Abstract
We do not contend that all ureters are amenable to ureteroscopic manipulation; we only call attention to the vast and expanding armamentarium available to the practicing endourologist. The application of these techniques and instruments in certain cases, especially when the potential for morbidity with an open operation is significant, will no doubt result in ever-increasing numbers of challenging ureters being managed successfully by the integration of antegrade and retrograde endourologic techniques. However, it should be remembered that the procedure is invasive and therefore should be performed by experienced endourologists for the proper indications.
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