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A Murine Model of Hemodialysis Access-Related Hand Dysfunction
08:39

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Published on: May 31, 2022

Hand problems among endourologists.

Kelly A Healy1, Raymond W Pak, Ryan C Cleary

  • 1Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.

Journal of Endourology
|October 19, 2011
PubMed
Summary
This summary is machine-generated.

Hand and wrist problems are common in endourologists performing flexible ureteroscopy. Surgeons preferring counterintuitive ureteroscope deflection reported more issues, highlighting a need for ergonomic solutions.

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Area of Science:

  • Urology
  • Occupational Health
  • Medical Device Ergonomics

Background:

  • Endourology has advanced significantly for upper urinary tract conditions.
  • Limited data exists on occupational hazards associated with complex endourologic procedures.
  • Flexible ureteroscopy is a common endourologic procedure.

Purpose of the Study:

  • To determine the prevalence of hand problems among endourologists performing flexible ureteroscopy.
  • To identify potential causes of these hand problems.
  • To compare the prevalence with a control group of psychiatrists.

Main Methods:

  • An online survey was distributed to members of the Endourological Society and psychiatrists.
  • Physicians were queried about their practice settings and hand/wrist symptoms (pain, neuropathy, discomfort).
  • Data from endourologists were compared to a control group of psychiatrists.

Main Results:

  • 32% of endourologists reported hand/wrist problems, compared to 19% of psychiatrists (RR=1.69, P=0.0486).
  • Endourologists performing 4.5 ureteroscopic cases weekly reported higher prevalence.
  • Surgeons preferring counterintuitive ureteroscope deflection were more likely to experience problems (56% vs. 27%, RR=2.07, P=0.0139).
  • 85% of affected respondents required medical or surgical intervention.

Conclusions:

  • Hand and wrist problems are highly prevalent among endourologists.
  • The preference for counterintuitive ureteroscope deflection is associated with increased risk.
  • Further research into ergonomic platforms is necessary to mitigate these occupational hazards.