Read e-book online Interventional Management of Urological Diseases (Recent PDF

By S. Baba, Y. Ono

This 8th quantity within the sequence contemporary Advances in Endourology brings jointly the most recent medical findings concerning a variety of endourological therapy modalities and cutting edge fabrics. World-recognized specialists define their strategies truly and concisely to supply an up to date assessment of state of the art endourological strategies. overseas administration of urological ailments is targeted during this most recent factor.

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J Urol 135:26–28 22. Streem SB (2000) Minimal invasive surgery of the kidney: a problem oriented approach. -K. -I. Seo 23. Danuser H, Ackermann DK, Bohlen D, Studer UE (1998) Endopyelotomy for primary ureteropelvic junction obstruction: risk factors determine the success rate. J Urol 159:56–61 24. Gupta M, Tuncay OL, Smith AD (1997) Open surgical exploration after failed endopyelotomy: a 12-year perspective. J Urol 157:1613–1618 25. Sampaio FJB (1998) Vascular anatomy at the ureteropelvic junction.

Tuberculous infundibular stenosis. a Retrograde pyelography shows dilated upper calyces and severely narrowed infundibular neck. b Schematic diagram of percutaneous endoinfundibulotomy. When the guidewire could not be passed through the stricture, a round-tipped rigid ureteroscope could be pushed in an antegrade fashion to traverse the stricture with injection of indigo carmine through the retrograde ureteral catheter Table 3. Results of percutaneous endoscopic therapy for infundibular stenosis Author Schneider et al.

After opacification of the collecting system by injection of contrast material through the ureteral catheter, puncture is performed in midinspiration using a sheathed needle. The puncture tract should be straight to the target calyx to prevent a false tract during dilation. The position of the needle tip should be checked intermittently by rotating the C-arm. When the needle appears to be in a calyx, the stylet is removed while the sheath is slightly advanced to its position to the calyx, and the correct needle position is verified by aspiration of urine.

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