Current scenario of endourological treatment of kidney stones in brazil: results of a national survey.

Autor:	Astolfi RH; Disciplina de Urologia, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brasil., Carrera R; Disciplina de Urologia, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brasil., Gattas N; Escola Paulista de Medicina - UNIFESP, São Paulo, SP, Brasil., Bertolla R; Departamento de Cirurgia, Divisão de Urologia, Seção de Reprodução Humana Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brasil., Sepulveda F; Disciplina de Urologia, Universidade Estadual do Sudoeste da Bahia - UESB, Vitória da Conquista, BA, Brasil., Reggio E; Uroclínica de Joinville, Joinville, SC, Brasil., Meller AE; Disciplina de Urologia, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brasil.
Jazyk:	angličtina
Zdroj:	International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2020 May-Jun; Vol. 46 (3), pp. 400-408.
DOI:	10.1590/S1677-5538.IBJU.2019.0363
Abstrakt:	Objective: To elucidate the current scenario of endourology in Brazil for the treatment of urinary lithiasis, with an emphasis on regional differences and the reasons why certain techniques are still underutilized. Materials and Methods: An electronic questionnaire was sent by email to the 4,745 members of the Brazilian Urological Society (BSU) in 2016 to collect information on the 3 main endourological procedures used in the treatment of nephrolithiasis: Semi-rigid ureteroscopy (URS), Flexible ureteroscopy (F-URS) and percutaneous nephrolithotripsy (PCNL). Results: A total of 1,267 urologists answered the questionnaire. It was observed that the vast majority perform URS (95.6%), while 80.2% perform F-URS and only 72.1% perform PCNL. Regarding the surgical volume, most perform up to 10 procedures per month (73.4% to 88.2%) and the main impediment was the lack of patients with the pathology (42.1% to 67.7%). The lack of equipment or hospital infrastructure was one of the main limiting factors for rigid (23%) and flexible (38.1%) URS, mainly in the North and Northeast regions of the country. Regarding PCNL, most of them reported lack of practical experience in the method (29.9%). Finally, most urologists expressed interest in taking courses in endourology. Conclusion: Ureteroscopy, rigid or flexible, is already well established in the country, requiring the direction of more resources for its practice, especially in less developed regions. Regarding PCNL a significant part of Brazilian urologists still lack practical experience in this procedure, emphasizing the need for greater investment in teaching this technique. Competing Interests: None declared. (Copyright® by the International Brazilian Journal of Urology.)
Databáze:	MEDLINE
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