A E DVANCED NDOUROLOGY C C U URRENT LINICAL ROLOGY Eric A. Klein, MD, SERIES EDITOR Advanced Endourology: The Complete Clinical Guide,edited by Stephen Y. Nakada and Margaret S. Pearle, 2006 Oral Pharmacotherapy for Male Sexual Dysfunction: A Guide to Clinical Management,edited by Gregory A. Broderick, 2005 Urological Emergencies, edited by Hunter Wessells and Jack W. McAninch, 2005 Management of Prostate Cancer, Second Edition,edited by Eric A. Klein, 2004 Essential Urology: A Guide to Clinical Practice,edited by Jeannette M. Potts, 2004 Management of Benign Prostatic Hypertrophy, edited by Kevin T. McVary, 2004 Laparoscopic Urologic Oncology, edited by Jeffrey A. Cadeddu, 2004 Pediatric Urology,edited by John P. Gearhart, 2003 Essential Urologic Laparoscopy: The Complete Clinical Guide,edited byStephen Y. Nakada, 2003 Urologic Prostheses: The Complete Practical Guide to Devices, Their Implantation, and Patient Follow-Up,edited by Culley C. Carson, III, 2002 Male Sexual Function: A Guide to Clinical Management,edited by John J. Mulcahy, 2001 Prostate Cancer Screening, edited by Ian M. Thompson, Martin I. Resnick, and Eric A. Klein, 2001 Bladder Cancer: Current Diagnosis and Treatment,edited by Michael J. Droller, 2001 Office Urology: The Clinician’s Guide, edited by Elroy D. Kursh and James C. Ulchaker, 2001 Voiding Dysfunction: Diagnosis and Treatment, edited by Rodney A. Appell, 2000 Management of Prostate Cancer, edited by Eric A. Klein, 2000 A DVANCED E NDOUROLOGY T C C G HE OMPLETE LINICAL UIDE Edited by S Y. N , TEPHEN AKADA MD The University of Wisconsin Medical School Madison, WI and M S. P , , ARGARET EARLE MD PhD The University of Texas Southwestern Medical Center Dallas, TX © 2006 Humana Press Inc. 999 Riverview Drive, Suite 208 Totowa, New Jersey 07512 humanapress.com For additional copies, pricing for bulk purchases, and/or information about other Humana titles, contact Humana at the above address or at any of the following numbers: Tel.: 973-256-1699; Fax: 973-256-8341, E-mail: [email protected]; or visit our Website: http://humanapress.com All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise without written permission from the Publisher. All articles, comments, opinions, conclusions, or recommendations are those of the author(s), and do not necessarily reflect the views of the publisher. Due diligence has been taken by the publishers, editors, and authors of this book to assure the accuracy of the information published and to describe generally accepted practices. The contributors herein have carefully checked to ensure that the drug selections and dosages set forth in this text are accurate and in accord with the standards accepted at the time of publication. Notwithstanding, as new research, changes in government regulations, and knowledge from clinical experi- ence relating to drug therapy and drug reactions constantly occurs, the reader is advised to check the product information provided by the manufacturer of each drug for any change in dosages or for additional warnings and contraindications. This is of utmost importance when the recommended drug herein is a new or infrequently used drug. It is the responsibility of the treating physician to determine dosages and treatment strategies for individual patients. Further it is the responsi- bility of the health care provider to ascertain the Food and Drug Administration status of each drug or device used in their clinical practice. The publisher, editors, and authors are not responsible for errors or omissions or for any consequences from the application of the information presented in this book and make no warranty, express or implied, with respect to the contents in this publication. Production Editor: Amy Thau Cover Illustration: Cover art provided by Dr. Stephen Y. Nakada, from his intraoperative photo collection. Cover design by Patricia F. Cleary. This publication is printed on acid-free paper. ∞ ANSI Z39.48-1984 (American National Standards Institute) Permanence of Paper for Printed Library Materials. Photocopy Authorization Policy: Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Humana Press Inc., provided that the base fee of US $30.00 per copy is paid directly to the Copyright Clearance Center at 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license from the CCC, a separate system of payment has been arranged and is acceptable to Humana Press Inc. The fee code for users of the Transactional Reporting Service is: [1-58829-446-3/06 $30.00]. Printed in the United States of America. 10 9 8 7 6 5 4 3 2 1 eISBN:1-59259-954-0 Library of Congress Cataloging-in-Publication Data Advanced endourology : the complete clinical guide / edited by Stephen Y. Nakada and Margaret S. Pearle. p. ; cm. -- (Current clinical urology) Includes bibliographical references and index. ISBN 1-58829-446-3 (alk. paper) 1. Endourology. I. Nakada, Stephen Y. II. Pearle, Margaret Sue. III. Series. [DNLM: 1. Urologic Diseases--surgery. 2. Endoscopy--methods. 3. Urinary Calculi--surgery. WJ 168 A2437 2005] RD572.A36 2005 617.4'60597--dc22 2005010940 Dedication To our spouses, Deanna and Jack, who remind us that there is more to life than endourology. v Preface Endourology is one of the most important subspecialties in the field of urology because of the widespread use of endoscopy for the diagnosis and treatment of a variety of upper genitourinary tract pathologies. Although most clinical urologists incorporate some basic endourology into their practices, complex upper tract pathology and anatomy require more advanced endoscopic skills and instrumentation. Advanced Endourology: The Complete Clinical Guide is intended as a resource guide for all aspects of clinical endourology, particularly the more advanced procedures. This volume encompasses endourological applications for upper urinary tract calculi, stric- tures, and urothelial cancer. It will also serve as a comprehensive overview of available endoscopes and instrumentation. Advanced Endourology: The Complete Clinical Guide is unique in that most of its individual chapters include videos that clearly illustrate critical portions of the techniques and provide tips and tricks from the experts. Every