Open AccessThe Right Instrument for the Right Purpose: Spreading the Use of Small Caliber Ureteroscope for the Inspection of the Male and Female Urethra
Author(s) -
Sanjay Kulkarni,
Marco Bandini,
Amey Patil,
Shreyas Bhadranavar,
Vipin Sharma,
Sandeep Bafna,
Shreeranga L. Yatam,
Guido Barbagli,
Francesco Montorsi,
Pankaj Joshi
Publication year - 2021
Publication title -
société internationale d'urologie journal
Language(s) - English
Resource type - Journals
ISSN - 2563-6499
DOI - 10.48083/nvko4969
Subject(s) - ureteroscope , cystoscope , caliber , medicine , urethra , urethral stricture , surgery , urology , materials science , metallurgy
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.