Flexible ureteroscopy and laser lithotripsy in ureter of an obstructing stone

After placing a guidewire the flexible ureteroscope is backloaded on the wire. The surgery is performed without a ureteral access sheath. After stone fragmentation residual fragments are retrieved from the ureter using stone baskets, and a stent is put in place to ensure sufficient drainage.
Watch this procedure on the MAESTRO-Portal:

Experience a New Level of Online Education!

MAESTRO stands for MAnagement in Endourological Stone TReatment Online and opens a new chapter in online education. Full-length videos allow you to follow the surgeon through a complete procedure, from cystoscopy to stone treatment and stent placement. You can also learn about the equipment which is used during stone surgery. This includes the handling as well as clinical application. Our goal is to make stone surgery accessible to everyone by providing users with expert guidance. We also want to share the opportunities presented by new surgical approaches.

There are several different approaches to perform stone surgery. Depending on indication and stone location the medical staff chooses between semi-rigid ureteroscopy, flexible ureteroscopy, and percutaneous surgery. These procedures are described step-by-step in the videos below.
Flexible ureteroscopy and laser lithotripsy in ureter of an obstructing stone:
Flexible Ureteroscopy and Laser Dusting of 8 mm Kidney Stone:
Flexible Ureteroscopy and Laser Lithotripsy of Lower Pole Stones:
Semi-Rigid Ureteroscopy and Laser Lithotripsy for Ureter Stones:

Stone management is a complex and wide-ranging application field. Approaches such as flexible ureteroscopy or percutaneous surgery require a wide range of equipment. The following videos highlight the devices which are required for stone surgery.