NDLI: Évolution du traitement chirurgical de la lithiase urinaire sur 30ans dans un centre hospitalo-universitaire. (Journal: Progr`es en Urologie Volume: 25 Issue: 9)

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Doizi, S. Raynal, G. Traxer, O.
Spatial Coverage	France
Description	Author Affiliation: Doizi S ( Service d'urologie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France); Raynal G ( Service d'urologie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France); Traxer O ( Service d'urologie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France)
Abstract	OBJECTIVE: To assess the evolution of the annual number of surgical procedures and the surgical management for urolithiasis. METHODS: A retrospective monocentric study was conducted between 1985 and 2014 in a French academic institution. The study population was divided into four groups: extracorporeal shock wave lithotripsy (SWL), flexible and rigid ureteroscopy (URS), percutaneous nephrolithotomy (PCNL) and open surgery. The annual number of surgical procedures as well as the distribution of each technique was determinated by using the operating records. RESULTS: In all, 23,162 procedures were performed during this period. The annual number of procedures rose from 410 in 1985 to 1071 in 2014, representing a rise of 161%. SWL represented 85.6% (351/410) of all surgeries in 1985 then 21.3% in 2014 (228/1071). In contrast, URS accounted for 4.4% (18/410) of all surgeries in 1985 and rose to 76% (814/1071) in 2014. The number of URS has reached the SWL in 2007 and then became the main surgical treatment. The number of PCNL remained stable during the study period but its proportion decreased due to the increased activity, representing 7.1% (29/410) in 1985 and 2.6% (28/1071) in 2014. Open surgery is rarely practiced and represents currently 0.1%. CONCLUSION: The number of surgical procedures for urolithiasis has more than doubled in 30years. SWL represented the main treatment until 2007 and its number decreased whereas ureteroscopy represents now the most common stone treatment in our institution, PCNL remaining stable. LEVEL OF EVIDENCE: 5.
File Format	HTM / HTML
ISSN	11667087
Issue Number	9
Volume Number	25
Journal	Progr`es en Urologie
Language	French
Publisher	Elsevier
Publisher Date	2015-07-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Urology Urolithiasis Humans Hospitals, University Ureteroscopy English Abstract Journal Article Nephrostomy, Percutaneous Surgery Lithotripsy Retrospective Studies Trends France Observational Study
Alternative Title	Evolution of urolithiasis treatment over 30 years in a French academic institution
Content Type	Text
Resource Type	Article
Subject	Urology

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