™ Haematuria occurs frequently for 1-2 days but almost never requires active intervention.
™ The incidence of urinary tract infections is between 5% and 15% and can be treated with antibiotics.
™ Fever due to bacteriaemia is described in 3%-5% of all patients.
™ The most common cause of postoperative fever or pain is an obstructive, non-stented ureter. Therefore, when drawing the decision between stenting or not, it should be kept in mind that the morbidity of urinary obstruction is higher than that of stenting. We still recommend stenting in any doubtful cases.
™ If obstruction is the reason for postoperative fever, a DJ-stent has to be inserted as soon as possible. If retrograde stenting is not possible, a percutaneous nephrostomy (PCN) has to be undertaken.
™ Ureteric strictures are long-term complications of traumatic procedures, perforations or inflammatory stone beds with an incidence less than 1%.
1. Troy AJ, Anagnostou T, Tolley DA (2004) Flexible upper tract endoscopy. BJU Int 93:671
2. Anagnostou T, Tolley D (2004) Management of ureteric stones. Eur Urol 45714
3. Cybulski PA, Joo H, aHoney RJ (2004) Ureteroscopy: anesthetic considerations. Urol Clin North Am 31:43
4. Segura JW, Preminger GM, Assimos D. et al (1997) Ureteral Stones Clinical Guidelines Panel summary report on the management of ureteral calculi. The American Urological Association. J Urol 1581915
5. Pearle MS, Nadler R, Bercowsky E et al (2001) Prospective randomized trial comparing shock wave lithotripsy and ureteroscopy for management of distal ureteral calculi. J Urol 166:1255
6. Peschel R, Janetschek G, aBartsch G (1999) Extracor-poreal shock wave lithotripsy versus ureteroscopy for distal ureteral calculi: a prospective randomized study. J Urol 162:1909
7. Wu CF, Shee JJ, Lin WY et al (2004) Comparison between extracorporeal shock wave lithotripsy and semirigid ureterorenoscope with holmium:YAG laser lithotripsy for treating large proximal ureteral stones. J Urol 172:1899
8. Tiselius HG, Ackermann D, Alken P et al (2001) Guidelines on urolithiasis. Eur Urol 40:362
9. Menezes P, Dickinson A, Timoney AG (1999) Flexible ureterorenoscopy for the treatment of refractory upper urinary tract stones. BJU Int 84:257
10. Michel MS, Knoll T, Ptaschnyk T et al (2002) Flexible ureterorenoscopy for the treatment of lower pole calyx stones: influence of different lithotripsy probes and stone extraction tools on scope deflection and irrigation flow. Eur Urol 41:312
11. Lifshitz DA, Lingeman JE (2002) Ureteroscopy as a first-line intervention for ureteral calculi in pregnancy. J Endourol 16:19
12. Chiu KY, Cai Y, Marcovich R et al (2004) Are new-generation flexible ureteroscopes better than their predecessors? BJU Int 93:115
13. Tan PK, Tan SM, Consigliere D (1998) Ureteroscopic lithoclast lithotripsy: a cost-effective option. J Endou-rol 12:341
14. Kuo RL, Paterson RF, Siqueira TM Jr et al (2004) In vitro assessment of lithoclast ultra intracorporeal lithotrip-ter. J Endourol 18:153
15. Auge BK, Lallas CD, Pietrow PK et al (2002) In vitro comparison of standard ultrasound and pneumatic lithotrites with a new combination intracorporeal lithotripsy device. Urology 60:28
16. Sofer M, Watterson JD, Wollin TA et al (2002) Holmium: YAG laser lithotripsy for upper urinary tract calculi in 598 patients. J Urol 167:31
17. Teichman JM, Rao RD, Rogenes VJ et al (1997) Uretero-scopic management of ureteral calculi: electrohydrau-lic versus holmium:YAG lithotripsy. J Urol 158:1357
18. Bagley DH, Kuo RL, Zeltser IS (2004) An update on ureteroscopic instrumentation for the treatment of urolithiasis. Curr Opin Urol 14:99
19. Vanlangendonck R, Landman J (2004) Ureteral access strategies: pro-access sheath. Urol Clin North Am 31:71
20. Abrahams HM, Stoller ML (2004) The argument against the routine use of ureteral access sheaths. Urol Clin North Am 31:83
21. Jeong H, Kwak C, Lee SE (2004) Ureteric stenting after ureteroscopy for ureteric stones: a prospective randomized study assessing symptoms and complications. BJU Int 93:1032
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