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Flexible ureteroscopy: Technological advancements, current indications and outcomes in the treatment of urolithiasis |
Husain Alenezi, John D. Denstedt
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Division of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada |
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Abstract The last 3 decades have witnessed great improvements in the technology and clinical applications of many minimally invasive procedures in the urological field. Flexible ureteroscopy (fURS) has advanced considerably to become a widely utilized diagnostic and therapeutic tool for multiple upper urinary tract pathologies. The most common indication for fURS is the treatment of upper urinary tract stones with the aid of Holmium:Yttrium Aluminium Garnet (YAG) laser lithotripsy. Advancements in endoscope technologies and operative techniques have lead to a broader application of fURS in the management of urolithiasis to include larger and more complex stones. fURS has proved to be an effective and safe procedure with few contraindications. Continued progression in fURS may increase its clinical applicability and supplant other procedures as the first line treatment option for urolithiasis.
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Received: 03 June 2015
Published: 18 September 2015
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Corresponding Authors:
John D. Denstedt
E-mail: john.denstedt@sjhc.london.on.ca
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|
[1] |
Marshall VF. Fiber optics in urology. J Urol 1964;91:110-0.
|
[2] |
Bagley DH. Active versus passive deflection in flexible ureteroscopy. J Endourol 1987;1:15-5.
|
[3] |
Grasso M, Bagley D. A 7.5/8.2 F actively deflectable, flexible ureteroscope:a new device for both diagnostic and therapeutic upper urinary tract endoscopy. Urology 1994;43:435-51.
|
[4] |
Denstedt JD, Razvi H a, Sales JL, Eberwein PM. Preliminary experience with holmium:YAG laser lithotripsy. J Endourol 1995;9:255-5.
|
[5] |
Ankem MK, Lowry PS, Slovick RW, Munoz Del Rio A, Nakada SY. Clinical utility of dual active deflection flexible ureteroscope during upper tract ureteropyeloscopy. Urology 2004;64:430-0.
|
[6] |
Traxer O, Dubosq F, Jamali K, Gattegno B, Thibault P. Newgeneration flexible ureterorenoscopes are more durable than previous ones. Urology 2006;68:276-6.
|
[7] |
Bach C, Nesar S, Kumar P, Goyal A, Kachrilas S, Papatsoris A, et al. The new digital flexible ureteroscopes:'size does matter'——increased ureteric access sheath use! Urol Int 2012; 89:408-81.
|
[8] |
Traxer O, Thomas A. Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. J Urol 2013; 189:580-0.
|
[9] |
Alexander B, Fishman AI, Grasso M. Ureteroscopy and laser lithotripsy:technologic advancements. World J Urol 2014;33:247-76.
|
[10] |
Yinghao S, Yang B, Gao X. The management of renal caliceal calculi with a newly designed ureteroscope:a rigid ureteroscope with a deflectable tip. J Endourol 2010;24:23-3.
|
[11] |
Desai MM, Aron M, Gill IS, Pascal-Haber G, Ukimura O, Kaouk JH, et al. Flexible robotic retrograde renoscopy:description of novel robotic device and preliminary laboratory experience. Urology 2008;72:42-2.
|
[12] |
Desai MM, Grover R, Aron M, Ganpule A, Joshi SS, Desai MR, et al. Robotic flexible ureteroscopy for renal calculi:initial clinical experience. J Urol 2011;186:563-3.
|
[13] |
Saglam R, Muslumanoglu AY, Tokatli Z, Ça?kurlu T, Sarica K, Ta?çi AI, et al. A new robot for flexible ureteroscopy:development and early clinical results (IDEAL stage 1-2b). Eur Urol 2014;66:1092-200.
|
[14] |
Türk C, Knoll T, Petrik A, Sarica K, Skolarikos A, Straub M, et al. EAU guidelines on urolithiasis. 2013.
|
[15] |
Sofer M, Watterson JD, Wollin TA, Nott L, Razvi H, Denstedt JD. Holmium:YAG laser lithotripsy for upper urinary tract calculi in 598 patients. J Urol 2002;167:31-1.
|
[16] |
Grasso M, Ficazzola M. Retrograde ureteropyeloscopy for lower pole caliceal calculi. J Urol 1999;162:1904-4.
|
[17] |
Bas O, Bakirtas H, Sener NC, Ozturk U, Tuygun C, Goktug HNG, et al. Comparison of shock wave lithotripsy, flexible ureterorenoscopy and percutaneous nephrolithotripsy on moderate size renal pelvis stones. Urolithiasis 2014;42:115-50.