practicing urologist should have this book in his or her library, with the accompanying DVD kept near a DVD player, for quick access to detailed procedural instruction and immediate review of the videos. Stephen Y. Nakada, MD Margaret S. Pearle, MD,PhD vii Contents Dedication.....................................................................................................................v Preface........................................................................................................................vii Contributors ................................................................................................................xi Companion DVD ......................................................................................................xiii Part I. Diagnosis and Instrumentation 1 Endoscopic Imaging and Instrumentation........................................................................3 David S. Chou and Elspeth M. McDougall 2 Access, Stents, and Urinary Drainage............................................................................19 Ben H. Chew and John D. Denstedt 3 Percutaneous Access to the Urinary Tract.....................................................................43 Samuel C. Kim and James E. Lingeman 4 Lateralizing Essential Hematuria ...................................................................................61 Murali K. Ankem and Stephen Y. Nakada 5 Diagnosis and Surveillance of Upper Tract Tumors .....................................................71 Douglas W. Soderdahl and Michael D. Fabrizio Part II. Calculus Therapy 6 Ureteroscopy ...................................................................................................................87 David E. Rapp and Glenn S. Gerber 7 Ureteropyeloscopy for Calculi......................................................................................105 Michael J. Conlin 8 Percutaneous Stone Removal .......................................................................................121 Louis Eichel and Ralph V. Clayman 9 Calculus Therapy:Combined Approaches...................................................................145 Véronique Tran, Ramakrishna Venkatesh, and Jaime Landman Part III. Incisional Therapy 10 Antegrade Endopyelotomy...........................................................................................159 Beng Jit Tan, Assaad El-Hakim, Benjamin R. Lee, and Arthur D. Smith 11 Retrograde Endopyelotomy..........................................................................................183 W. Patrick Springhart and Glenn M. Preminger 12 Percutaneous Endopyeloplasty.....................................................................................197 David S. Sharp, Mihir M. Desai, Mahesh R. Desai, and Inderbir S. Gill 13 Endoureterotomy...........................................................................................................211 Khaled S. Hafez and J. Stuart Wolf, Jr. 14 Treatment of Caliceal Diverticula................................................................................229 Edward D. Matsumoto and Margaret S. Pearle ix x Contents Part IV. Ablative Therapy 15 Percutaneous Approach to Upper Urinary Tract Tumors............................................253 Ioannis M. Varkarakis and Thomas W. Jarrett 16 Ureteroscopic Treatment of Upper Tract Neoplasms..................................................267 Demetrius H. Bagley Part V. Complications of Endourology 17 Complications of Percutaneous Approaches, Including Incisions..............................283 Brian R. Matlaga, Ojas D. Shah, and Dean G. Assimos 18 Complications of Ureteroscopic Approaches, Including Incisions.............................299 Farjaad M. Siddiq and Raymond J. Leveillee Part VI. Pediatric Minimally Invasive Surgery 19 Pediatric Endourology ..................................................................................................323 Christina Kim and Steven G. Docimo Index .........................................................................................................................351 Contributors MURALI K. ANKEM,MD • Division of Urology, Department of Surgery, University of Wisconsin-Madison Medical School, Madison, WI DEAN G. ASSIMOS,MD • Department of Urology, Wake Forest University School of Medicine, Winston-Salem, NC DEMETRIUS H. BAGLEY,MD • Departments of Urology and Radiology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA BEN H. CHEW,MSc,MD,FRCSC • St. Joseph’s Health Centre, University of Western Ontario, London, ON, Canada DAVID S. CHOU,MD• Island Urology, Honolulu, HI RALPH V. CLAYMAN,MD • Department of Urology, University of California Irvine Medical Center, Orange, CA MICHAEL J. CONLIN,MD • Division of Urology and Renal Transplantation, Oregon Health and Sciences University, Portland, OR JOHN D. DENSTEDT,MD,FRCSC• St. Joseph’s Health Centre, University of Western Ontario, London, ON, Canada MAHESH R. DESAI,MD• Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, India MIHIR M. DESAI,MD• Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, OH STEVEN G. DOCIMO,MD• Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, PA LOUIS EICHEL,MD• Department of Urology, University of California Irvine Medical Center, Orange, CA MICHAEL D. FABRIZIO,MD • Department of Urology, Eastern Virginia Medical School, Norfolk, VA GLENN S. GERBER,MD • Section of Urology, Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, IL INDERBIR S. GILL,MD • Section of Laparoscopic and Minimally Invasive Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, OH KHALID S. HAFEZ,MD • Department of Urology, University of Michigan Medical School, Ann Arbor, MI ASSAAD EL-HAKIM,MD• Department of Urology, Long Island Jewish Medical Center, New Hyde Park, NY THOMAS W. JARRETT,MD • The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD CHRISTINA KIM,MD• Pediatric Urology, Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, PA SAMUEL C. KIM,MD• Indiana Kidney Stone Institute, Methodist Hospital Institute for Kidney Stone Disease, and Indiana University School of Medicine, Indianapolis, IN JAIME LANDMAN,MD• Division of Urology, Washington University School of Medicine, St. Louis, MO xi