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

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,...

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Published inSociété internationale d'urologie journal Vol. 2; no. 4; pp. 259 - 263
Main Authors Kulkarni, Sanjay B., Bandini, Marco, Patil, Amey, Bhadranavar, Shreyas, Sharma, Vipin, Bafna, Sandeep, Yatam, Shreeranga L., Barbagli, Guido, Montorsi, Francesco, Joshi, Pankaj M.
Format Journal Article
LanguageEnglish
Published The Société Internationale d’Urologie (SIU) 16.07.2021
Subjects
education
reconstructive urology
small caliber instrument
urethra; ureteroscope
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Summary: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.
ISSN:2563-6499
2563-6499
DOI:10.48083/NVKO4969