Out-patient flexible cystoscopy using a disposable slide-on endosheath system.

Introduction: The aim of this study was to investigate the feasibility of out-patient flexible cystoscopy.

Patients And Methods: Twenty-seven patients awaiting diagnostic or check cystoscopy in Leeds, UK were invited to undergo out-patient flexible cystoscopy using a CST-2000 Flexible Cystoscope (Vision Sciences; Natick, MA, USA) using the sterile single-use slide-on(trade mark) disposable endosheath endoscope system (EndoSheath); Vision Sciences). The performance of the cystoscope was evaluated, and the patients' experiences were documented using a questionnaire.

The detour extra-anatomic stent--a permanent solution for benign and malignant ureteric obstruction?

Objectives: We describe our experience of the Detour extra-anatomic stent (EAS) (Mentor-Porgés, UK) for permanent bypass of complete upper urinary tract obstruction. The self-retaining expanded polytetrafluoroethylene-silicone tube, placed in the kidney using a percutaneous route, is tunnelled under the skin and sutured into the bladder to establish extra-anatomical urinary drainage.

Methods: From April 2002 to November 2005, a total of nine Detour stents were inserted into eight patients; one patient needed bilateral stent insertions.

Challenge of percutaneous nephrolithotomy in patients with spinal neuropathy.

Objective: To assess the technical difficulties, associated complications and stone clearance rates in patients with spinal neuropathy undergoing percutaneous nephrolithotomy.

Methods: Twenty-nine patients with spinal neuropathy underwent percutaneous nephrolithotomy in the two centers studied between October 1995 and January 2002. They were nine patients with traumatic spinal cord injury, 10 patients with spina bifida and 10 with other heterogeneous causes for their spinal neuropathy.