Abstract
Ureteroscopy was peformed on an outpatient basis for the management of ureteral or pelvic stones (111 cases), evaluation of filling defects (nine cases), or management of ureteral structure (two cases). Ninety-one patients (74.5%) were treated entirely as outpatients. In seven cases, the procedure failed to reach the stone, and in 15 cases, access was realized but stone removal was unsuccessful. Successful removal was achieved in 89 patients (85.6%) on the first attempt. Three patients eventually required open operation. In six cases, ureteral perforation occurred; with ureteral stenting, there were no untoward effects or sequelae. In all cases of examination of filling defects, the procedure was diagnostic, and both strictures were dilated. Ureteroscopy for manipulation of ureteral calculi is safe and effective, and ureteroscopy is a valid technique for diagnosing upper-tract filling defects; and in the majority of cases, it can be safely and conveniently performed in outpatients.
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