Current trends of percutaneous nephrolithotomy in a developing country

Detalhes bibliográficos
Autor(a) principal: Batagello,Carlos A.
Data de Publicação: 2018
Outros Autores: Vicentini,Fabio Carvalho, Marchini,Giovanni Scala, Torricelli,Fabio Cesar Miranda, Srougi,Miguel, Nahas,Willian Carlos, Mazzucchi,Eduardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000200304
Resumo: ABSTRACT Introduction To present the current practice patterns on percutaneous nephrolithotomy (PCNL) in a developing country. Materials and Methods A survey was offered to Brazilian urologists during the II International Endourology Symposium held in Sao Paulo, in 2015. The first seven questions were related to demographic data while the 20 remaining were directed to urologists who performed PCNL. Results From 250 participants, 100 replied to the survey, 81% performed PCNL and 60.4% of performers had been in practice for less than 15 years. Eighty-one percent were trained in the prone position and 64% in supine. PCNL was learned during the residency in 66.7% and 2.5% had fellowship training. Prone position was the preferred decubitus for simple or complex calculi, though for obese patients there was no difference. Younger surgeons prefer supine while older surgeons prefer prone. The access was obtained by the surgeon in all cases, 96.3% use fluoroscopy and 3.7% prefer ultrasonography. Forty-seven percent use ultrasonic lithotripters and 4.1% laser. For kidney drainage, 71.6% place a nephrostomy tube. Double J stent is left in 77%. The postoperative image method was CT for 50%. Colonic injury was reported by 25%, predominantly in the senior group without statistically difference between positions. Conclusions From a selected group of urologists, we observe that Brazilian urologists usually gain their own access for PCNL guided by fluoroscopy. They predominantly prefer the prone position, use fascial dilators, ultrasonic lithotripters and place a nephrostomy tube when exiting the kidney. Fellowship programs, ultrasonography, flexible nephoscopy and tubeless procedures could be encouraged.
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spelling Current trends of percutaneous nephrolithotomy in a developing countryCalculiNephrostomyPercutaneousEpidemiologyABSTRACT Introduction To present the current practice patterns on percutaneous nephrolithotomy (PCNL) in a developing country. Materials and Methods A survey was offered to Brazilian urologists during the II International Endourology Symposium held in Sao Paulo, in 2015. The first seven questions were related to demographic data while the 20 remaining were directed to urologists who performed PCNL. Results From 250 participants, 100 replied to the survey, 81% performed PCNL and 60.4% of performers had been in practice for less than 15 years. Eighty-one percent were trained in the prone position and 64% in supine. PCNL was learned during the residency in 66.7% and 2.5% had fellowship training. Prone position was the preferred decubitus for simple or complex calculi, though for obese patients there was no difference. Younger surgeons prefer supine while older surgeons prefer prone. The access was obtained by the surgeon in all cases, 96.3% use fluoroscopy and 3.7% prefer ultrasonography. Forty-seven percent use ultrasonic lithotripters and 4.1% laser. For kidney drainage, 71.6% place a nephrostomy tube. Double J stent is left in 77%. The postoperative image method was CT for 50%. Colonic injury was reported by 25%, predominantly in the senior group without statistically difference between positions. Conclusions From a selected group of urologists, we observe that Brazilian urologists usually gain their own access for PCNL guided by fluoroscopy. They predominantly prefer the prone position, use fascial dilators, ultrasonic lithotripters and place a nephrostomy tube when exiting the kidney. Fellowship programs, ultrasonography, flexible nephoscopy and tubeless procedures could be encouraged.Sociedade Brasileira de Urologia2018-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000200304International braz j urol v.44 n.2 2018reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/s1677-5538.ibju.2017.0292info:eu-repo/semantics/openAccessBatagello,Carlos A.Vicentini,Fabio CarvalhoMarchini,Giovanni ScalaTorricelli,Fabio Cesar MirandaSrougi,MiguelNahas,Willian CarlosMazzucchi,Eduardoeng2018-04-17T00:00:00Zoai:scielo:S1677-55382018000200304Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2018-04-17T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Current trends of percutaneous nephrolithotomy in a developing country
title Current trends of percutaneous nephrolithotomy in a developing country
spellingShingle Current trends of percutaneous nephrolithotomy in a developing country
Batagello,Carlos A.
Calculi
Nephrostomy
Percutaneous
Epidemiology
title_short Current trends of percutaneous nephrolithotomy in a developing country
title_full Current trends of percutaneous nephrolithotomy in a developing country
title_fullStr Current trends of percutaneous nephrolithotomy in a developing country
title_full_unstemmed Current trends of percutaneous nephrolithotomy in a developing country
title_sort Current trends of percutaneous nephrolithotomy in a developing country
author Batagello,Carlos A.
author_facet Batagello,Carlos A.
Vicentini,Fabio Carvalho
Marchini,Giovanni Scala
Torricelli,Fabio Cesar Miranda
Srougi,Miguel
Nahas,Willian Carlos
Mazzucchi,Eduardo
author_role author
author2 Vicentini,Fabio Carvalho
Marchini,Giovanni Scala
Torricelli,Fabio Cesar Miranda
Srougi,Miguel
Nahas,Willian Carlos
Mazzucchi,Eduardo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Batagello,Carlos A.
Vicentini,Fabio Carvalho
Marchini,Giovanni Scala
Torricelli,Fabio Cesar Miranda
Srougi,Miguel
Nahas,Willian Carlos
Mazzucchi,Eduardo
dc.subject.por.fl_str_mv Calculi
Nephrostomy
Percutaneous
Epidemiology
topic Calculi
Nephrostomy
Percutaneous
Epidemiology
description ABSTRACT Introduction To present the current practice patterns on percutaneous nephrolithotomy (PCNL) in a developing country. Materials and Methods A survey was offered to Brazilian urologists during the II International Endourology Symposium held in Sao Paulo, in 2015. The first seven questions were related to demographic data while the 20 remaining were directed to urologists who performed PCNL. Results From 250 participants, 100 replied to the survey, 81% performed PCNL and 60.4% of performers had been in practice for less than 15 years. Eighty-one percent were trained in the prone position and 64% in supine. PCNL was learned during the residency in 66.7% and 2.5% had fellowship training. Prone position was the preferred decubitus for simple or complex calculi, though for obese patients there was no difference. Younger surgeons prefer supine while older surgeons prefer prone. The access was obtained by the surgeon in all cases, 96.3% use fluoroscopy and 3.7% prefer ultrasonography. Forty-seven percent use ultrasonic lithotripters and 4.1% laser. For kidney drainage, 71.6% place a nephrostomy tube. Double J stent is left in 77%. The postoperative image method was CT for 50%. Colonic injury was reported by 25%, predominantly in the senior group without statistically difference between positions. Conclusions From a selected group of urologists, we observe that Brazilian urologists usually gain their own access for PCNL guided by fluoroscopy. They predominantly prefer the prone position, use fascial dilators, ultrasonic lithotripters and place a nephrostomy tube when exiting the kidney. Fellowship programs, ultrasonography, flexible nephoscopy and tubeless procedures could be encouraged.
publishDate 2018
dc.date.none.fl_str_mv 2018-04-01
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publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.44 n.2 2018
reponame:International Braz J Urol (Online)
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