Day-case rigid and flexible ureteroscopy

The aim of this study was to evaluate the feasibility of rigid and flexible ureteroscopy as a day-surgery procedure. All patients requiring elective ureteroscopy from March 2004 were considered for a day-surgery procedure. The standard day-surgery exclusions existed but there were no urological crit...

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Veröffentlicht in:Annals of the Royal College of Surgeons of England 2007-07, Vol.89 (5), p.526-528
Hauptverfasser: Bromwich, E J, Lockyer, R, Keoghane, S R
Format: Artikel
Sprache:eng
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Zusammenfassung:The aim of this study was to evaluate the feasibility of rigid and flexible ureteroscopy as a day-surgery procedure. All patients requiring elective ureteroscopy from March 2004 were considered for a day-surgery procedure. The standard day-surgery exclusions existed but there were no urological criteria for exclusion. A single consultant urologist performed or supervised all procedures. A total of 64 patients underwent 50 rigid and 14 flexible procedures. Six diagnostic ureteroscopies were performed. There was a 96% stone clearance rate. Five patients required an unplanned admission within the first 2 weeks' postoperatively. Three of these patients were admitted on the day of surgery, two for pain and one for social reasons. Two patients were admitted at 24 h and 48 h, respectively, for urinary retention. Ureteroscopy, both rigid and flexible, is a safe procedure for the day-surgery setting. Routine use of prophylactic antibiotics, intravenous non-steroidal anti-inflammatory drugs resulted in an acceptable re-admission rate.
ISSN:0035-8843
1478-7083
DOI:10.1308/003588407X187676