|
[18] |
Chung BI, Aron M, Hegarty NJ, Desai MM. Ureteroscopic versus percutaneous treatment for medium-size (1-1-cm) renal calculi. J Endourol 2008;22:343-3.
|
[19] |
Ferroud V, Lapouge O, Dousseau A, Rakototiana A, Robert G, Ballanger P. Flexible ureteroscopy and mini percutaneous nephrolithotomy in the treatment of renal lithiasis less or equal to 2 cm. Prog Urol 2011;21:79-94.
|
[20] |
Sabnis RB, Jagtap J, Mishra S, Desai M. Treating renal calculi 1-1 cm in diameter with minipercutaneous or retrograde intrarenal surgery:a prospective comparative study. BJU Int 2012;110:E346-6.
|
[21] |
Lingeman JE, Folmer M. AUA guidelines on the management of staghorn calculi. AUA Clin Guidel 2005.
|
[22] |
Aso Y, Ohta N, Nakano M, Ohtawara Y, Tajima A, Kawabe K. Treatment of staghorn calculi by fiberoptic transurethral nephrolithotripsy. J Urol 1990;144:17-7.
|
[23] |
Mugiya S, Suzuki K, Ushiyama T, Fujita K. Combined treatment of staghorn calculi by fiberoptic transurethral nephrolithotripsy and extracorporeal shock wave lithotripsy. Int J Urol 1998;5:129-93.
|
[24] |
Grasso M, Conlin M, Bagley D. Retrograde ureteropyeloscopic treatment of 2 cm. or greater upper urinary tract and minor staghorn calculi. J Urol 1998;160:346-61.
|
[25] |
Aboumarzouk OM, Monga M, Kata SG, Traxer O, Somani BK. Flexible ureteroscopy and laser lithotripsy for stones >2 cm:a systematic review and meta-analysis. J Endourol 2012;26:1257-73.
|
[26] |
Takazawa R, Kitayama S, Tsujii T. Successful outcome of flexible ureteroscopy with holmium laser lithotripsy for renal stones 2 cm or greater. Int J Urol 2012;19:264-4.
|
[27] |
Miernik A, Schoenthaler M, Wilhelm K, Wetterauer U, Zyczkowski M, Paradysz A, et al. Combined semirigid and flexible ureterorenoscopy via a large ureteral access sheath for kidney stones >2 cm:a bicentric prospective assessment. World J Urol 2014;32:697-702.
|
[28] |
Akman T, Binbay M, Ozgor F, Ugurlu M, Tekinarslan E, Kezer C, et al. Comparison of percutaneous nephrolithotomy and retrograde flexible nephrolithotripsy for the management of 2-2 cm stones:a matched-pair analysis. BJU Int 2012;109:1384-4.
|
[29] |
Zeng G, Zhu W, Li J, Zhao Z, Zeng T, Liu C, et al. The comparison of minimally invasive percutaneous nephrolithotomy and retrograde intrarenal surgery for stones larger than 2 cm in patients with a solitary kidney:a matched-pair analysis. World J Urol 2015;33:1159-94.
|
[30] |
Breda A, Angerri O. Retrograde intrarenal surgery for kidney stones larger than 2.5 cm. Curr Opin Urol 2014;24:179-93.
|
[31] |
Marguet CG, Springhart WP, Tan YH, Patel A, Undre S, Albala DM, 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;96:1097-700.
|
[32] |
Hamamoto S, Yasui T, Okada A, Taguchi K, Kawai N, Ando R, et al. Endoscopic combined intrarenal surgery for large calculi:simultaneous use of flexible ureteroscopy and minipercutaneous nephrolithotomy overcomes the disadvantageous of percutaneous nephrolithotomy monotherapy. J Endourol 2014;28:28-83.
|
[33] |
Zeng G, Zhao Z, Wu W, Zhong WEN. Combination of debulking single-tract percutaneous nephrolithotomy followed by retrograde intrarenal surgery for staghorn stones in solitary kidneys. Scand J Urol 2014;48:295-500.
|
[34] |
Hamamoto S, Yasui T, Okada A, Koiwa S, Taguchi K, Itoh Y, et al. Efficacy of endoscopic combined intrarenal surgery in the prone split-leg position for staghorn calculi. J Endourol 2015;29:19-94.
|
[35] |
Elbahnasy AM, Shalhav AL, Hoenig DM, Elashry OM, Smith DS, Mcdougall EM, et al. Lower caliceal stone clearance after shock wave lithotripsy or ureteroscopy:the impact of lower pole radiographic anatomy. J Urol 1998;159:676-62.
