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
Keywords
Related Articles
- EP ID EP552800
- DOI -
- Views 124
- Downloads 0
A study of serum lipid profile in undernourished patients of diabetes mellitus
Background & objective: The incidence of diabetes mellitus is increasing substantially worldwide. The latest estimates by the international diabetes federation project that 592 million (1 in 10 persons) worldwide will ha...
Evaluation of objective structured practical examination as a new assessment tool for practical examination in histology
Introduction: For the practical examination, objectivity and validity are necessary to be observed. Therefore, for reliable evaluation, a valid method for practical examination is needed. Objectively structured practical...
Is obesity associated with polycystic ovarian disease? – an observational analytical study
Introduction-Polycystic ovarian disease (PCOD) is a common but complex endocrine disorder and is a major cause of anovulation and consequent infertility. The stressful lifestyle is leading to increased prevalence of poly...
Reduced pachytene stage of primary spermatocyte count as effect of immobilisation stress in adult swiss albino mice-histological study
In modern era of urbanisation stress has became inevitable part of human life. It affects all age groups and both sexes .Stress affects all systems of body including reproductive system. Cannon (1990) was one of the firs...
Study of prevalence of drug resistance among patients having common respiratory infections
Introduction: Acute respiratory infections are a major cause of morbidity and mortality in children and are particularly significant in developing countries like India. In a hospital-based study on patients with acute re...