By Uday Patel
Endourology: a pragmatic instruction manual is an obtainable, virtually oriented ebook facing elements of endoscopic and percutaneous assessment/management of illnesses of the higher urinary tract. With a simple to keep on with layout utilizing bullet/key issues, the textual content can pay specific realization to tough navigational and technical issues, that are emphasised and defined utilizing line drawings. useful 'Dos and Don'ts' lists also are highlighted in text-boxes the place appropriate.
Extensively illustrated and simple to take advantage of, this guide is aimed toward trainee and practising urologists, and is additionally of curiosity to urology nurses, common surgical trainees and radiologists.
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Ideal balloons are noncompliant, stretching minimally and equally along the entire length of the balloon with the same external diameter regardless of the extrinsic tissue to be dilated. When dilating ureteric strictures, non-compliant balloons should not develop an hourglass around the stricture. Prifile: This refers to the shape and the diameter of the balloon in its deflated position. Low profile balloons maintain the same outer diameter in the deflated state no matter how many times it has been inflated.
The coefficient of resistance depends on the surface characteristics. The coating reduces friction along the surface. The standard surface coating of a guidewire is PTFE (Teflon®). Compared to steel, PTFE reduces the coefficient of friction by half, whilst the friction coefficient of hydrophilic wires is only one-sixth that of stainless steel. PTFE offers a smooth surface for easy passage through the urinary tract and improves the advancement of rigid devices. It keeps its place within the ureter and does not slip out.
Multilength stents are designed to fit all situations - their pigtails are made of multiple coils or turns and the pigtails unfurl and adjust to the length of ureter. 7 The ideal stent • Good memory (ability to maintain position within the ureter) • Easily inserted and removed • Good tensile strength to allow for a higher internal! 4). , IN, USA) or Silitek, MA, USA (ACMI, MA, USA). Metallic salts arc added to make them radio -opaque to aid insertion or removal and monitor follow -up. Changes to the cross-linking used in these polymers can affect the strength of the material.