title: Transurethral ureteroscopy. Safety guide wire as an aid to a more aggressive approach.
abstract: In an unselected, consecutive series of patients, ureteroscopy was carried out for removal or manipulation of stones in 48 patients and for evaluation of suspected ureteric tumours in two. A success rate of 92% was achieved. The use of an intra-ureteric safety guide wire, indwelling throughout the procedure, facilitated ureteroscopic manipulation, minimised complications, reduced the need for subsequent open surgery and has been a prerequisite for our comparatively aggressive approach to ureteric disorders. The procedure may be time-consuming but prolonged manipulation within the ureter seems to carry little morbidity.
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014513:Ureter / Q000000981:diagnostic imaging; D014514:Ureteral Calculi / Q000000981:diagnostic imaging / Q000628:therapy*; D014516:Ureteral Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging