Linee Guida COP - Casettagiovanni.it

COMPLICANZELe complicanze più frequenti dell’URS sono rappresentate da sepsi, Steinstrasse, lesioni dellavia escretrice e infezione urinaria. Vengono riportate anche la perdita del rene e la morte delpaziente. Complicanza tardiva è rappresentata dalla stenosi ureterale 56 .Perforazioni della via escretrice possono essere semplicemente trattate con il posizionamentodi uno stent per qualche settimana 57-59 . La complicanza più temibile è rappresentata dall’avulsionedell’uretere che può richiedere un intervento riparativo d’urgenza o demolitivo 56,60,61 .Bibliografia1. Elashry OM, Elbahnasy AM, Rao GS, Nakada SY, Clayman RV. Flexible ureteroscopy: Washington universityexperience with the 9.3F and 7.5F flexible ureteroscopes. J Urol 1997; 157(6): 2074-80.2. Beiko DT, Denstedt JD. Advances in ureterorenoscopy. Urol Clin North Am 2007; 34(3): 397-408.3. Smith RD, Patel A. Impact of flexible ureterorenoscopy in current management of nephrolithiasis. CurrOpin Urol 2007; 17(2): 114-9.4. Knopf HJ, Graff HJ, Schulze H. Perioperative antibiotic prophylaxis in ureteroscopic stone removal. EurUrol 2003; 44(1): 115-8.5. Grabe M. Perioperative antibiotic prophylaxis in urology. Curr Opin Urol 2001; 11(1): 81-5.6. Netto NR Jr, Claro Jde A, Esteves SC, Andrade EF. Ureteroscopic stone removal in the distal ureter. Whychange?. J Urol 1997; 157(6): 2081-3.7. Harmon WJ, Sershon PD, Blute ML, Patterson DE, Segura JW. Ureteroscopy: current practice and longtermcomplications. J Urol 1997; 157(1): 28-32.8. Monga M. Accessory instrumentation for ureteroscopy. Curr Opin Urol 2004; 14(2): 107-9.9. Portis AJ, Rygwall R, Holtz C, Pshon N, Laliberte M. Ureteroscopic laser lithotripsy for upper urinary tractcalculi with active fragment extraction and computerized tomography follow-up. J Urol 2006; 175(6):2129-33.10. Byrne RR, Auge BK, Kourambas J, Munver R, Delvecchio F, Preminger GM. Routine ureteral stenting isnot necessary after ureteroscopy and ureteropyeloscopy: a randomized trial. J Endourol 2002; 16(1): 9-13.11. Srivastava A, Gupta R, Kumar A, Kapoor R, Mandhani A. Routine stenting after ureteroscopy for distal ureteralcalculi is unnecessary: results of a randomized controlled trial. J Endourol 2003; 17(10): 871-4.12. Jeong H, Kwak C, Lee SE. Ureteric stenting after ureteroscopy for ureteric stones: a prospective randomizedstudy assessing symptoms and complications. BJU Int 2004; 93(7): 1032-1034; discussion1034-5.13. Damiano R, Autorino R, Esposito C, Cantiello F, Sacco R, De Sio M, D’Armiento M. Stent positioning afterureteroscopy for urinary calculi: the question is still open. Eur Urol 2004;46(3):381-7.14. Keeley FX Jr, Timoney AG. Routine stenting after ureteroscopy: think again. Eur Urol 2007; 52(3): 642-4.15. Nabi G, Cook J, N’dow J, McClinton S. Outcomes of stenting after uncomplicated ureteroscopy: systematicreview and meta-analysis. BMJ 2007; 334(7593): 572.16. Haleblian G, Kijvikai K, De La Rosette J, Preminger G. Ureteral stenting and urinary stone management:a systematic review. J Urol 2008; 179(2): 424-30.17. Miroglu C, Horasanli K, Tanriverdi O, Altay B, Gumus E. Operative failure during ureteroscopic pneumaticlithotripsy: factors affecting successful outcome. Urol Int 2006; 77(2): 148-51.18. Tunc L, Kupeli B, Senocak C, Alkibay T, Sözen S, Karaoglan U, Bozkirli I. Pneumatic lithotripsy for largeureteral stones: is it the first line treatment? Int Urol Nephrol 2007; 39(3): 759-64.19. Grasso M. Experience with the holmium laser as an endoscopic lithotrite. Urology 1996; 48(2): 199-206.296