UrolithiasisAccessory instrumentation for ureteroscopyMonga, ManojAuthor Information Department of Urology, University of Minnesota, Minneapolis, Minnesota, USA Correspondence to Manoj Monga, MD, Department of Urologic Surgery, MCC 394, 1420 Delaware Street SE, Minneapolis, MN 55455, USA Tel: +1 612 725 2000 (ex 3460); fax: +1 612 725 2232; e-mail: [email protected] Current Opinion in Urology: March 2004 - Volume 14 - Issue 2 - p 107-109 Buy Abstract Purpose of review The use of ureteroscopy for diagnostic and therapeutic applications has evolved rapidly over the past 5 years. The purpose of this review is to discuss recent advances in instrumentation for rigid and flexible ureteroscopy. Recent findings Advances in accessory instrumentation can be divided into improvements in ureteral access, irrigation, intracorporeal lithotripsy, and stone extraction. By evaluating in-vitro and clinical evaluations of accessory instrumentation, one can identify specific products that may facilitate a positive ureteroscopic outcome. Summary Preoperative preparation is the best predictor of positive outcome after ureteroscope. The cornerstone to preoperative preparation is the proper selection of accessory instrumentation. There is no greater frustration than to see the target but be unable to address it. © 2004 Lippincott Williams & Wilkins, Inc.