Hannah S Thomas, Lauren Lin, Noah Stern, Sender Herschorn
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Use of the Pediatric Cystoscope for Adult Ureteroscopy.
Objective: To reintroduce the versatility of the pediatric cystoscope, we aimed to synthesize the origins of ureteroscopy and outline our experience utilizing the instrument for the diagnosis and treatment of ureteral pathology.
Methods: We reviewed published literature for historical and modern-day uses of the pediatric cystoscope for ureteroscopy. In addition, we described our experience maneuvering the scope in common patient scenarios and use this to discuss the pros and cons of this tool for ureteroscopy.
Results: In the 1970s, the pediatric cystoscope gave rise to diagnostic and therapeutic ureteroscopy as documented by historical case series. With the advent of longer and flexible ureteroscopy instruments, the pediatric cystoscope became seemingly less valuable for this procedure. However, as described using multiple case examples, the pediatric cystoscope can be a useful instrument for the investigation and treatment of distal ureteral pathology including 1-2cm tumors, strictures, and stones. This is primarily due to the tool's ergonomic advantage, tolerability under local anesthesia and manipulation into small spaces.
Conclusion: Reviewing the historical origins of ureteroscopy reintroduces the urology community to the value of the pediatric cystoscope for the diagnosis and treatment of distal ureteral pathology, particularly in women. The pediatric cystoscope can be a useful instrument for all urologists' armamentarium.
期刊介绍:
Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology
The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.