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The clinical management of urolithiasis is now in a new era of
ureteroscopic lithotripsy. Ureteroscopic lithotripsy has become an
effective and safe treatment for both renal and ureteral stones,
and its indications have been expanding. The advantages of
ureteroscopy over shock-wave lithotripsy are its ability to
directly access stones throughout the entire urinary collecting
system either unilaterally or bilaterally, and to actively remove
stone fragments. For large renal stones, percutaneous
nephrolithotomy is now a standard treatment, but its major
complication rates are not negligible. Ureteroscopic lithotripsy is
a type of endoscopic surgery that is performed through the natural
orifice, which thus avoids the onset of any renal parenchymal
damage. New surgical techniques which combine percutaneous and
transurethral approaches have been developed. Ureteroscopes and
their working devices have rapidly improved, and further
improvements will lead to even better outcomes in the next decade.
This book presents the latest knowledge and the skills used for
ureteroscopic surgery for urolithiasis. It consists of four
sections (Indications, Instrumentations, Techniques and
Evaluations). This book provides essential information for
urologists who want to learn the techniques of this type of
endourological surgery.
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