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Ureteroscopy is an examination of the upper urinary tract, usually performed with a ureteroscope that is passed through the urethra and the bladder, and then directly into the ureter. [1] The procedure is useful in the diagnosis and treatment of disorders such as kidney stones and urothelial carcinoma of the upper urinary tract. [ 1 ]
Immediately before the procedure, sterile lubrication containing local anesthetic (lidocaine) is instilled into the urethra. Since no intravenous line is inserted and there is no anesthesia, the patient does not have to be accompanied by anyone else and they can eat normally before and after the procedure.
The procedure is more painful for men than for women due to the length and narrow diameter of the male urethra, and results of a 2019 systematic review of the literature found that intraurethral lidocaine greatly reduces this painful procedure in men. [5] Relaxing the pelvic muscles helps make this part of the test easier.
The ureters are 1.5–6 mm (0.06–0.24 in) in diameter [1] and surrounded by a layer of smooth muscle for 1–2 cm (0.4–0.8 in) near their ends just before they enter the bladder. [ 2 ] The ureters enter the bladder from its back surface, traveling 1.5–2 cm (0.6–0.8 in) before opening into the bladder at an angle on its outer back ...
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This is an accepted version of this page This is the latest accepted revision, reviewed on 13 November 2024. This article is about the human urinary system. For urinary systems of other vertebrates, see Urinary systems of birds, urinary systems of reptiles, and urinary systems of amphibians. Anatomical system consisting of the kidneys, ureters, urinary bladder, and the urethra Urinary system 1 ...
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