Distal ureteral biopsies with the biopsy forceps outside the ureteroscope скачать в хорошем качестве

Distal ureteral biopsies with the biopsy forceps outside the ureteroscope

A 46 years-old female patient, with no special history, presented right flank pain, she had a Normal clinical exam. Ultrasound showed uretero-hydronephrosis. Urine culture was negative. At CT-scan no etiology was found. Diagnosis ureteroscopy is performed, after guidewire insertion and dilation to 10 French, the ureteroscope is introduced in the uretre There is stenosis and inflammation of the last 3 to 4 cm of the ureter. Above, the uretere is dilated but has a normal aspect. Biopsy is decided. However, the biopsy forceps for the ureteroscope is broken and not available. So, how ureteral biopsies will be performed? The 7 French biopsy forceps for the cystoscope is introduced beside the ureteroscope. Under endoscopic control by the ureteroscope, the biopsy forceps is maneuvered into the ureter and a biopsy is taken. The forceps is retrived. the biopsy specimen is recuperated. The same maneuver is repeated to take 4 or 5 biopsies.