Micro-ECIRS: A revolutionary new tool in the current endourologic armamentarium

Abstract

The present chapter deals with an innovative application of ECIRS, integrated with the recently introduced Microperc technique. Micro-ECIRS is intended as technical refinement of the Microperc technique, solving a variety of recognized limitations of this approach. The idea of combining retrograde flexible ureteroscopy (with or without ureteral access sheath) with Microperc allows Endovision puncture and tract dilation of the chosen calyx, optimal vision due to retrograde illumination and irrigation, maintenance of low intrarenal pressures, sand elimination and fragments extraction. Micro-ECIRS indications are defined, although further large-scale studies are warranted.