Advertisement

Ureteroscopy pp 361-370 | Cite as

Postoperative Imaging

  • Gary J. FaerberEmail author
Chapter
Part of the Current Clinical Urology book series (CCU)

Abstract

Radiologic imaging plays an important role in the management of patients following ureteroscopic treatment for upper tract lithiasis. There are several imaging modalities available and this chapter will discuss the advantages and disadvantages of each of these modalities, and provide the reader suggestions and guidelines as to which imaging modalities are most appropriate for uncomplicated and complicated ureterscopic stone treatment.

Keywords

Ureteral Stone Renal Ultrasound Residual Stone Postoperative Imaging Ureteral Stricture 
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.

References

  1. 1.
    Moak JH, Lyons MS, Lindsell CJ. Bedside renal ultrasound in the evaluation of suspected ureterolithiasis. Am J Emerg Med. 2012;30:218–21.PubMedCrossRefGoogle Scholar
  2. 2.
    Edmonds ML, Yan JW, Sedran RJ, McLeod SL, Theakston KD. The utility of renal ultrasonography in the diagnosis of renal colic in emergency department patients. CJEM. 2010;12:201–6.PubMedGoogle Scholar
  3. 3.
    Heidenreich A, Desgrandschamps F, Terrier F. Modern approach of diagnosis and management of acute flankpain: review of all imaging modalities. Eur Urol. 2002;41:351–62.Google Scholar
  4. 4.
    Resorlu B, Kara C, Resorlu EB, Unsal A. Effectiveness of ultrasonography in the postoperative follow-up of pediatric patients undergoing ureteroscopic stone manipulation. Pediatr Surg Int. 2011;27:1337–41.PubMedCrossRefGoogle Scholar
  5. 5.
    Colistro R, Torreggiani WC, Lyburn ID, Harris AC, Al-Nakshabandi NA, Nicolaou S, Munk PL. Unenhanced helical CT in the investigation of acute flank pain. Clin Radiol. 2002;57:435–41.PubMedCrossRefGoogle Scholar
  6. 6.
    Hamm M, Knopfle E, Wartenberg S, Wawroschek F, Weckermann D, Harzmann R. Low dose unenhanced helical computerized tomography for the evaluation of acute flank pain. J Urol. 2002;167:1687–91.PubMedCrossRefGoogle Scholar
  7. 7.
    Miller OF, Kane CJ. Unenhanced helical computed tomography in the evaluation of acute flank pain. Curr Opin Urol. 2000;10(2):123–9.PubMedCrossRefGoogle Scholar
  8. 8.
    Kluner C, Hein PA, Gralla O, Hein E, Hamm B, Romano V, Rogalla P. Does ultra-low-dose CT with a radiation dose equivalent to that of KUB suffice to detect renal and ureteral calculi? J Comput Assist Tomogr. 2006;30(1):44–50.PubMedCrossRefGoogle Scholar
  9. 9.
    Bugg Jr CE, El-Galley R, Kenney PJ, Burns JR. Follow-up functional radiographic studies are not mandatory for all patients after ureteroscopy. Urology. 2002;59:662–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Rebuck DA, Macejko A, Bhalani V, Ramos P, Nadler RB. The natural history of renal stone fragments following ureteroscopy. Urology. 2011;77:564–8.PubMedCrossRefGoogle Scholar
  11. 11.
    Weizer AZ, Auge BK, Silverstein AD, Delvecchio FC, Brizuela RM, Dahm P, Pietrow PK, Lewis BR, Albala DM, Preminger GM. Routine postoperative imaging is important after ureteroscopic stone manipulation. J Urol. 2002;168(1):46–50.PubMedCrossRefGoogle Scholar
  12. 12.
    Beiko DR, Beasley KA, Watterson JD, Nott L, Denstedt JD, Razvi H. Upper tract imaging after ureteroscopic holmium:YAG laser lithotripsy: when is it necessary? Can J Urol. 2003;10:2062–7.PubMedGoogle Scholar
  13. 13.
    Adiyat KT, Meuleners R, Monga M. Selective postoperative imaging after ureteroscopy. Urology. 2009;73:490–3.PubMedCrossRefGoogle Scholar
  14. 14.
    Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck C, Gallucci M, Knoll T, Lingeman JE, Nakada SY, Pearle MS, Sarica K, Türk C, Wolf Jr JS. EAU/AUA Nephrolithiasis Guideline Panel. 2007 guideline for the management of ureteral calculi. J Urol. 2007;178:2418–34.PubMedCrossRefGoogle Scholar
  15. 15.
    Slovis TL. The ALARA concept in pediatric CT: myth or reality? Radiology. 2002;223:5–6.PubMedCrossRefGoogle Scholar
  16. 16.
    Chapple CL, Willis S, Frame J. Effective dose in paediatric computed tomography. Phys Med Biol. 2002;47:107–15.PubMedCrossRefGoogle Scholar
  17. 17.
    International Commission on Radiological Protection (ICRP). Publication 87. Managing patient dose in computed tomography. Ann ICRP. 2000;30:1–45.Google Scholar
  18. 18.
    Başeskioğlu B, Sofikerim M, Demirtaş A, Yenilmez A, Kaya C, Can C. Is ureteral stenting really necessary after ureteroscopic lithotripsy with balloon dilatation of ureteral orifice? A multi-institutional randomized controlled study. World J Urol. 2011;29:731–6.PubMedCrossRefGoogle Scholar
  19. 19.
    Delvecchio FC, Auge BK, Brizuela RM, Weizer AZ, Silverstein AD, Lallas CD, Pietrow PK, Albala DM, Preminger GM. Routine assessment of stricture formation with the ureteral access sheath. Urology. 2003;61:518–22.PubMedCrossRefGoogle Scholar
  20. 20.
    Roberts WW, Cadeddu JA, Micali S, Kavoussi LR, Moore RG. Ureteral stricture formation after removal of impacted calculi. J Urol. 1998;159:723–6.PubMedCrossRefGoogle Scholar
  21. 21.
    Miller DC, Faerber GJ. Arterial pseudoaneurysm complicating endoscopic fulguration of upper urinary tract urothelial carcinoma. Urology. 2001;58:799.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of UrologyUniversity of Michigan Hospital and Health SystemsAnn ArborUSA

Personalised recommendations