TY - JOUR
TI - Worldwide survey of flexible ureteroscopy practice: a survey from european association of urology sections of young academic urologists and uro-technology groups
AU - Pietropaolo, A.
AU - Bres-Niewada, E.
AU - Skolarikos, A.
AU - Liatsikos, E.
AU - Kallidonis, P.
AU - Aboumarzouk, O.
AU - Tailly, T.
AU - Proietti, S.
AU - Traxer, O.
AU - Giusti, G.
AU - Rukin, N.
AU - Özsoy, M.
AU - Talso, M.
AU - Emre, S.T.
AU - Emiliani, E.
AU - Atis, G.
AU - Somani, B.K.
JO - Central European Journal of Urology
PY - 2019
VL - 72
TODO - 4
SP - 393-397
PB - Polish Urological Association
SN - null
TODO - 10.5173/ceju.2019.0041
TODO - null
TODO - Introduction To understand the current practice of flexible ureteroscopy (fURS), we conducted a worldwide survey among urologists with a special interest in endourology. Material and methods A 42-question survey was designed after an initial consultation with European Association of Urology young academic urologists (YAU) and uro-technology (ESUT) groups. This was distributed via the SurveyMonkey® platform and an ESUT meeting to cover practice patterns and techniques in regard to ureteroscopy usage worldwide. Results A total of 114 completed responses were obtained. A safety guidewire was reportedly used by 84.5% of endourologists, an access sheath was always or almost always used by 71% and a reusable laser fibre was used by two-thirds of respondents. While a combination of dusting and fragmentation was used by 47% as a preferred mode of intra-renal stone treatment, some used dusting (43%) or fragmentation with basketing (10%). Disposable scopes were only used by 40% and three quarters of them used it for challenging cases only. Antibiotic prophylaxis was limited to a single peri-operative dose by two-thirds (67%) of respondents. The procedural time was limited to between 1–2 hours by two-thirds (70%) of respondents and very rarely (7.4%) it exceeded 2 hours. The irrigation method varied between manual pump (46%), mechanical irrigation (22%) or gravity irrigation (27%). Conclusions Our survey shows a wide variation in the available endourological armamentarium and surgical practice amongst urologists. However, there seems to be a broad agreement in the use of peri-operative antibiotics, access sheath usage, method of stone treatment and the use of post-operative stent. © 2019, Polish Urological Association. All rights reserved.
ER -