|
[36] |
Geavlete P, Multescu R, Geavlete B. Influence of pyelocaliceal anatomy on the success of flexible ureteroscopic approach. J Endourol 2008;22:2235-5.
|
[37] |
Resorlu B, Oguz U, Resorlu EB, Oztuna D, Unsal A. The impact of pelvicaliceal anatomy on the success of retrograde intrarenal surgery in patients with lower pole renal stones. Urology 2012;79:61-1.
|
[38] |
Jessen JP, Honeck P, Knoll T, Wendt-Nordahl G. Flexible ureterorenoscopy for lower pole stones:influence of the collecting system's anatomy. J Endourol 2014;28:146-61.
|
[39] |
Traxer O. Flexible ureterorenoscopic management of lowerpole stone:does the scope make the difference? J Endourol 2008;22:1847-70.
|
[40] |
Kourambas J, Delvecchio F, Munver R, Preminger GM. Nitinol stone retrieval-assisted ureteroscopic management of lower pole renal calculi. J Urol 2012;4295:935-5.
|
[41] |
Schuster TG, Hollenbeck BK, Faerber GJ, Wolf JS. Ureteroscopic treatment of lower pole calculi:comparison of lithotripsy in situ and after displacement. J Urol 2002;168:43-3.
|
[42] |
Perlmutter AE, Talug C, Tarry WF, Zaslau S, Mohseni H, Kandzari SJ. Impact of stone location on success rates of endoscopic lithotripsy for nephrolithiasis. Urology 2008;71:214-4.
|
[43] |
Martin F, Hoarau N, Lebdai S, Pichon T, Chautard D, Culty T, et al. Impact of lower pole calculi in patients undergoing retrograde intrarenal surgery. J Endourol 2014;28:141-1.
|
[44] |
Pearle M, Lingeman J, Leveillee R, Kuo R, Preminger G, Nadler R, et al. Prospective, randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole caliceal calculi 1 cm or less. J Urol 2005;173:2005-5.
|
[45] |
El-Nahas AR, Ibrahim HM, Youssef RF, Sheir KZ. Flexible ureterorenoscopy versus extracorporeal shock wave lithotripsy for treatment of lower pole stones of 10-00 mm. BJU Int 2012;110:898-802.
|
[46] |
Kumar A, Vasudeva P, Nanda B, Kumar N, Das MK, Jha SK. A prospective randomized comparison between shock wave lithotripsy and flexible ureterorenoscopy for lower caliceal stones 2 cm:a single-center experience. J Endourol 2015;29:575-5.
|
[47] |
Bozkurt OF, Resorlu B, Yildiz Y, Can CE, Unsal A. Retrograde intrarenal surgery versus percutaneous nephrolithotomy in the management of lower-pole renal stones with a diameter of 15 to 20 mm. J Endourol 2011;25:1131-1.
|
[48] |
Kirac M, Bozkurt O¨ F, Tunc L, Guneri C, Unsal A, Biri H. Comparison of retrograde intrarenal surgery and minipercutaneous nephrolithotomy in management of lower-pole renal stones with a diameter of smaller than 15 mm. Urol Res 2013;41:241-1.
|
[49] |
Aboumarzouk OM, Kata SG, Keeley FX, McClinton S, Nabi G. Extracorporeal shock wave lithotripsy (ESWL) versus ureteroscopic management for ureteric calculi (review). Cochrane Database Syst Rev 2012;5:1-14.
|
[50] |
Pace KT, Weir MJ, Tariq N, Honey RJ. Low success rate of repeat shock wave lithotripsy for ureteral stones after failed initial treatment. J Urol 2000;164:1905-5.
|
[51] |
Hyams ES, Monga M, Pearle MS, Antonelli J a, Semins MJ, Assimos DG, et al. A prospective, multi-institutional study of flexible ureteroscopy for proximal ureteral stones <2 cm. J Urol 2014;193:165-5.
|
[52] |
Kijvikai K, Haleblian GE, Preminger GM, de la Rosette J. Shock wave lithotripsy or ureteroscopy for the management of proximal ureteral calculi:an old discussion revisited. J Urol 2007;178:1157-73.
|
[53] |
Ishii H, Aboumarzouk OM, Somani BK. Current status of ureteroscopy for stone disease in pregnancy. Urolithiasis 2014;42:1-1.
