The approach of urologists to kidney stones in southeastern Anatolia: a questionnaire survey
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Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Aves
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: It is aimed to investigate the possible differences of urologist in the Southeastern Anatolia Region concerning kidney stone disease about treatment selections and processes. We also aimed to provide data to all institutions that perform educational activities in our country, including the Turkish Association of Urology and Endourology. Our study also sought to determine the treatment priorities in our region. Material and methods: A questionnaire consisting of 22 questions was prepared and delivered to urologists by hand or by electronic mail. The responses from 66 urologists were evaluated, and the differences were calculated as percentages. Results: The distribution of the experts participating in the study was as follows: 39% were from a state hospital, 22% were from a private hospital, 7% were from a teaching hospital, and 30% were from a university hospital. Among urologists who opted for surgical treatment, 57% preferred open surgery, 41% preferred percutaneous nephrolithotomy (PNL), and 1% preferred retrograde intrarenal surgery (RIRS). In this study, 78% of the urologists performed PNL, and 55% of them began performing PNL after residency. Among the urologists in this study, 42% chose PNL for renal stone disease in pediatric patients. Support from interventional radiology was available in 40% of the clinics. Only 22% of the urologists were trained for RIRS, and 48% of the urologists have an extracorporeal shock wave lithotripsy (SWL) unit in their clinic. In symptomatic lower calyx stones, the first treatment choice was PNL in 59% of respondents. For coraliform stones, open surgery was preferred by 63%. Conclusion: In the Southeastern Anatolia region where kidney stone disease is endemic, surgical treatment is successfully applied by urologists. However, treatment programs in PNL and RIRC should be emphasized in this area.
Açıklama
Anahtar Kelimeler
Intrarenal Surgery, Kidney Stone Disease, Nephrolithotomy, Percutaneous, Retrograde Open Surgery
Kaynak
Turkish Journal of Urology
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
38
Sayı
4
