CURRENT PRINCIPLES AND THERAPEUTIC CONCEPTS OF RETROGRADE INTRA-RENAL SURGERY FOR UROLITHIASIS
Authors:
S. Agrawal; M. Král; A. Patel *
Authors‘ workplace:
Department of Urology, St. Mary’s Hospital at Imperial College Healthcare NHS Trust and Imperial School of Medicine, London
*
Published in:
Urol List 2012; 10(1): 36-41
Overview
Retrograde Intra-Renal Surgery (RIRS) has undergone numerous technological advances since Hugh Hampton Young’s first foray in 1912 into the megaureter of a two month-old child using a 12Fr cystoscope, and the later introduction of rod lens optics by Harold Hopkins in 1960 [1,2]. A diverse array of equipment and accessories is available in modern practice and surgeons are increasingly tackling stone disease that previously would have required open or percutaneous surgery (PCNL), using a RIRS approach. This paper is based on the ureteroscopy part of the ESU Stone course, and aims to provided an update on recent advances and define a new and evolving framework for managing more complex stones.
Key words:
retrograde intra-renal surgery, urolithiasis, principles, therapeutic concepts
Sources
1. Young HH, McKay RW. Congenital valvular obstruction of prostatic urethra. Surg Gynecol Obstet 1929; 48: 509–535.
2. Hopkins HH. British patent 954,629 and U.S. patent 1960, 3,257,902.
3. Pearle MS, Lingeman JE, Leveillee R et al. Prospective, randomized trial comparing shockwave lithotripsy and ureteroscopy for lower pole caliceal calculi 1cm or less. J Urol 2005; 173(6): 2005–2009.
4. Clayman M, Uribe CA, Eichel L et al. Comparison of guide wires in urology. Which, when and why? J Urol 2004; 171 (6 Pt 1): 2146–2150.
5. Ng YH, Somani BK, Dennison A et al. Irrigant flow and intrarenal pressure during flexible ureteroscopy: the effect of different access sheaths, working channel instruments, and hydrostatic pressure. J Endourol 2010; 24(12): 1915–1920.
6. Delvecchio FC, Auge BK, Brizuela RM et al. Assessment of stricture formation with the ureteral access sheath. Urology 2003; 61(3): 518–522.
7. Vanlangendonck R, Landman J. Ureteral access strategies: pro-access sheath. Urol Clin North Am 2004; 31(1): 71–81.
8. Stern JM, Yiee J, Park S. Reviews in Endourology Safety and Efficacy of Ureteral Access Sheaths. J Endourol 2007; 21(2): 119–123.
9. Rapoport D, Perks AE, Teichman JMH. Ureteral access sheath use and stenting in ureteroscopy: effect on unplanned emergency room visits and cost. J Endourol 2007; 21(9): 993–997.
10. Goodman TM. Ureteroscopy with paediatric cystoscope in adults. Urology 1997; 9(4): 394.
11. Lyon ES, Kyker JS, Schoenberg HW. Transurethral ureteroscopy in women: A ready addition to the urological armamentarium. J Urol 1978; 119(1): 35–36.
12. Takagi T, Go T, Takayasu H et al. Fiberoptic pyeloureteroscope. Surgery 1971; 70(5): 661–663.
13. Pérez-Castro Ellendt E, Martínez-Piñeiro JA. Transurethral ureteroscopy. A current urological procedure [Article in Spanish]. Arch Esp Urol 1980; 33(5): 445–460.
14. Bagley DH, Huffman JL, Lyon ES. Combined rigid and flexible ureteropyeloscopy. J Urol 1983; 130(2): 243–244.
15. Multescu R, Geavlete B, Georgescu D et al. Conventional Fiberoptic Flexible Ureteroscope Versus Fourth Generation Digital Flexible Ureteroscope: A Critical Comparison. J Endourol 2010; 24(1): 17–21.
16. Shvarts O, Perry KT, Goff B et al. Improved functional deflection with a dual-deflection flexible ureteroscope. J Endourol 2004; 18(2): 141–144.
17. Holley PG, Sharma SK, Perry KT et al. Assessment of novel ureteral occlusion de- vice and comparison with Stone Cone in pre- vention of stone fragment migration during lithotripsy. J Endourol 2005; 19(2): 200–203.
