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PCNL in Italy.

Massimo D'Armiento1, Riccardo Autorino, Marco De Sio

  • 1Clinica Urologica, Second University of Naples, Naples, Italy.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|July 3, 2010
PubMed
Summary
This summary is machine-generated.

Percutaneous nephrolithotomy (PCNL) adoption in Italy is increasing but remains underutilized. More training is needed to expand PCNL use and reduce open surgeries.

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Area of Science:

  • Urology
  • Nephrolithotomy
  • Minimally Invasive Surgery

Background:

  • Percutaneous nephrolithotomy (PCNL) was introduced in Italy in 1984.
  • Despite its availability, PCNL adoption has been slow across many centers.

Purpose of the Study:

  • To evaluate the contribution of Italian authors to PCNL literature.
  • To assess the diffusion and utilization of PCNL in Italy.
  • To analyze trends in PCNL procedures and hospital stay.

Main Methods:

  • Conducted a Medline search (1983-2008) for Italian contributions to PCNL.
  • Reviewed Italian Urological Association congress proceedings for PCNL communications.
  • Utilized Ministry of Health data for national PCNL procedures and hospital stay statistics.

Main Results:

  • Italian publications on PCNL, though quality, were historically scarce but are increasing.
  • Interest in PCNL is growing, evidenced by rising national congress presentations.
  • In 2005, 2555 PCNL procedures were performed in Italy, mostly inpatient (2513) with an 8.11-day mean stay.

Conclusions:

  • PCNL is underutilized in Italy, with significant regional variations.
  • Increased educational courses are essential to boost urologist training in PCNL.
  • Expanding PCNL use can reduce hospital stays, extracorporeal lithotripsy, and open surgeries.