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Related Experiment Videos

Ureteroscopy for ureterolithiasis with sedation only

A Zisman1, Y I Siegel, A Lindner

  • 1Department of Urology, Assaf-Harofeh Medical Center, Zerifin, Israel.

European Urology
|January 1, 1995
PubMed
Summary

Performing ureteroscopy with sedation only is feasible, avoiding hospitalization for many patients. While success rates are lower than in operating rooms, this approach offers a cost-effective alternative for kidney stone treatment.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Ureteroscopy is a common procedure for kidney stone removal.
  • Operating room settings are typically required, increasing costs and resource utilization.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of performing ureteroscopy solely under sedation.
  • To compare sedation-only ureteroscopy with procedures conducted in an operating room.

Main Methods:

  • A comparative study involving 28 ureteroscopies under sedation only and 18 in an operating room.
  • Assessment of procedure tolerability, stone-free rates, and complication rates.

Main Results:

  • 86% of patients tolerated sedation-only ureteroscopy well.
  • Stone-free rates were 42% for sedation-only versus 72% for operating room procedures.

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  • 57% of sedation-only patients required hospitalization, primarily for low-grade fever.

    • Conclusions:

    • Sedation-only ureteroscopy is a feasible option, potentially avoiding hospitalization for nearly half of patients.
    • This approach reduces the need for expensive operating room facilities.
    • Optimizing patient selection, instrument technology, and technique may improve outcomes.