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45. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie und der Bayerischen Urologenvereinigung

09.05. - 11.5.2019, Wien, Österreich

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Spoilt for choice: A survey of current practices of surgical urinary stone treatment and adherence to evidence based guidelines amongst Swiss urologists

Meeting Abstract

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  • presenting/speaker Patrick Betschart - Kantonsspital St. Gallen, Klinik für Urologie
  • Valentin Zumstein - Kantonsspital St. Gallen, Klinik für Urologie
  • Patrice Jichlinski - Universitätsspital Lausanne, Klinik für Urologie
  • Thomas R. W. Hermann - Kantonsspital Thurgau, Klinik für Urologie
  • Thomas Knoll - Klinikum Sindelfingen-Böblingen, Klinik für Urologie
  • Daniel S. Engeler - Kantonsspital Thurgau, Klinik für Urologie
  • Gautier Müllhaupt - Kantonsspital Thurgau, Klinik für Urologie
  • Hans-Peter Schmid - Kantonsspital Thurgau, Klinik für Urologie
  • Dominik Abt - Kantonsspital Thurgau, Klinik für Urologie

Österreichische Gesellschaft für Urologie und Andrologie. Bayerische Urologenvereinigung. 45. Gemeinsame Tagung der Österreichischen Gesellschaft für Urologie und Andrologie und der Bayerischen Urologenvereinigung. Wien, 09.-11.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. Doc19oegu007

doi: 10.3205/19oegu007, urn:nbn:de:0183-19oegu0079

Veröffentlicht: 8. April 2019

© 2019 Betschart et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Background: Urologists face the challenge to master a variety of techniques to be able to offer the most appropriate surgical stone treatment for each individual patient and to adhere to evidence-based guideline recommendations.

Objective: To perform a survey on surgical urinary stone treatment amongst Swiss urologists and to evaluate their adherence to the European Association of Urology (EAU) guidelines.

Material and methods: A 14-question survey assessed working environment, equipment, perioperative settings and decision trees for specific stone scenarios.

Outcome Measurements and Statistical Analysis Data were analyzed using descriptive statistics and chi-squared test to determine differences between frequencies of answers.

Results: 105 members of Swiss Urology (38%) completed the survey. All treatment modalities are available for the majority of respondents regardless of their working environment. Ureterorenoscopy was found to have the highest availability (100%) and was the first choice in the majority of stone scenarios.

A high adherence to the EAU guidelines was found for the treatment of ureteral stones <10 mm (100% proximal or distal), and >10 mm (69% proximal, 94% distal).

All respondents answered in accordance with the guidelines regarding the treatment of middle and upper pole stones <10 mm, 10 to 20mm and lower pole stones 10 to 20 mm. Guideline adherence was 99% for lower pole stones <10 mm, 78% for lower pole stones >20 mm, and 63% for middle/upper pole stones >20 mm.

Conclusions: The full spectrum of urinary stone treatment options is available for the majority of Swiss urologists. The choice of treatment in specific stone scenarios shows a high accordance with international evidence based guidelines and a preference for retrograde endoscopic surgery.