[Exploration of the intra-renal collecting system using flexible fibroscopy].
23 cases of flexible retrograde nephroscopy system for undiagnosed hematuria or filling defect are reviewed. The introduction was carried out by combining hydraulic dilation, rigid ureterorenoscopy and a working sheath. The indications were merely diagnostic (filling defects and/or haematuria). The success rate was very high (22 of 23). 9 cases of papillary tumors, 4 cases of small radiolucent stones and 1 case of papillary necrosis were diagnosed. In 8 cases no pathology was found. The complication rate was extremely low and the postoperative course was uneventful. Flexible instruments offer a very good chance to explore the intrarenal collecting system and transureteral nephroscopy through a 10.8 F flexible scope is a feasible and effective procedure.
Puppo
P
P
Departamento de Urología, Hospital S. Corona, Pietrà L., Italia.
Ricciotti
G
G
Bottino
P
P
Germinale
F
F
Perachino
M
M
D000328:Adult; D000368:Aged; D016477:Artifacts; D002404:Catheterization; D019723:Endoscopes; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods; D005260:Female; D005336:Fiber Optic Technology; D006417:Hematuria / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007669:Kidney Calculi / Q000175:diagnosis* / Q000628:therapy; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D007685:Kidney Tubules, Collecting / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000601:surgery; D009403:Nephrostomy, Percutaneous; D010212:Papilloma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D011859:Radiography; D014546:Urinary Catheterization
Exploración del sistema colector intrarrenal a través de fibroscopia flexible.