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World Journal of Urology
Published in: World Journal of Urology 2/2015

01-02-2015 | Topic Paper

Sky is no limit for ureteroscopy: extending the indications and special circumstances

Authors: Guido Giusti, Silvia Proietti, Roberto Peschechera, Gianluigi Taverna, Giuseppe Sortino, Luca Cindolo, Pierpaolo Graziotti

Published in: World Journal of Urology | Issue 2/2015

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Abstract

Purpose

To critically review and synthesize data of ureteroscopy (URS) in different circumstances that all urologists may encounter during everyday clinical practice, such as pregnancy, obesity, bleeding diathesis, renal stones larger than 2 cm, calyceal diverticula, and kidney malformations.

Methods

According to PRISMA guidelines, a systematic literature review was performed to identify articles published between 1990 and December 2013 that reported different indications and special circumstances for URS. Articles were separated into the following categories: pregnancy, obesity, bleeding diathesis, stones larger than 2 cm in diameter, calyceal diverticula, and kidney malformations. We used a narrative synthesis for the analyses of the studies, including a description of the characteristics and main outcomes reported in the articles.

Results

Records identified through database searching were 1396; at the end of study selection, articles included were 57. The majority of these are retrospective studies and involve small cohorts of patients. There does not exist a consensus about important parameters in ureterorenoscopy like stone size, stone free status and complication rate.

Conclusion

Ureteroscopy is effective and reliable tool capable of treating the majority of stones even in the most complicated clinical scenarios and will have more fundamental roles in endourology. The lack of definitive conclusions is due to the great heterogeneity in collecting study’s results; multicentric randomized trials that define in advance the parameters to be studied should be encouraged.
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Metadata
Title
Sky is no limit for ureteroscopy: extending the indications and special circumstances
Authors
Guido Giusti
Silvia Proietti
Roberto Peschechera
Gianluigi Taverna
Giuseppe Sortino
Luca Cindolo
Pierpaolo Graziotti
Publication date
01-02-2015
Publisher
Springer Berlin Heidelberg
Published in
World Journal of Urology / Issue 2/2015
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-014-1345-y

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