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Review
. 2023 Sep 13:10:1274583.
doi: 10.3389/fsurg.2023.1274583. eCollection 2023.

Controversies in ureteroscopy: lasers, scopes, ureteral access sheaths, practice patterns and beyond

Patrick Juliebø-Jones  1   2   3 , Etienne Xavier Keller  3   4 , Vincent De Coninck  3   5 , Sabine Uguzova  6 , Lazaros Tzelves  3   7 , Mathias Sørstrand Æsøy  1   2 , Christian Beisland  1   2 , Bhaskar K Somani  8 , Øyvind Ulvik  1   2
Affiliations
Review

Controversies in ureteroscopy: lasers, scopes, ureteral access sheaths, practice patterns and beyond

Patrick Juliebø-Jones et al. Front Surg. .

Abstract

Ureteroscopy has become an increasingly popular surgical intervention for conditions such as urinary stone disease. As new technologies and techniques become available, debate regarding their proper use has risen. This includes the role of single use ureteroscopes, optimal laser for stone lithotripsy, basketing versus dusting, the impact of ureteral access sheath, the need for safety guidewire, fluoroscopy free URS, imaging and follow up practices are all areas which have generated a lot of debate. This review serves to evaluate each of these issues and provide a balanced conclusion to guide the clinician in their practice.

Keywords: fluroscopy; laser; lithotripsy; ureteral access sheath; ureteroscopy.

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Conflict of interest statement

VC: consultant for BD, Bard and Coloplast, and has no specific conflicts relevant to this study. EK: consultant for Coloplast, Olympus, Boston Scientific, Recordati, Debiopharm and Alnylam, and has no specific conflicts of interest relevant to this work. ØU: consultant for Olympus, and has no specific conflicts relevant to this study. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

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