Ureteroscopic Lithotripsy: The Ideal Treatment of Urolithiasis

Ryoji Takazawa, MD, PhD
Tokyo Metropolitan Ohtsuka Hospital, Tokyo, Japan

Takashi Kawahara, MD
Ohguchi Higashi Genaral Hospital, Yokohama, Japan

Junichi Matsuzaki, MD, PhD
Ohguchi Higashi Genaral Hospital, Yokohama, Japan

Hiroki Ito, MD
Ohguchi Higashi Genaral Hospital, Yokohama, Japan

Tetsuo Yoshikawa, MD, PhD
Tokyo Metropolitan Health and Medical Treatment Corporation, Toshima Hospital, Tokyo, Japan

Sachi Kitayama, MD
Tokyo Metropolitan Ohtsuka Hospital, Tokyo, Japan

Toshihiko Tsujii, MD, PhD
Tokyo Metropolitan Ohtsuka Hospital, Tokyo, Japan

Series: Renal, Metabolic and Urologic Disorders
BISAC: MED088000

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Volume 10

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Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick

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The clinical management of urolithiasis is now in a new era of ureteroscopic lithotripsy. Ureteroscopic lithotripsy has become an effective and safe treatment for both renal and ureteral stones, and its indications have been expanding. The advantages of ureteroscopy over shock-wave lithotripsy are its ability to directly access stones throughout the entire urinary collecting system either unilaterally or bilaterally, and to actively remove stone fragments. For large renal stones, percutaneous nephrolithotomy is now a standard treatment, but its major complication rates are not negligible. Ureteroscopic lithotripsy is a type of endoscopic surgery that is performed through the natural orifice, which thus avoids the onset of any renal parenchymal damage. New surgical techniques which combine percutaneous and transurethral approaches have been developed. Ureteroscopes and their working devices have rapidly improved, and further improvements will lead to even better outcomes in the next decade.

This book presents the latest knowledge and the skills used for ureteroscopic surgery for urolithiasis. It consists of four sections (Indications, Instrumentations, Techniques and Evaluations). This book provides essential information for urologists who want to learn the techniques of this type of endourological surgery. (Imprint: Nova Biomedical )

Preface

PART I. INDICATIONS

Chapter 1 - Indications for Ureteroscopic Lithotripsy (pp. 3-16)
Ryoji Takazawa, M.D., Ph.D., Sachi Kitayama, M.D. and Toshihiko Tsujii, M.D., Ph.D.

PART II. INSTRUMENTATION

Chapter 2 - Instrumentation for Ureteroscopic Lithotripsy (pp. 19-50)
Ryoji Takazawa, M.D., Ph.D., Sachi Kitayama, M.D. and Toshihiko Tsujii, M.D., Ph.D.

PART III. TECHNIQUES

Chapter 3 - Preoperative Preparation: Antibiotics, Prestenting, and Percutaneous Nephrostomy (pp. 53-62)
Takashi Kawahara, M.D., Hiroki Ito, M.D., Hiroji Uemura, M.D., Ph.D., Yoshinobu Kubota, M.D., Ph.D., Junichi Matsuzaki, M.D., Ph.D.

Chapter 4 - Semirigid and Flexible Ureteroscopy: Ohtsuka Method (pp. 63-76)
Ryoji Takazawa, M.D., Ph.D., Sachi Kitayama, M.D. and Toshihiko Tsujii, M.D., Ph.D.

Chapter 5 - Semirigid and Flexible Ureteroscopy: Ohguchi-Higashi Method (pp. 77-86)
Junichi Matsuzaki, M.D., Ph.D., Takashi Kawahara, M.D., Hiroki Ito, M.D., Hiroji Uemura, M.D., Ph.D., Masahiro Yao, M.D., Ph.D. and Yoshinobu Kubota, M.D., Ph.D.

Chapter 6 - Stenting and Postoperative Care (pp. 87-98)
Takashi Kawahara, M.D., Hiroki Ito, M.D., Hiroji Uemura, M.D., Ph.D., Yoshinobu Kubota, M.D., Ph.D. and Junichi Matsuzaki, M.D., Ph.D.

Chapter 7 - Combination with PCNL: Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) (pp. 99-110)
Takashi Kawahara, M.D., Hiroki Ito, M.D., Hiroji Uemura, M.D., Ph.D., Yoshinobu Kubota, M.D., Ph.D. and Junichi Matsuzaki, M.D., Ph.D.

PART IV. EVALUATIONS

Chapter 8 - Pre- and Post-Operative Evaluations (pp. 113-126)
Hiroki Ito, M.D., Takashi Kawahara, M.D., Masahiro Yao, M.D., Ph.D., Yoshinobu Kubota, M.D., Ph.D. and Junichi Matsuzaki, M.D., Ph.D.

Chapter 9 - Complications of Ureteroscopy (pp. 127-132)
Tetsuo Yoshikawa, M.D., Ph.D.

Chapter 10 - Evidence for Staged Operations (pp. 133-140)
Ryoji Takazawa, M.D., Ph.D., Sachi Kitayama, M.D. and Toshihiko Tsujii, M.D., Ph.D.

POSTFACE: FUTURE VISION

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