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How to approach the lower-pole stones with less damage to flexible ureteroscopes

July 23, 2016

 

1. Use of a coated fiber (should not use the stripper)

 (Left) A unstripped laser fiber with blue fiber sheath

(Middle) A laser fiber without blue fiber sheath 

(Right) Balltip laser fiber

 

 

 

 

 

 

2. Use of a balltip laser fiber

Insertion of a balltip laser fiber into a flexible URS is possible when the deflection angle is < about 200 degrees. Therefore, we should insert the laser fiber first and then perform the maximal deflection into 270 degrees.

 

3. Use of a laser fiber protector

No pictures are shown here.

 

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Basketing and Dusting

February 4, 2016

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