By David S. Chou MD, Elspeth M. McDougall MD, FRCSC (auth.), Stephen Y. Nakada MD, Margaret S. Pearle MD, PhD (eds.)
Although so much medical urologists use a variety of easy endourological strategies of their practices, the complicated higher tract pathology and anatomy frequently calls for extra complicated endoscopic abilities and instrumentation. In complex Endourology: the entire scientific consultant, top nationwide and foreign urologists within the box of endourology describe ordinary and complicated endoscopic tactics for treating top tract pathology. The authors offer step by step directions for the newest endoscopic tactics, starting from top urinary tract calculi and strictures to urothelial melanoma.
Authoritative and hugely instructive, complicated Endourology: the full medical advisor deals lively urologists and urology citizens not just a entire, illustrated advisor to endourological procedures-particularly the extra complicated techniques-but additionally a realistic ability to extend the diversity and scope of the tactics they perform.
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Shielding for neutron scattered dose to the fetus in patients treated with 18 MV X-ray beams. Med Phys 2000; 27(8): 1800–1803. 40. Gorton E, Whitfield HN. Renal calculi in pregnancy. Br J Urol 1997; 80 (Suppl 1): 4–9. 41. Rodriguez PN, Klein AS. Management of urolithiasis during pregnancy. Surg Gynecol Obstet 1988; 166(2): 103–106. 42. Hendricks SK, Ross SO, Krieger JN. An algorithm for diagnosis and therapy of management and complications of urolithiasis during pregnancy. Surg, Gynecol Obstet 1991; 172(1): 49–54.
3. Pull ureteral catheter back, re-insert guidewire using the catheter to buttress the guidewire and give it support (Note: careful of ureteral perforation, only soft-tipped guidewires should be used in this situation). 4. Remove guidewire, and perform retrograde pyelogram to push stone back into renal pelvis (ureteral perforation will also be detected at this point, if present). 5. If the stone is very distal, leave the wire at the level of the stone, insert semirigid ureteroscope and treat the stone with intracorporeal lithotripsy (ensure the safety wire is visible at all times).
The pusher is held in place at the correct level with the radiopaque marker (arrow) at the pubic symphysis. STENT COMFORT, INFECTION, AND ENCRUSTATION: THE ROLE OF NEW BIOMATERIALS AND COATINGS Ureteral stents may cause considerable morbidity, thus limiting their clinical tolerability and effectiveness (6). It is only recently that a validated questionnaire to examine the morbidity of stents has been developed and showed that stented patients suffer substantial morbidity (7,8). Without question, the major obstacles that limit stent use are the fact that they are uncomfortable, may cause infection, and provide a surface for crystals to bind and aggregate.