Manipulators Used as Endoscopic Instrumentation of the Urinary Tract

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The paper presents a general view on the evolution of the endoscopic instrumentation as manipulators of the urinary tract. Afterwards in the years 1990s the flexible endoscopes have found their way into the bladder, ureter and kidney, revolutionizing endoscopy in urology. The urologists continue to adapt the rigid and flexible cystoscopes to modify old procedures and innovate new ones so that little or no postoperative hospitalization is required. Standard rigid cystoscopy is generally performed with the patient in the lithotomy position. A large variety of flexible and semi-rigid graspers and biopsy forceps are also available for use through the standard working post of the modern-day cystoscope. Additionally, the laser fibers can be used through a standard cystoscope. Alternatively, the instruments such as the rigid biopsy forceps and graspers are structurally incorporated into the bridge. The development of extracorporeal shock wave lithotripsy (ESWL) and the ureteroscopy revolutionized the treatment of ureteral calculi.

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47-54

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June 2026

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© 2026 Trans Tech Publications Ltd. All Rights Reserved

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