Metodología y límites de la ureteroscopia ambulatoria

Martín, Miguel Arrabal; Martín, Carolina Ocete; Pacheco, Antonio Jiménez; Ortiz, José Luis Miján; Vilches, M.; Gómez, Armando Zuluaga

doi:10.4321/s0004-06142006000300007

Arch. Esp. Urol.

2006

DOI: 10.4321/s0004-06142006000300007

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Metodología y límites de la ureteroscopia ambulatoria

Miguel Arrabal Martín

Carolina Ocete Martín

Antonio Jiménez Pacheco

et al.

Abstract: Ureteroscopy is an effective technique in 94% of the cases, and it can be performed as an outpatient procedure for diagnosis or treatment of urinary stones and ureteral stenosis.

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Cited by 3 publications

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“…These factors lead to poor patient satisfaction rates and a compromised life style and comfort during the whole experience of the treatment sessions with ESWL. On the other hand ureterorenoscopy for upper and mid ureteric calculi although requires anesthesia (spinal or general) [15][16][17][18][19] , do take the lead over ESWL as immediate patient satisfaction is almost 95 to 100% [20][21][22] and that it saves multiple interventions, surgeons' time and effort as well as over utilization of facility.…”

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confidence: 99%

Feasibility And Efficiency Of Ureterorenoscopy As A Day-care Procedure For Treatment Of Ureteric Calculi

Khan¹,

Ahmed²,

Saeed³

et al. 2018

J. Bahria Uni. Med. Dent. Coll.

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Objective: To assess the feasibility and efficiency of ureterorenoscopy as a day-care procedure for treatment of ureteric calculi in order to reduce their heavy workload and to spare resources for reducing long waiting list of elective advanced urological surgeries for patients admitted as an indoor category. Study design: Prospective descriptive study. Place and duration of study: The study was conducted in Urology department of PNS Shifa, Karachi from July 2017 to March 2018. Methodology: All patients who presented to our institute for ureteric calculi with normal creatinine and no urosepsis were included in the study. The ureterorenoscopy procedure was carried out either in spinal anesthesia or general anesthesia using laryngeal mask. Post-operative outcomes criteria for feasibility were assessed as ‘rate of complications that required admission in the hospital’. Results: A total of 164 patients underwent ureterorenoscopy. Out of these 151 successful ureterorenoscopy procedures for urolithiasis were performed with 98% stone clearance. Majority of patients went home the same day with no sequel, only twelve patients were kept for a day or two for minor complications. Nine of these had severe pain postoperatively requiring parenteral analgesia and were discharged on first postop day. Three had developed fever and were discharged on second postop day. No confounding factors were found to predict the readmission event. Conclusion: A day care ureterorenoscopy is a safe procedure in a full time day care setting, with a rapid turnover and clinically safe outcome with few and trivial complications requiring readmission

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mentioning

confidence: 99%

Feasibility And Efficiency Of Ureterorenoscopy As A Day-care Procedure For Treatment Of Ureteric Calculi

Khan¹,

Ahmed²,

Saeed³

et al. 2018

J. Bahria Uni. Med. Dent. Coll.

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Cold Cutting of Ureteral Stenosis With Endoscopic Scissors

Arrabal‐Martín

Jiménez-Pacheco

Arrabal-Polo

et al. 2009

Urology

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Patient position and semi-rigid ureteroscopy outcomes

Korkes¹,

Lopes-Neto²,

Mattos³

et al. 2009

Int. braz j urol.

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Introduction: Two positions have been reported for ureteroscopy (URS): dorsal lithotomy (DL) position and dorsal lithotomy position with same side leg slightly extended (DLEL). The aim of the present study was to compare the outcomes associated with URS performed with patients in DL vs. DLEL position. Materials and Methods: A total of 98 patients treated for ureteral calculi were randomized to either DL or DLEL position during URS, and were prospectively followed. Patients, stone characteristics and operative outcomes were evaluated. Results: Of the 98 patients included in the study, 56.1% were men and 43.9% women with a mean age of 42.6 ± 16.8 years. Forty-eight patients underwent URS in DL position and 50 in DLEL position. Patients' age, mean stone size and location were similar between both groups. Operative time was longer for the DL vs. DLEL group (81.0 vs. 62.0 minutes, p = 0.045), mainly for men (95.2 vs. 63.9 minutes, p = 0.023). Mean fluoroscopy use, complications and success rates were similar between both groups. Conclusions: Most factors associated with operative outcomes during URS are inherent to patient's condition or devices available at each center, and therefore cannot be changed. However, leg position is a simple factor that can easily be changed, and directly affects operative time during URS. Even though success and complication rates are not related to position, placing the patient in dorsal lithotomy position with an extended leg seems to make the surgery easier and faster.

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Metodología y límites de la ureteroscopia ambulatoria

Abstract: Ureteroscopy is an effective technique in 94% of the cases, and it can be performed as an outpatient procedure for diagnosis or treatment of urinary stones and ureteral stenosis.

Cited by 3 publications

References 21 publications

Feasibility And Efficiency Of Ureterorenoscopy As A Day-care Procedure For Treatment Of Ureteric Calculi

Feasibility And Efficiency Of Ureterorenoscopy As A Day-care Procedure For Treatment Of Ureteric Calculi

Cold Cutting of Ureteral Stenosis With Endoscopic Scissors

Patient position and semi-rigid ureteroscopy outcomes

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