The Difficulties and Complication of Ureteroscopy and the Mangement Strategies

Objective:To analysis the difficulties and complications emerged during transurethral ureteroscopy and offer their management strategies.Methods:A total 300patients accepting rigid transuretheal ureteroscopy from May 2008 to May 2011,were evaluated retrospectively.Results:Among 300 cases,37cases were found difficulties diring transurethral ureteroscopy,11cases were converted to open surgrey.stones shifted to renal pelvis in 8 patients.The causes of conversion to open include: ureteroscopy failed to enter ureteral oeific in 4 patient,ureteroscopy failed to get to the ill place in 6 patients,ureter perforation occurred in 1 patients.Conclusions:There are more difficulties and complications during ureteroscopy at early stage.Strictly mastering surgical indications.strengthening preoperative training,mastering the surgical technique is the key to reduce the failure rate and complications of ureteroscopy.