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Day-case rigid and flexible ureteroscopy
E J Bromwich1, R Lockyer, S R Keoghane
1Department of Urology, St Mary's Hospital, Portsmouth, UK. emma.bromwich@virgin.net
Annals of the Royal College of Surgeons of England
|August 11, 2007
Summary
Ureteroscopy, a procedure to examine the urinary tract, is safe and feasible for day surgery. This study found a high stone clearance rate with an acceptable readmission rate when using prophylactic antibiotics and NSAIDs.
Area of Science:
- Urology
- Surgical Procedures
- Day Surgery
Background:
- Ureteroscopy is a common procedure for urinary tract issues.
- Evaluating its suitability as a day-surgery procedure is important for patient convenience and healthcare efficiency.
Purpose of the Study:
- To assess the feasibility of rigid and flexible ureteroscopy in an outpatient, day-surgery setting.
- To determine the safety and efficacy of ureteroscopy when performed as a day-case procedure.
Main Methods:
- A prospective study included patients undergoing elective ureteroscopy.
- Procedures were performed or supervised by a single consultant urologist.
- Standard day-surgery exclusions applied, with no urological exclusion criteria.
Main Results:
- 64 patients underwent 50 rigid and 14 flexible ureteroscopies.
- A 96% stone clearance rate was achieved.
- Five patients required unplanned readmission within two weeks, with reasons including pain, social factors, and urinary retention.
Conclusions:
- Ureteroscopy, both rigid and flexible, is a safe and effective day-surgery procedure.
- Prophylactic antibiotics and intravenous NSAIDs contributed to an acceptable readmission rate.
- The findings support the routine use of ureteroscopy in the day-surgery setting.
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