|
[54] |
Swartz MA, Lydon-Rochelle MT, Simon D, Wright JL, Porter MP. Admission for nephrolithiasis in pregnancy and risk of adverse birth outcomes. Obstet Gynecol 2007;109:1099-904.
|
[55] |
Denstedt JD, Razvi H. Management of urinary calculi during pregnancy. J Urol 1992;148:1072-2.
|
[56] |
Laing KA, Lam TBL, McClinton S, Cohen NP, Traxer O, Somani BK. Outcomes of ureteroscopy for stone disease in pregnancy:results from a systematic review of the literature. Urol Int 2012;89:380-0.
|
[57] |
Rittenberg MH, Bagley DH. Ureteroscopic diagnosis and treatment of urinary calculi during pregnancy. Urology 1988; 32:427-7.
|
[58] |
Watterson JD, Girvan AR, Beiko DT, Nott L, Wollin TA, Razvi H, et al. Ureteroscopy and holmium:YAG lithotripsy:an emerging definitive management strategy for symptomatic ureteral calculi in pregnancy. Urology 2002;60:383-3.
|
[59] |
Lifshitz D a, Lingeman JE. Ureteroscopy as a first-line intervention for ureteral calculi in pregnancy. J Endourol 2002;16:19-92.
|
[60] |
Semins MJ, Trock BJ, Matlaga BR. The safety of ureteroscopy during pregnancy:a systematic review and meta-analysis. J Urol 2009;181:139-93.
|
[61] |
Desai M. Endoscopic management of stones in children. Curr Opin Urol 2005;15:107-72.
|
[62] |
Erkurt B, Caskurlu T, Atis G, Gurbuz C, Arikan O, Pelit ES, et al. Treatment of renal stones with flexible ureteroscopy in preschool age children. Urolithiasis 2014;42:241-1.
|
[63] |
Tan AHH, Al-Omar M, Denstedt JD, Razvi H. Ureteroscopy for pediatric urolithiasis:an evolving first-line therapy. Urology 2005;65:153-3.
|
[64] |
Kim SS, Kolon TF, Canter D, White M, Casale P. Pediatric flexible ureteroscopic lithotripsy:the children's hospital of philadelphia experience. J Urol 2008;180:2616-6.
|
[65] |
Ishii H, Griffin S, Somani BK. Flexible ureteroscopy and lasertripsy (FURSL) for paediatric renal calculi:results from a systematic review. J Pediatr Urol 2014;10:1020-0.
|
[66] |
Unsal A, Resorlu B. Retrograde intrarenal surgery in infants and preschool-age children. J Pediatr Surg 2011;46:2195-5.
|
[67] |
Mokhless IA, Abdeldaeim HM, Saad A, Zahran AR. Retrograde intrarenal surgery monotherapy versus shock wave lithotripsy for stones 10 to 20 mm in preschool children:a prospective, randomized study. J Urol 2014;191:1496-600.
|
[68] |
Resorlu B, Unsal A, Tepeler A, Atis G, Tokatli Z, Oztuna D, et al. Comparison of retrograde intrarenal surgery and minipercutaneous nephrolithotomy in children with moderatesize kidney stones:results of multi-institutional analysis. Urology 2012;80:519-93.
|
[69] |
Ganpule AP, Desai MR. Urolithiasis in kidneys with abnormal lie, rotation or form. Curr Opin Urol 2011;21:145-53.
|
[70] |
Atis G, Resorlu B, Gurbuz C, Arikan O, Ozyuvali E, Unsal A, et al. Retrograde intrarenal surgery in patients with horseshoe kidneys. Urol Res 2013;41:79-93.
|
[71] |
Weizer AZ, Springhart WP, Ekeruo WO, Matlaga BR, Tan YH, Assimos DG, et al. Ureteroscopic management of renal calculi in anomalous kidneys. Urology 2005;65:265-5.
|
[72] |
Molimard B, Al-Qahtani S, Lakmichi A, Sejiny M, Gil-Diez De Medina S, Carpentier X, et al. Flexible ureterorenoscopy with holmium laser in horseshoe kidneys. Urology 2010;76:1334-4.
|
[73] |
Bozkurt OF, Tepeler A, Sninsky B, Ozyuvali E, Atis G, Daggulli M, et al. Flexible ureterorenoscopy for the treatment of kidney stone within pelvic ectopic kidney. Urology 2014;84:1285-5.
|
[74] |
Sejiny M, Al-Qahtani S, Elhaous A, Molimard B, Traxer O. Efficacy of flexible ureterorenoscopy with holmium laser in the management of stone-bearing caliceal diverticula. J Endourol 2010;24:961-1.
