Ureteral Stone Management Challenges according To Surgeon’s Skill Level of Ureterorenoscopy
Journal Title: Applied Physiology and Anatomy Digest - Year 2018, Vol 2, Issue 4
Abstract
Aim: To observe the influence of operating urologist’s level of skills on the outcome of ureterorenoscopy treatment of ureteral stones. Methods: The study included 100 patientswho underwent ureterorenoscopy to treat ureteralstones at the center between 2015 and 2017. All interventionswere carried out with a semi-rigid ureteroscope andan electropneumatic generator used for lithotripsy. Theoperating surgeons were divided into two groups. Thefirst group included 3 urologists who had just started post graduate program and the second group included 3urologists who had more than one year of experience doing the procedure. Results: Radiology tests confirmed that 87% ofstones were completely removed from the distal ureter,57% from the middle ureter, and 41% fromthe proximal ureter. The first group of urologists completedsignificantly more procedures successfully, especially forthe stones in the distal (94% vs 78%; P = 0.001) and middleureter (69% vs 35%; P = 0.002), and their patients spent lesstime in the hospital postoperatively. Conclusion: Recently joined post graduates did not fare as well as their senior contemporaries in successfully performing ureteroscopy.
Authors and Affiliations
Prarthan Joshi
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