First
ureteroscopy was performed by Hugh Hampton Young in 1912 on a patient with posterior urethral valve.
There have been reports on the effectiveness and safety of
ureteroscopy with laser lithotripsy for the management of renal calculi [4].
The way of placing DJS was generally retrograde using the cystoscope or subsequent to performing retrograde
ureteroscopy. In some cases the stent placement has been made in open surgery.
In Sindh province there is a dire need to have comprehensive stone treatment centers equipped with Lithotripsy PNL flexible
ureteroscopy and laparoscopy with facilities to have basic research on stone disease metabolic laboratory and specialized group of urologists nephrologists biochemists experienced in special intervention in stone disease.
Medical management of lower ureteral stones with tamsulosin and combined treatment with tamsulosin and nifedepine achieves a high rate of stone expulsion, thereby reducing the need for
ureteroscopy.
*
Ureteroscopy, in which the doctor passes a scope through the urethra and bladder into the ureter to remove the stone or break it up.
Minimally invasive surgeries like robotic, laparoscopic,
ureteroscopy and percutaneous surgeries have gained immense popularity in recent years.
Ureteroscopy is an effective method for the treatment of proximal ureteral stones and provides high stone-free rates.
Natural History, Complications and Re-Intervention Rates of Asymptomatic Residual Stone Fragments after
Ureteroscopy: a Report from the EDGE Research Consortium.
Flexible
ureteroscopy (FURS) is currently used to treat calyceal diverticula.
Treatment-wise, the kidney stone market consists medications, extracorporeal shock wave lithotripsy (ESWL),
ureteroscopy (URS), and percutaneous nephrolithotomy (PCNL).