18. Patel A. Lower calyceal occlusion by autologous blood clot to prevent stone fragment reaccumulation after retrograde intra-renal surgery for lower calyceal stones: first experience of a new technique. J Endourol 2008; 22(11): 2501–2506.
19. Natalin R, Xavier K, Okeke Z et al. Impact of obesity on ureteroscopic laser lithotripsy of urinary tract calculi. Int Braz J Urol 2009; 35(1): 36–42.
20. Wheat JC, Roberts WW, Wolf JS Jr. Multi-session retrograde endoscopic lithotripsy of large renal cal-culi in obese patients. Can J Urol 2009; 16(6): 4915–4920.
21. Turna B, Stein RJ, Smaldone MC et al. Safety and efficacy of flexible ureterorenoscopy and holmium:YAG lithotripsy for intrarenal stones in anticoagulated cases. J Urol 2008; 179(4): 1415–1419.
22. Riley JM, Stearman L, Troxel S. Retrograde ureteroscopy for renal stones larger than 2.5 cm. J Endourol 2009; 23(9): 1395–1398.
23. Breda A, Ogunyemi O, Leppert JT et al. Flexible Ureteroscopy and Laser Lithotripsy for Multiple Unilateral Intrarenal Stones. Eur Urol 2009; 55(5): 1190–1196.
24. Mariani AJ. Combined Electrohydraulic and Holmium:YAG Laser Ureteroscopic Nephrolithotripsy of Large (Greater Than 4 cm) Renal Calculi. J Urol 2007; 177(1): 168–173.
25. John TT, Razdan S. Adjunctive tamsulosin improves stone free rate after ureteroscopic lithotripsy of large renal and ureteric calculi: a prospective randomized study. Urology 2010; 75(5): 1040–1042.
26. Patel A, Fuchs GJ. Expanding the horizons of SWL through adjunctive use of retrograde intrarenal surgery: new techniques and indications. J Endourol 1997; 11(1): 33–36.
27. Marguet CG, Springhart WP, Tan YH et al. Simultaneous combined use of flexible ureteroscopy and percutaneous nephrolithotomy to reduce the number of access tracts in the management of complex renal calculi. BJU Int 2005; 96(7): 1097–1100.
28. Nabi G, Cook J, N'Dow J et al. Outcomes of stenting after uncomplicated ureteroscopy: systematic review and meta-analysis. BMJ 2007; 334(7593): 572.
29. Rane A, Saleemi A, Cahill D et al. Have stent-related symptoms anything to do with placement technique? J Endourol 2001; 15(7): 741–745.
30. Deliveliotis C, Chrisofos M, Gougousis E et al. Is there a role for alpha1-blockers in treating double-J stent-related symptoms? Urology 2006; 67(1): 35–39.
31. Damiano R, Autorino R, De Sio M et al. Effect of tamsulosin in preventing ureteral stent-related morbidity: a prospective study. J Endourol 2008; 22(4): 651–656.
32. Desai MM, Aron M, Gill IS et al. Flexible robotic retrograde renoscopy: description of novel robotic device and preliminary laboratory experience. Urology 2008; 72(1): 42–46.
33. Desai MM, Grover R, Aron M et al. Robotic flexible ureteroscopy for renal calculi: initial clinical experience. J Urol 2011; 186(2): 563–568.
34. Langen PH, Karypiadou M, Steffens J. Ureteroscopy under intravenous analgesia with remifentanil. Urologe A 2004; 43(6): 689–697.
35. Park HK, Paick SH, Oh SJ et al. Ureteroscopic lithotripsy under local anesthesia: Eur Urol 2004; 45(5): 670–673.
Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
![Issue 1](https://www.prolekare.cz/media/cache/resolve/journal_issue/media/image_pdf/f684ac23708f8f9c5bfcf70433ed07bf.jpeg)
2012 Issue 1
Most read in this issue
- RELATIONSHIPS OF TESTOSTERONE AND PROSTATE CANCER
-
Laparoskopická operace pánevního dna
Část I – laparoskopická kolposuspenze
Část II – laparoskopická kolpopexe - CENTRAL NERVOUS SYSTEM ADVERSE DRUG EVENTS OF ANTIMUSCARINIC MEDICATION
- RADIOFREQUENCY ABLATION OF RENAL TUMOURS