The Right Instrument for the Right Purpose: Spreading the Use of Small Caliber Ureteroscope for the Inspection of the Male and Female Urethra

S. Kulkarni, M. Bandini, Amey Y. Patil, S. Bhadranavar, Vipin Sharma, S. Bafna, S. L. Yatam, G. Barbagli, F. Montorsi, P. Joshi
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引用次数: 4

Abstract

The inspection of the urethra in patients with documented or suspected urethral stricture should be carried out with small caliber ureteroscope of 6/7.5Ch. Different from flexible cystoscope (16Ch) or resectoscope (26Ch), small caliber ureteroscope allows a comprehensive evaluation of the stricture, including its length and the status of the mucosa in its proximity, without injuring or overstretching the urethra. With a small caliber ureteroscope it is also possible to cross the stricture, allowing the evaluation of the proximal urethra, the external urethral sphincter, and the bladder. A 6/7.5Ch ureteroscope also allows estimation of the real caliber of the stricture, providing a useful landmark for further treatment decisions.
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正确的器械,正确的目的:推广小口径输尿管镜在男女尿道检查中的应用
有证实或怀疑尿道狭窄的患者应行6/7.5Ch小口径输尿管镜检查尿道。与柔性膀胱镜(16Ch)或切除镜(26Ch)不同,小口径输尿管镜可以在不损伤或过度拉伸尿道的情况下,对狭窄进行全面评估,包括狭窄的长度和邻近粘膜的状况。小口径输尿管镜也可以穿过狭窄,对近端尿道、外尿道括约肌和膀胱进行检查。6/7.5 cm输尿管镜还可以估计狭窄的真实口径,为进一步的治疗决策提供有用的里程碑。
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