Ureteroscopy for Lateralizing Hematuria
With the development of safe and effective ureteroscopy, we can directly inspect the urothelium and no longer need to rely on radiologic imaging studies alone to evaluate patients with lateralizing hematuria. Ureteroscopy not only allows us to better determine the underlying cause of bleeding in patients with hematuria, but also it has greatly improved our ability to treat these patients. Nephrectomy was once the standard of care for these patients, but we now can offer a very safe, minimally invasive, effective, renal preserving treatment. These patients can be quite debilitated by this chronic hematuria. The urologist now has the ability to perform a safe procedure that will provide a diagnosis, and render a treatment that (based on our review of the literature) has a 90 % success rate. This chapter will present the causes of lateralizing hematuria, the approach to the evaluation of these patients, and technical tricks for successful ureteroscopy for the diagnosis and treatment of lateralizing hematuria.
KeywordsTransitional Cell Carcinoma Left Renal Vein Urinary Tract Abnormality Compute Tomography Urography Flexible Ureteroscopy
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