Abstract
Ureteroscopy has grown from isolated incidental procedures to become a standard portion of urologic endoscopy, both for diagnosis and treatment. The development of fiber optics accelerated the development of the ureteroscope. Initially ureteroscopy was limited by the lack of irrigation, deflection, and working instruments. A major step in ureteroscopy came with distal ureteroscopy using rigid instruments. As the utility of these procedures became evident, there was a rapid development of more endoscopes and associated working instruments, specifically designed for the ureter. One of the major applications has been for urinary calculi. This has been assisted by the development of appropriate intraluminal lithotriptors. The limitations of rigid endoscopes became evident and a great deal of effort was put into developing functional, flexible ureteroscopes with channels adequate for irrigation and working instruments and deflection capabilities which increased access to the lower pole of the kidney. The main limitation is the cross-sectional size of the ureteroscope. The ureter does not accept large instruments easily. The ideal ureteroscope has yet to be made.
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Bagley, D.H., Healy, K.A. (2012). History and Development of the Ureteroscope: What Does the Future Hold?. In: Talati, J., Tiselius, HG., Albala, D., YE, Z. (eds) Urolithiasis. Springer, London. https://doi.org/10.1007/978-1-4471-4387-1_41
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DOI: https://doi.org/10.1007/978-1-4471-4387-1_41
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