Comprehensive endoscopic management of impacted ureteral stones: Literature review and expert opinions

Treatment of urolithiasis, a benign disease, requires high efficacy and safety. Endoscopic treatment of impacted ureteral stones remains a challenging procedure for urologists, despite recent remarkable advances in surgical technology in treatment of urolithiasis. The success rate of endoscopic trea...

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Bibliographic Details
Published in:International journal of urology 2022-08, Vol.29 (8), p.799-806
Main Authors: Yamashita, Shimpei, Inoue, Takaaki, Kohjimoto, Yasuo, Hara, Isao
Format: Article
Language:English
Subjects:
Complications
comprehensive management
Constriction, Pathologic - etiology
endoscopic surgery
Humans
impacted ureteral stone
Literature reviews
Lithiasis
Patients
Postoperative
preoperative prediction
Treatment Outcome
Ureteral Calculi - surgery
Ureteral Obstruction - surgery
ureteral stricture
Ureteroscopy - adverse effects
Ureteroscopy - methods
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Summary:Treatment of urolithiasis, a benign disease, requires high efficacy and safety. Endoscopic treatment of impacted ureteral stones remains a challenging procedure for urologists, despite recent remarkable advances in surgical technology in treatment of urolithiasis. The success rate of endoscopic treatment in patients with impacted stones is reported to be lower than that in patients with nonimpacted stones. Moreover, the presence of stone impaction is associated with high rates of intraoperative and postoperative complications. The best management for patients with impacted ureteral stones should therefore be devised based on the latest knowledge and techniques. The present review focuses on the preoperative prediction of stone impaction, the safest and most effective endoscopic surgical procedures, and the most appropriate management for postoperative ureteral strictures. We overview comprehensive endoscopic management for impacted ureteral stones based on literature review and expert opinions.
ISSN:0919-8172
1442-2042
1442-2042
DOI:10.1111/iju.14908