Page 39 - TheTalents 2018 Debate5

What do we think we know
 Lower intrarenal pressures  SAFER
 EVERY patient is DIFFERENT
 How do we typically achieve lower pressures?
 Lower the pressure of irrigation - ALARA
 Use an access sheath – whenever possible  Use a smaller caliber ureteroscope
 When does it really matter?  Longer cases
 Pre-stented cases
 Recent infection or positive urine culture  Infection stones