NDLI: Is pre-operative imaging essential prior to ureteric stone surgery?

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Is pre-operative imaging essential prior to ureteric stone surgery?

Content Provider	Semantic Scholar
Author	Youssef, Fr Wilkinson, B. A. Hastie, K. J. Hall, James Harold
Copyright Year	2012
Abstract	INTRODUCTION The aim of this study was to identify patients not requiring ureteric stone surgery based on pre-operative imaging (within 24 hours) prior to embarking on semirigid ureteroscopy (R-URS) for urolithiasis. METHODS The imaging of all consecutive patients on whom R-URS for urolithiasis was performed over a 12-month period was reviewed. All patients had undergone a plain x-ray of the kidney, ureters and bladder (KUB), abdominal non-contrast computed tomography (NCCT-KUB) or both on the day of surgery. RESULTS A total of 96 patients were identified for the study. Stone sizes ranged from 3 mm to 20 mm. Thirteen patients (14%) were cancelled as no stone(s) were identified on pre-operative imaging. Of the patients cancelled, 8 (62%) required NCCT-KUB to confirm spontaneous stone passage. CONCLUSIONS One in seven patients were stone free on the day of surgery. This negates the need for unnecessary anaesthetic and instrumentation of the urinary tract, with the associated morbidity. Up-to-date imaging prior to embarking on elective ureteric stone surgery is highly recommended.
Starting Page	428
Ending Page	431
Page Count	4
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://ftp.ncbi.nlm.nih.gov/pub/pmc/f8/77/rcse9406-428.PMC3954325.pdf
PubMed reference number	22943334v1
Alternate Webpage(s)	https://doi.org/10.1308/003588412X13373405385458
DOI	10.1308/003588412x13373405385458
Journal	Annals of the Royal College of Surgeons of England
Volume Number	94
Language	English
Access Restriction	Open
Subject Keyword	Bladder Tissue Calculi Diagnostic endoscopic examination of ureter Instrumentation (attribute) Morbidity - disease rate Paget Disease Extramammary Patients Plain x-ray Renal Tissue SLC12A3 gene Surgical Management Ureterolithiasis Urinary Bladder Urinary tract Urolithiasis X-Ray Computed Tomography kub x-ray
Content Type	Text
Resource Type	Article

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