Dr. Chew discusses several patient presentations, including a ureteric or a UPJ obstruction, a tortuous ureter, and a drooping kidney, for which it may be challenging to place a stent. Dr. Chew demonstrates four different techniques to successfully place and position the stent depending on the situation. He offers advantages, watch-outs, tips and tricks and describes the specific steps of each approach.
Ben Chew, MD
Endourologic techniques commonly used to treat urolithiasis include shock wave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy (PCNL).8,9 Preference for ureteroscopy, which balances the effectiveness of direct treatment with a minimally invasive approach, is reflected in its increasing adoption over shock wave lithotripsy in recent years.
Dr. Chew discusses the importance of strategic device selection to gain access through a ureter obstructed by a stone. Highlights include specific maneuvers required and different types of catheters and wires necessary for performing these difficult cases.