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REVIEW ARTICLE
Year : 2020  |  Volume : 31  |  Issue : 6  |  Page : 253-257

Risk factors of morbidity and mortality after flexible ureteroscopic lithotripsy


1 Department of Urology, College of Medicine, En Chu Kong Hospital, National Taiwan University, New Taipei City, Taiwan
2 Department of Urology, College of Medicine, En Chu Kong Hospital, National Taiwan University, New Taipei City; Department of Biomedical Engineering, Chung Yuan Christian University, Chung-li, Taoyuan City, Taiwan

Correspondence Address:
Chung-Cheng Wang
Department of Urology, En Chu Kong Hospital, 399, Fuxing Road, Sanxia District, New Taipei City
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/UROS.UROS_85_20

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The use of the flexible ureteroscope for treating renal and ureteral calculi has rapidly increased in the last decade. Although the use of the flexible ureteroscope by experienced surgeons has excellent outcomes and safety profiles, several studies have reported many surgical complications with its use. We conducted a narrative review of the published literature sourced from PubMed. We used a combination of three keywords: “ureteroscope,” “morbidity,” and “urolithiasis,” with or without the additional keywords of “infection,” “mortality,” “hematoma,” and “ureteral injury.” Infection, bleeding, and ureteral injury are the main complications. We analyzed the possible causes of morbidity and death after the use of a flexible ureteroscope. Finally, we propose recommendations to prevent these complications.


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