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VOL. 6, ISSUE 1 (2024)
Rapti academy of health science guidelines on ureterorenoscopy
Authors
Santosh Kumar Jha
Abstract
The objective of this study was to establish comprehensive guidelines
for Ureterorenoscopy (URS) at Rapti Academy of Health Sciences, with the goal
of improving patient outcomes, minimizing complications, and standardizing
clinical practices. These guidelines were developed through a rigorous
methodology involving a systematic review of current literature and expert
consensus via the Delphi method. A panel of 15 experienced urologists
contributed to the formulation of recommendations, which cover patient
selection, preoperative evaluation, intraoperative techniques, and
postoperative care. The materials and methods included the use of flexible and
semi-rigid ureteroscopes, Holmium laser lithotripsy, guidewires, and nitinol
baskets for stone retrieval. Intraoperative techniques focused on the use of
fluoroscopic guidance and the dusting method for small stones. Results
demonstrated that URS, when performed with advanced technologies and following
these standardized protocols, achieved a stone-free rate (SFR) of 90-95% for
stones under 2 cm, with low complication rates. The postoperative follow-up
protocols include imaging and metabolic evaluations to ensure complete stone
clearance and reduce recurrence. The conclusion emphasizes that the adoption of
these evidence-based guidelines will enhance clinical outcomes, improve safety,
and optimize the efficiency of URS procedures. Regular updates to these
guidelines are recommended to keep pace with advancing technology and evolving
clinical evidence.
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Pages:1-6
How to cite this article:
Santosh Kumar Jha "Rapti academy of health science guidelines on ureterorenoscopy". International Journal of Surgery and Surgical Research, Vol 6, Issue 1, 2024, Pages 1-6
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