Local anaesthetic flexible ureterorenoscopy: painful for all involved?
BAUS ePoster online library. Kadhim H. Jun 26, 2018; 211312
Dr. Hassan Kadhim
Dr. Hassan Kadhim
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)
Introduction: Patients unfit for general anaesthesia who present with renal tract pathology currently have limited options. Conservative management and temporising measures, such as percutaneous nephrostomy, are associated with significant morbidity. Ureterorenoscopy (URS) is a central component of the management of upper tract disease and is routinely performed under general anaesthesia. We describe our institution's experience of ureterorenoscopy using only local anaesthetic lubricating gel per urethra.

Patients and Methods: A single centre, retrospective analysis of 59 consecutive patients was performed over a 3-year period. Surrogate markers of success were (1) tolerability (2) success of procedure without complications (3) stone free rate after first procedure.

Results: 55% of patients were male. Mean age was 71 years and mean Charlson comorbidity Index was 6.3. 40% of patients were anticoagulated. 64% of ureteroscopies were for calculi, with a mean stone size of 6.5mm (range 1-20mm), with the majority ureteric (64%). All patients were able to tolerate the procedure. Flexible ureterorenoscopy (fURS) was successful without complication in 93% of patients. There were no complications above Clavien Grade 2. The stone free rate was 78%.

Conclusions: Flexible ureterorenoscopy under local anaesthetic provides a safe and effective method to investigate and treat renal tract pathology. This approach is a useful addition to the armamentarium available to patients deemed unsuitable for general anaesthesia.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings