What are the disadvantages of ureteroscopy in the treatment of nephrolithiasis?

Updated: Jun 21, 2018
  • Author: Chirag N Dave, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

One of the drawbacks to using rigid or semirigid ureteroscopes for the management of kidney stones is the limited visualization of the entire renal system. This is avoided with the use of a flexible ureteroscope, which allows for visualization of the entire collecting system. The fragility of the fiberoptic instrument is also a concern, with some studies reporting that repairs (often very expensive) were required every 6 to 15 procedures. [78] With regard to the actual stone removal, this procedure requires small stone fragments to allow for retrieval by stone basket. There is also the risk of ureteral injury, which can be reduced with the use of preoperative double-J stenting. [79]


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