental Urology using an argon-laser beam. Endoscopy 8: 1, 1976.PubMedCrossRefGoogle Scholar
  65. 66.
    Stuart, A.E.: Operative nephroscopy using bronchofiberscope. J. Urol. 111: 9, 1974.PubMedGoogle Scholar
  66. 67.
    Sykes, D.: The morphology of renal lobulations and calices and their relationship to partial nephrectomy. Br. J. Surg. 51: 294, 1964.PubMedCrossRefGoogle Scholar
  67. 68.
    Takagi, T., Go, T., Takayasu, H., Aso, Y., Hioki, R.: Small-caliber fiberoscope for visualization of the urinary tract, biliary tract, and spinal canal. Surgery 64: 1033, 1968.PubMedGoogle Scholar
  68. 69.
    Takayasu, H., Aso, Y., Takagi, T., Go, T.,: Clinical application of fiberoptic pyelouretero- scope. Urol. Int. 26: 97, 1971.PubMedCrossRefGoogle Scholar
  69. 72.
    Takayasu, H., Aso, Y., Takagi, T., Go, T.: Fiber optic pyeloureteroscope. In: Proceedings of the Fifteenth Congrès de la Société Internationale d’ Urologie, Vol. 2. 1970. pp. 396–400.Google Scholar
  70. 73.
    Trattner, H.R.: Instrumental visualization of the renal pelvis and its communications: Proposal of a new method; preliminary report. J. Urol. 60: 817, 1948.PubMedGoogle Scholar
  71. 74.
    Tsuchida, S.: A new operative fiberpyeloscope. Tohoku J. Exp. Med. 116: 369, 1975.PubMedCrossRefGoogle Scholar
  72. 75.
    Tsuchida, S., Sugawara, H.: A new flexible fiber- cystoscope for visualization of the bladder neck. J. Urol. 109: 830, 1973.PubMedGoogle Scholar
  73. 76.
    Vatz, A., Berci, G., Shore, J.M., Kudish, H., Nemoy, N.: Operative nephroscopy. J. Urol. 107: 355, 1972.PubMedGoogle Scholar
  74. 77.
    Wallace, F.J.: News Release on Fiberoptics. Pelham, N.Y., American Cystoscope Makers, 1960.Google Scholar
  75. 78.
    Whitemore, W.F., Bush, I.M.: Ultraviolet cystoscopy. JAMA 203: 1057, 1968.CrossRefGoogle Scholar
  76. 79.
    Whitmore, W.F., Bush, I.M.: Ultraviolet cystoscopy in patients with bladder cancer. J. Urol. 95: 201, 1966.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1981

Authors and Affiliations

  • Irving M. Bush
  • Paul R. Fieldstone
  • Patrick Guinan

There are no affiliations available

Personalised recommendations