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- Title
A New Technique for Retrograde Flexible Ureteroscopy after Cohen Cross-Trigonal Ureteral Reimplantation.
- Authors
Lusuardi, Lukas; Hruby, Stephan; Jeschke, Stephan; Zimmermann, Reinhold; Sieberer, Manuela; Janetschek, Günther
- Abstract
Purpose: Retrograde ureteral access after cross-trigonal ureteral reimplantation can be challenging. We present our experience with retrograde ureteral catheterization and flexible ureteroscopy after Cohen cross-trigonal reimplantation in patients presenting with ureteral stones. Materials and Methods: Cystoscopy is performed and a Tiemann ureteral catheter is inserted into the involved ureteral orifice. A retrograde ureterography is performed and hydrophilic guide wire is passed up to the kidney. A dual-lumen ureteral access sheath is then passed under x-ray control underneath the ureteral stone. The flexible ureterorenoscope is passed under x-ray control up to the stone which is then fragmented with a holmium laser. Results: From June 2006 to June 2010, this technique was successful in 8 patients without acute or delayed sequelae. Conclusions: Where the endourological expertise is readily available, the ureter can be accessed retrogradely even after Cohen cross-trigonal ureteral reimplantation in a safe, straightforward and effective modality. Copyright © 2011 S. Karger AG, Basel
- Subjects
URINARY organ examination; URETER surgery; CATHETERIZATION; TREATMENT effectiveness; MEDICAL statistics; CYSTOSCOPY
- Publication
Urologia Internationalis, 2011, Vol 87, Issue 3, p260
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000328390