There has been relatively little controversy in the management of upper ureteral stones over the years, mainly because access to the upper ureter with available ureteroscopes was always a chancy affair. Additionally, if the stone could be accessed, fragmentation was limited for practical purposes to the electrohydraulic probe or possibly the Coumarin dye laser. In the past few years, however, small, flexible, steerable ureteroscopes have become widely available, with a parallel evolution in the technique of URS, particularly with the use of the access sheath. Thus, it is now routinely possible to access the upper ureter in the vast majority of patients. Efficiency and cost of treating proximal ureteral stones: Shock wave lithotripsy versus ureteroscopy plus holmium:yttrium-aluminum-garnet laserUrologyVol. 64Issue 6PreviewTo compare the success rates, cost effectiveness, and efficiency of ureteroscopy (URS) and extracorporeal shock wave lithotripsy (ESWL) for proximal ureteral stones. Full-Text PDF
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