Cited 2 times in
Innovations in Endourologic Stone Surgery: Contemporary Practice Patterns from a Global Survey
DC Field | Value | Language |
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dc.contributor.author | 구교철 | - |
dc.date.accessioned | 2024-01-03T01:03:03Z | - |
dc.date.available | 2024-01-03T01:03:03Z | - |
dc.date.issued | 2023-07 | - |
dc.identifier.issn | 0892-7790 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/197446 | - |
dc.description.abstract | Objective: The purpose of this study is to evaluate the current availability of technology for urolithiasis treatment and ureteroscopy (URS). Perioperative practice patterns, availability of ureteroscopic technologies, pre- and poststenting practices, and methods to alleviate stent-related symptoms (SRS) were assessed via a survey of members of the Endourological Society. Methods: We distributed a 43-question survey online via the Qualtrics platform to members of the Endourological Society. The survey consisted of questions pertaining to the following topics: general (6), equipment (17), preoperative URS (9), intraoperative URS (2), and postoperative URS (9). Results: A total of 191 urologists responded to the survey and 126 completed all questions of the survey (66%). Fifty-one percent (65/127) of urologists were fellowship trained and dedicated an average of 58% of their practice to stone management. In terms of procedures, most urologists performed URS most commonly (68%), followed by percutaneous nephrolithotomy (23%) and extracorporeal shockwave lithotripsy (11%). Ninety percent (120/133) of respondent urologists purchased a new ureteroscope within the last 5 years (16% single-use scopes, 53% reusable, and 31% purchased both). Fifty-three percent (70/132) of the respondents stated that they would be interested in a ureteroscope that can sense intrarenal pressure, with an additional 28% (37/132) stating they would be interested depending on the cost. Seventy-four percent (98/133) of responders purchased a new laser within the last 5 years, and 59% (57/97) changed their lasering technique due to the new laser. Urologists are performing primary ureteroscopy for obstructing stones in 70% of cases, and prefer prestenting patients for subsequent URS in 30% (on average after 21 days). Seventy-one percent (90/126) of responders insert a ureteral stent after uncomplicated URS, which is removed, on average, after 8 days in uncomplicated cases and 21 days after complicated URS. Most urologists give analgesics, alpha-blockers, and anticholinergics for SRS and <10% prescribe opioids. Conclusion: Our survey revealed urologists' eagerness for the early adoption of novel technologies and adherence to conservative practice patterns focused on patient safety. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Mary Ann Liebert | - |
dc.relation.isPartOf | JOURNAL OF ENDOUROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lithotripsy* | - |
dc.subject.MESH | Surveys and Questionnaires | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Ureter* | - |
dc.subject.MESH | Ureteral Calculi* / surgery | - |
dc.subject.MESH | Ureteroscopes | - |
dc.subject.MESH | Ureteroscopy / methods | - |
dc.title | Innovations in Endourologic Stone Surgery: Contemporary Practice Patterns from a Global Survey | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | Roman Herout | - |
dc.contributor.googleauthor | Abdulghafour Halawani | - |
dc.contributor.googleauthor | Victor K F Wong | - |
dc.contributor.googleauthor | Kyo Chul Koo | - |
dc.contributor.googleauthor | Tianshuang Zhong | - |
dc.contributor.googleauthor | Alina Reicherz | - |
dc.contributor.googleauthor | Dirk Lange | - |
dc.contributor.googleauthor | Connor M Forbes | - |
dc.contributor.googleauthor | Ben H Chew | - |
dc.identifier.doi | 10.1089/end.2023.0077 | - |
dc.contributor.localId | A00188 | - |
dc.relation.journalcode | J01394 | - |
dc.identifier.eissn | 1557-900X | - |
dc.identifier.pmid | 37071154 | - |
dc.identifier.url | https://www.liebertpub.com/doi/10.1089/end.2023.0077 | - |
dc.subject.keyword | endourology | - |
dc.subject.keyword | laser | - |
dc.subject.keyword | technology | - |
dc.subject.keyword | ureteroscopy | - |
dc.subject.keyword | urinary stents | - |
dc.contributor.alternativeName | Koo, Kyo Chul | - |
dc.contributor.affiliatedAuthor | 구교철 | - |
dc.citation.volume | 37 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 753 | - |
dc.citation.endPage | 760 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ENDOUROLOGY, Vol.37(7) : 753-760, 2023-07 | - |
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