Geavlete P, Jecu M, Geavlete B, Multescu R, Nita Gh, Georgescu D
"St. John" Clinical Emergency Hospital, Department of Urology, 13 Vitan Barzesti Street, District 4, Code: 042122 Bucharest, Romania.
J Med Life. 2010 Apr-Jun;3(2):193-9.
In recent years, urology has seen a real explosion in the development of new technologies. Modern treatment techniques replaced classic therapeutic methods, among which open surgery had an important role. Endourologic therapies led to effective and safe interventions, increased patient comfort and reduced costs. The "Saint John" Emergency Clinical Hospital Department of Urology always intended to align to the new standards of urological treatment including, primarily, minimally invasive techniques, some of them being performed as national premieres. Ureteroscopy is one of them, thus introducing the rigid and semi rigid endoscopes as part of the therapeutic arsenal of our clinic in 1994 and flexible ureteroscopy in 2002. If the targeted pathology was initially limited to stone disease, ureteroscopy currently covers a wide range of affections, being used both for therapeutic but also for diagnostic purposes. Thus, the ureteroscopic approach can diagnose and treat a wide range of upper urinary tract pathologies (lithiasis, tumors, malformations, iatrogenic injuries, etc.). The new technology acquisitions made by our clinic, increased performance, resulting in a complete and fast resolution in many cases, previously implying additional effort from the surgeons. If at first the ureteroscopies' share of daily practice was modest, in recent years it has achieved an extraordinary growth, thus becoming available to both experienced surgeons and young urologists. We believe that our extensive experience in endourological approach is significant and will have a say in the technological developments, which will help both the patients and the practicing urologists.
近年来，泌尿外科新技术发展迅猛。现代治疗技术取代了传统治疗方法，其中开放手术曾发挥重要作用。腔内泌尿外科治疗带来了有效且安全的干预措施，提高了患者舒适度并降低了成本。“圣约翰”急诊临床医院泌尿外科一直致力于符合泌尿外科治疗的新标准，主要包括微创技术，其中一些手术在国内尚属首次开展。输尿管镜检查便是其中之一，1994年我们诊所将硬性和半硬性内窥镜引入治疗手段，2002年引入了软性输尿管镜。如果最初靶向病变仅限于结石病，那么如今输尿管镜检查涵盖了广泛的病症，既用于治疗也用于诊断。因此，输尿管镜检查方法可诊断和治疗多种上尿路病变（结石、肿瘤、畸形、医源性损伤等）。我们诊所购置的新技术提升了性能，在许多情况下实现了完整且快速的解决，而此前这需要外科医生付出更多努力。如果说最初输尿管镜检查在日常实践中的占比不大，那么近年来它取得了显著增长，如今经验丰富的外科医生和年轻泌尿外科医生均可使用。我们相信，我们在腔内泌尿外科治疗方法方面的丰富经验意义重大，将在技术发展中发挥作用，这将造福患者和执业泌尿外科医生。
