[Technical innovations in endourological stone therapy].
Endoscopic stone management is a field of consistent technical innovation. For ureterorenoscopy, flexible scopes capable of 270 degrees deflection have allowed access to the complete urinary tract, including the lower-pole renal calculi. To counter the flaw of high repair costs, new-generation flexible ureterorenoscopes feature significantly greater durability and a less frequent need for repair. The development and improvement of auxiliary instruments such as access sheaths has facilitated the procedures, reduced complications, and improved the stone-free rates. A similar trend is seen for percutaneous nephrolitholapaxy (PCNL). Development is directed at miniaturised instruments such as the mini-PCNL. Especially in combination with a tubeless procedure in which a routine nephrostomy after PCNL is omitted and the nephrostomy tract is closed using hemostyptic sealant, similar success rates are achieved, with fewer complications and shorter hospital stays.
Honeck
P
P
Urologische Universitätsklinik Mannheim, Theodor-Kutzer-Ufer 1-3, 68135, Mannheim, Deutschland. patrick.honeck@uro.ma.uni-heidelberg.de
Nagele
U
U
Michel
M S
MS
D004867:Equipment Design / Q000639:trends; D019544:Equipment Failure Analysis; D005544:Forecasting; D006801:Humans; D020702:Hysteroscopes / Q000639:trends*; D007669:Kidney Calculi / Q000601:surgery*; D008904:Miniaturization / Q000295:instrumentation; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation* / Q000639:trends; D014514:Ureteral Calculi / Q000601:surgery*