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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 ]
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 first to examine the ureter through an internal approach, called ureteroscopy, rather than surgery was Hampton Young in 1929. [29] This was improved on by VF Marshall who is the first published use of a flexible endoscope based on fiber optics, which occurred in 1964. [29]
The stent is removed by cystoscopy, an outpatient procedure. Cystoscopy involves placement of a small flexible tube through the urethra (the hole where urine exits the body). The procedure, which usually takes only a few minutes and causes little discomfort, is performed in an outpatient clinic or ambulatory surgery centre.
A pelvic examination is the physical examination of the external and internal female pelvic organs. [1] It is frequently used in gynecology for the evaluation of symptoms affecting the female reproductive and urinary tract, such as pain, bleeding, discharge, urinary incontinence, or trauma (e.g. sexual assault).
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