RT Book, Section
A1 Stoller, Marshall L.
A2 McAninch, Jack W.
A2 Lue, Tom F.
SR Print(0)
ID 56942341
T1 Chapter 11. Retrograde Instrumentation of the Urinary Tract
T2 Smith & Tanagho's General Urology, 18e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162497-8
LK accesssurgery.mhmedical.com/content.aspx?aid=56942341
RD 2024/04/24
AB The  ability  to  manipulate  the  urinary  tract  without  the  need  for  an  open  surgical  incision  differentiates  urology  from  other  disciplines.  Such  intervention  may  be  required  for  diagnostic  or  therapeutic  purposes  (or  both).  Understanding  the  various  catheters,  guidewires,  stents,  endoscopes,  and  associated  instrumentation  is  key  in  helping  physicians  accomplish  their  desired  tasks.  Manipulation  of  the  urinary  tract  should  be  performed  in  a  gentle  fashion;  instruments  need  not  be  forced.  An  understanding  of  anatomy  and  alternative  instrumentation  should  allow  physicians  to  accomplish  their  tasks  with  finesse.  The  patient  should  understand  the  proposed  procedure  and  potential  complications.  For  example,  the  attempt  to  place  a  retrograde  ureteral  catheter  to  drain  an  infected  kidney  may  ultimately  lead  to  a  percutaneous  nephrostomy  if  the  surgeon  is  unable  to  achieve  retrograde  drainage.  Knowing  when  to  stop  is  as  important  as  knowing  when  to  start.