| Patient position and semi-rigid ureteroscopy outcomes. | |
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MedLine Citation:
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PMID: 19860932 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Two positions have been reported for ureteroscopy (URS): dorsal lithotomy (DL) position and dorsal lithotomy position with same side leg slightly extended (DLEL). The aim of the present study was to compare the outcomes associated with URS performed with patients in DL vs. DLEL position. MATERIALS AND METHODS: A total of 98 patients treated for ureteral calculi were randomized to either DL or DLEL position during URS, and were prospectively followed. Patients, stone characteristics and operative outcomes were evaluated. RESULTS: Of the 98 patients included in the study, 56.1% were men and 43.9% women with a mean age of 42.6 +/- 16.8 years. Forty-eight patients underwent URS in DL position and 50 in DLEL position. Patients' age, mean stone size and location were similar between both groups. Operative time was longer for the DL vs. DLEL group (81.0 vs. 62.0 minutes, p = 0.045), mainly for men (95.2 vs. 63.9 minutes, p = 0.023). Mean fluoroscopy use, complications and success rates were similar between both groups. CONCLUSIONS: Most factors associated with operative outcomes during URS are inherent to patient's condition or devices available at each center, and therefore cannot be changed. However, leg position is a simple factor that can easily be changed, and directly affects operative time during URS. Even though success and complication rates are not related to position, placing the patient in dorsal lithotomy position with an extended leg seems to make the surgery easier and faster. |
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Authors:
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Fernando Korkes; Antonio C Lopes-Neto; Mario H E Mattos; Antonio C L Pompeo; Eric R Wroclawski |
Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: International braz j urol : official journal of the Brazilian Society of Urology Volume: 35 ISSN: 1677-6119 ISO Abbreviation: Int Braz J Urol Publication Date: 2009 Sep-Oct |
Date Detail:
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Created Date: 2009-10-28 Completed Date: 2010-12-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158091 Medline TA: Int Braz J Urol Country: Brazil |
Other Details:
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Languages: eng Pagination: 542-7; discussion 548-50 Citation Subset: IM |
Affiliation:
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Division of Urology, ABC Medical School, Santo Andre, Sao Paulo, Brazil. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Female Humans Lithotripsy / methods* Male Middle Aged Patient Positioning / methods* Prospective Studies Treatment Outcome Ureteral Calculi / surgery* Ureteroscopy / methods* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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