Frontiers in Surgery (Sep 2023)

Controversies in ureteroscopy: lasers, scopes, ureteral access sheaths, practice patterns and beyond

  • Patrick Juliebø-Jones,
  • Patrick Juliebø-Jones,
  • Patrick Juliebø-Jones,
  • Etienne Xavier Keller,
  • Etienne Xavier Keller,
  • Vincent De Coninck,
  • Vincent De Coninck,
  • Sabine Uguzova,
  • Lazaros Tzelves,
  • Lazaros Tzelves,
  • Mathias Sørstrand Æsøy,
  • Mathias Sørstrand Æsøy,
  • Christian Beisland,
  • Christian Beisland,
  • Bhaskar K. Somani,
  • Øyvind Ulvik,
  • Øyvind Ulvik

DOI
https://doi.org/10.3389/fsurg.2023.1274583
Journal volume & issue
Vol. 10

Abstract

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Ureteroscopy has become an increasingly popular surgical intervention for conditions such as urinary stone disease. As new technologies and techniques become available, debate regarding their proper use has risen. This includes the role of single use ureteroscopes, optimal laser for stone lithotripsy, basketing versus dusting, the impact of ureteral access sheath, the need for safety guidewire, fluoroscopy free URS, imaging and follow up practices are all areas which have generated a lot of debate. This review serves to evaluate each of these issues and provide a balanced conclusion to guide the clinician in their practice.

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