Using a Sheathless Basket with Miniature Ureteroscopes
Author Information
Author(s): Graham Watson
Primary Institution: Institute of Urology and St. Peter's Hospital, London
Hypothesis
Does using a sheathless basket improve the extraction of stone fragments during ureteroscopy?
Conclusion
Using a sheathless basket significantly reduces the need for additional ureteroscopy procedures and shortens the time for patients to become stone-free.
Supporting Evidence
- 72% of patients cleared stones with a single ureteroscopy when fragments were left to pass spontaneously.
- 89% of patients cleared stones with a single ureteroscopy when a basket was used to extract fragments.
- Patients using the basket had a lower reoperation rate compared to those who did not.
Takeaway
Doctors found that using a special basket without a sheath helps them remove stone pieces more easily, making patients feel better faster.
Methodology
A retrospective audit comparing outcomes of patients treated with stone fragmentation alone versus those treated with fragmentation plus basket extraction.
Potential Biases
Potential selection bias in choosing which patients received basket extraction versus those who did not.
Limitations
The study is retrospective and may not account for all variables affecting outcomes.
Participant Demographics
Patients undergoing ureteroscopy for ureteric calculi.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
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