By Stephen Y. Nakada, Margaret S. Pearle
Best nationwide and overseas urologists within the box of endourology describe typical and complex endoscopic techniques for treating upper-tract pathology. The authors offer step by step directions for the most recent endoscopic strategies, starting from top urinary tract calculi and strictures to urothelial melanoma. An accompanying DVD contains video clips that in actual fact illustrate severe components of the innovations and supply counsel and tips from the specialists. complicated Endourology: the total scientific advisor deals working towards urologists and urology citizens not just a complete, illustrated consultant to endourological techniques-particularly the extra complex procedures-but additionally a realistic ability to extend the variety and scope of the approaches they practice.
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Extra info for Advanced Endourology
Palliative care in bilateral malignant ureteric obstruction. Ann Acad Med Singapore 1994; 23(2): 197–203. 60. Emmert C, Rassler J, Kohler U. Survival and quality of life after percutaneous nephrostomy for malignant ureteric obstruction in patients with terminal cervical cancer. Arch Gynecol Obstet 1997; 259(3): 147–151. 61. Pappas P, Stravodimos KG, Mitropoulos D, et al. Role of percutaneous urinary diversion in malignant and benign obstructive uropathy. J Endourol 2000; 14(5): 401–405. 62. Kinn AC, Lykkeskov-Andersen H.
A similar study was performed by Mokhmalji and colleagues (3), who also found no difference in relief of the presenting symptoms between patients randomized to nephrostomy tube insertion and ureteral stent placement. Percutaneous nephrostomy tube placement was successful in all of the 20 patients randomized to that group, but only 80% of the 20 patients randomized to retrograde ureteral stent placement were successfully stented. Although not statistically significant, there was a trend towards an improved quality of life in the nephrostomy tube group when pain, dysuria, frequency, and hematuria were taken into consideration.
23) Chen et al. (26) Hollenbeck et al. (27) Byrne et al. (28) Year Authors (ref) Number of patients stented/not stented No Yes 83/107 (15- or 18-Fr balloon) No Yes (15-Fr balloon) No No Yes 82/93 (15-Fr balloon) Balloon dilation of ureter? No No No No No No No Difference in stone-free rates? ) HO:YAG Laser Method of intracorporeal lithotripsy No No No No No No N/A Significant difference in major complications? (fever, rehospitalization, obstruction) Table 2 Summary of Stent vs No-Stent Trials Following Ureteroscopy No More pain in stented patients Suprapubic discomfort on POD no.