High recurrence urinary stones...Reduce time and complications of inhalation-type ureteroscopy
Feb 23, 2025
Urinary stones are a disease in which stones (stones) occur in the kidneys, bladder, and urinary system, and extreme flank pain is the biggest symptom.
If left unattended, serious complications such as urinary tract infection and renal failure can occur, so early treatment is very important. Surgical treatment of urinary stones includes extracorporeal shock crushing lithotripsy and ureteral endoscopy.
Among them, ureteral endoscopy is a surgery to remove stones by inserting an endoscope through the urethra, and although surgery is possible without skin incision, the process of taking out the stone pieces one by one with a tool called 'basket' is repeated, lengthening the operation time.
Professor Chae Han-kyu of the Department of Urology at Gangdong Sacred Heart Hospital said "Repeated stone discharge operations can damage surrounding tissues, causing pain and bleeding, so experienced medical staff should perform surgery very delicately."It takes an average of one to two hours to discharge a stone, and if the size of the stone is large, it often requires more than two operations, so both patients and medical staff tend to have high fatigue."
On the other hand, suction-type ureteroscopy can shorten the operation time by more than half because the stone is crushed and then the stone pieces are sucked and discharged directly like a vacuum cleaner. Therefore, it has a lower risk of pain and infection than conventional ureteral endoscopy, so it has a lower complication. The biggest feature is that it drastically reduces the recurrence rate because even the smallest microstone is removed without leaving any left.
Professor Chae said that `fine stones are not discharged naturally, so they often grow back into stones in the body.' `Inhalation-type ureteroscopy is very helpful in reducing urinary tract stones recurrence and complications.'
In the case of kidney stones, there is an advantage that stones can be removed without incision when using an inhalation endoscope.
In general, large kidney stones larger than 2 cm undergo percutaneous nephrostomy, in which the skin is incised and an endoscope is inserted, but the inhalation type can be operated only with an endoscope. In addition, during kidney stone surgery, a large amount of physiological saline often increases renal pressure, causing pain and infectious complications, and the inhalation type can effectively reduce complications caused by kidney pressure by inhaling physiological saline in real time along with stones.
Professor Chae Han-kyu said "Even large kidney stones can be operated effectively and safely without incision through inhalation-type ureteroscopy, so the patient recovers quickly."
If left unattended, serious complications such as urinary tract infection and renal failure can occur, so early treatment is very important. Surgical treatment of urinary stones includes extracorporeal shock crushing lithotripsy and ureteral endoscopy.
Among them, ureteral endoscopy is a surgery to remove stones by inserting an endoscope through the urethra, and although surgery is possible without skin incision, the process of taking out the stone pieces one by one with a tool called 'basket' is repeated, lengthening the operation time.
Professor Chae Han-kyu of the Department of Urology at Gangdong Sacred Heart Hospital said "Repeated stone discharge operations can damage surrounding tissues, causing pain and bleeding, so experienced medical staff should perform surgery very delicately."It takes an average of one to two hours to discharge a stone, and if the size of the stone is large, it often requires more than two operations, so both patients and medical staff tend to have high fatigue."
On the other hand, suction-type ureteroscopy can shorten the operation time by more than half because the stone is crushed and then the stone pieces are sucked and discharged directly like a vacuum cleaner. Therefore, it has a lower risk of pain and infection than conventional ureteral endoscopy, so it has a lower complication. The biggest feature is that it drastically reduces the recurrence rate because even the smallest microstone is removed without leaving any left.
Professor Chae said that `fine stones are not discharged naturally, so they often grow back into stones in the body.' `Inhalation-type ureteroscopy is very helpful in reducing urinary tract stones recurrence and complications.'
In the case of kidney stones, there is an advantage that stones can be removed without incision when using an inhalation endoscope.
In general, large kidney stones larger than 2 cm undergo percutaneous nephrostomy, in which the skin is incised and an endoscope is inserted, but the inhalation type can be operated only with an endoscope. In addition, during kidney stone surgery, a large amount of physiological saline often increases renal pressure, causing pain and infectious complications, and the inhalation type can effectively reduce complications caused by kidney pressure by inhaling physiological saline in real time along with stones.
Professor Chae Han-kyu said "Even large kidney stones can be operated effectively and safely without incision through inhalation-type ureteroscopy, so the patient recovers quickly."
|
This article was translated by Naver AI translator.
