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Irrigation Systems and Irrigation Fluids

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Book cover Ureteroscopy

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Nowadays ureteroscopies and renoscopies have become the mainstay treatment for several urinary tract diseases, such as urolithiasis. The minimally invasive treatment era has been made possible due to the technological advancements in endoscopes and to a greater knowledge on the collecting system morph-physiology. It has been demonstrated that endoscopic procedures of the upper urinary tract can trigger deleterious events in renal function and patient well-being by increasing intrarenal pressure. The present chapter not only discusses on the importance of irrigation fluids and systems for a safe urinary endoscopy but also presents new concepts regarding the use of pharmacological agents to tackle high intrarenal pressures.

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References

  1. Grasso M, Bagley D. A 7.5/8.2 F actively deflectable, flexible ureteroscope: a new device for both diagnostic and therapeutic upper urinary tract endoscopy. Urology. 1994;43(4):435–41.

    Article  PubMed  CAS  Google Scholar 

  2. Monga M, Hendlin K, Skenazy J, Ramani A. A novel dual-diameter ureteroscope working channel: impact on irrigant flow. Urology. 2004;64:892.

    Article  PubMed  Google Scholar 

  3. Auge BK, Pietrow PK, Lallas CD, Raj GV, Santa-Cruz RW, Preminger GM. Ureteral access sheath provides protection against elevated renal pressures during routine flexible ureteroscopic stone manipulation. J Endourol. 2004;18:33.

    Article  PubMed  Google Scholar 

  4. Schwalb DM, Eshghi M, Davidian M, Franco I. Morphological and physiological changes in the urinary tract associated with ureteral dilation and ureteropyeloscopy: an experimental study. J Urol. 1993;149:1576.

    PubMed  CAS  Google Scholar 

  5. Wilson WT, Preminger GM. Intrarenal pressures ­generated during fexible defectable ureterorenoscopy. J Endourol. 1990;4:2.

    Google Scholar 

  6. Takayasu H, Aso Y, Takagi T. Clinical application of fiber optic pyeloureteroscope. Urol Int. 1971;26:97.

    Article  PubMed  CAS  Google Scholar 

  7. Bush IM, Guinan P, Lanners J. Ureterorenoscopy. Urol Clin North Am. 1982;9:131.

    PubMed  CAS  Google Scholar 

  8. Blew BD, Dagnone AJ, Pace KT, Honey RJ. Comparison of peditrol irrigation device and common methods of irrigation. J Endourol. 2005;19:562.

    Article  PubMed  Google Scholar 

  9. Hendlin K, Weiland D, Monga M. Impact of irrigation systems on stone migration. J Endourol. 2008;22(3):453–8.

    Article  PubMed  Google Scholar 

  10. Cybulski P, Honey RJ, Pace K. Fluid absorption during ureterorenoscopy. J Endourol. 2004;18:739.

    Article  PubMed  Google Scholar 

  11. Kukreja RA, Desai MR, Sabnis RB, Patel SH. Fluid absorption during percutaneous nephrolithotomy: does it matter? J Urol. 2002;168:1348.

    Article  Google Scholar 

  12. Holst U, Dissing T, Rawashdeh YF, Frokiaer J, Djurhuus JC, Mortensen J. Norepinephrine inhibits the pelvic pressure increase in response to flow perfusion. J Urol. 2003;170:268–71.

    Article  PubMed  CAS  Google Scholar 

  13. Holst U, Rawashdeh YF, Andreasen F, Djurhuus JC, Mortensen J. Endoluminal pelvic perfusion with norepinephrine causes only minor systemic effects and diminishes the increase in pelvic pressure caused by perfusion. Scand J Urol Nephrol. 2005;39:443.

    Article  PubMed  CAS  Google Scholar 

  14. Jung HU, Jakobsen JS, Mortensen J, Osther PJ, Djurhuus JC. Irrigation with isoproterenol diminishes increases in pelvic pressure without side-effects during ureterorenoscopy: a randomized controlled study in a porcine model. Scand J Urol Nephrol. 2007;6:1.

    Google Scholar 

  15. Danuser H, Weiss R, Abel D, Walter B, Scholtysik G, Mettler D, Studer UE. Systemic and topical drug administration in the pig ureter: effect of phosphodiesterase inhibitors alpha1, beta and beta2-adrenergic receptor agonists and antagonists on the frequency and amplitude of ureteral contractions. J Urol. 2001;166:714.

    Article  PubMed  CAS  Google Scholar 

  16. Jakobsen JS, Holst U, Jakobsen P, Steen W, Mortensen J. Local and systemic effects of endoluminal pelvic perfusion of isoproterenol: a dose response investigation in pigs. J Urol. 2007;177:1934.

    Article  PubMed  CAS  Google Scholar 

  17. Selmy GI, Hassouna MM, KhalafI M, Elhilali MM. Effects of verapamil, prostaglandin F2 alpha, phenylephrine, and noradrenaline on upper urinary tract dynamics. Urology. 1994;43:31.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Renato Nardi Pedro M.D., Ph.D. .

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© 2013 Springer Science+Business Media New York

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Pedro, R.N. (2013). Irrigation Systems and Irrigation Fluids. In: Monga, M. (eds) Ureteroscopy. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-206-3_12

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  • DOI: https://doi.org/10.1007/978-1-62703-206-3_12

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-205-6

  • Online ISBN: 978-1-62703-206-3

  • eBook Packages: MedicineMedicine (R0)

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