|
[75] |
Koopman SG, Fuchs G. Management of stones associated with intrarenal stenosis:infundibular stenosis and caliceal diverticulum. J Endourol 2013;27:1546-60.
|
[76] |
Watterson JD, Girvan AR, Cook AJ, Beiko DT, Nott L, Auge BK, et al. Safety and efficacy of holmium:YAG laser lithotripsy in patients with bleeding diatheses. J Urol 2002;168:442-2.
|
[77] |
Kuo RL, Aslan P, Fitzgerald KB, Preminger GM. Use of ureteroscopy and holmium:YAG laser in patients with bleeding diatheses. Urology 1998;52:609-93.
|
[78] |
Turna B, Stein RJ, Smaldone MC, Santos BR, Kefer JC, Jackman SV, et al. Safety and efficacy of flexible ureterorenoscopy and holmium:YAG lithotripsy for intrarenal stones in anticoagulated cases. J Urol 2008;179:1415-5.
|
[79] |
Aboumarzouk OM, Somani BK, Monga M. Flexible ureteroscopy and holmium:YAG laser lithotripsy for stone disease in patients with bleeding diathesis:a systematic review of the literature. Int Braz J Urol 2012;38:298-806.
|
[80] |
Aboumarzouk OM, Somani B, Monga M. Safety and efficacy of ureteroscopic lithotripsy for stone disease in obese patients:a systematic review of the literature. BJU Int 2012;110:E374-40.
|
[81] |
Chew BH, Zavaglia B, Paterson RF, Teichman JMH, Lange D, Zappavigna C, et al. A multicenter comparison of the safety and effectiveness of ureteroscopic laser lithotripsy in obese and normal weight patients. J Endourol 2013;27:710-0.
|
[82] |
Pompeo A, Molina WR, Juliano C, Sehrt D, Kim FJ. Outcomes of intracorporeal lithotripsy of upper tract stones is not affected by BMI and skin-to-stone distance (SSD) in obese and morbid patients. Int Braz J Urol 2013;39:702-21.
|
[83] |
Best SL, Nakada SY. Flexible ureteroscopy is effective for proximal ureteral stones in both obese and nonobese patients:a two-year, single-surgeon experience. Urology 2011;77:36-6.
|
[84] |
Caskurlu T, Atis G, Arikan O, Pelit ES, Kilic M, Gurbuz C. The impact of body mass index on the outcomes of retrograde intrarenal stone surgery. Urology 2013;81:517-71.
|
[85] |
Delorme G, Huu YN, Lillaz J, Bernardini S, Chabannes E, Guichard G, et al. Ureterorenoscopy with holmium-yttriumaluminum-garnet fragmentation is a safe and efficient technique for stone treatment in patients with a body mass index superior to 30 kg/m2. J Endourol 2012;26:239-93.
|
[86] |
Sari E, Tepeler A, Yuruk E, Resorlu B, Akman T, Binbay M, et al. Effect of the body mass index on outcomes of flexible ureterorenoscopy. Urol Res 2013;41:499-904.
|
[87] |
Sanguedolce F, Liatsikos E, Verze P, Hruby S, Breda a, Beatty JD, et al. Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones:results from a large European survey conducted by the EAU young academic urologists-working party on endourology and urolithiasis. Urolithiasis 2014:329-94.
|
[88] |
Rajamahanty S, Grasso M. Flexible ureteroscopy update:indications, instrumentation and technical advances. Indian J Urol 2008;24:532-2.
|
[89] |
de la Rosette J, Denstedt J, Geavlete P, Keeley F, Matsuda T, Pearle M, et al. The clinical research office of the endourological society ureteroscopy global study:indications, complications, and outcomes in 11,885 patients. J Endourol 2014; 28:131-1.
|
[90] |
Perez Castro E, Osther PJS, Jinga V, Razvi H, Stravodimos KG, Parikh K, et al. Differences in ureteroscopic stone treatment and outcomes for distal, mid-, proximal, or multiple ureteral locations:the clinical research office of the endourological society ureteroscopy global study. Eur Urol 2014;66:102-2.
|
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Boyd Carter,Wood Kyle,Whitaker Dustin,G. Assimos Dean. The influence of metabolic syndrome and its components on the development of nephrolithiasis[J]. Asian Journal of Urology, 2018, 5(4): 215-222. |
[3] |
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[5] |
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|
|
|
|