Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator
Abstract Objectives To review radiation exposure during emergency ureteric stent insertion to identify differences based on operator experience, specialty operator and stone characteristics. Patients and methods A retrospective audit over 10 years was performed for patients who underwent emergency s...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | BJUI Compass |
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| Online Access: | https://doi.org/10.1002/bco2.245 |
| _version_ | 1827797101034078208 |
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| author | Kevin Tree Nicholas Chang Roy Huynh Balasubramaniam Indrajit Dean Fisher Sris Baskaranathan |
| author_facet | Kevin Tree Nicholas Chang Roy Huynh Balasubramaniam Indrajit Dean Fisher Sris Baskaranathan |
| author_sort | Kevin Tree |
| collection | DOAJ |
| description | Abstract Objectives To review radiation exposure during emergency ureteric stent insertion to identify differences based on operator experience, specialty operator and stone characteristics. Patients and methods A retrospective audit over 10 years was performed for patients who underwent emergency stent insertion for urolithiasis with intraoperative fluoroscopy. Outcomes measured included operator experience, radiation exposure (mGy), dose area product (Gy/cm2), fluoroscopy time, stone characteristics and patient BMI. Analysis was performed in IBM SPSS Version 28. p < 0.05 was considered statistically significant. Results Four hundred ten patients were identified, with a median age of 57 years, 64.6% male and a median BMI of 30. Urolithiasis was left‐sided in 50.8%, with a median size of 7 mm and predominantly proximal (49%) followed by mid (34.5%) and distal (12.1%) location. Median radiation exposure was 12.6 mGy, 2.94 Gy/cm2 and fluoroscopy time 44.5 s, with no significant difference between consultants and registrars. No significant association between radiation exposure for subgroups of stone location, gender, size, laterality or specialty registrar (general surgery vs. urology). Conclusion No significant difference in radiation exposure was identified between registrars and consultants or between subspecialty registrars. We suggest formal radiation safety education for all health professionals involved with intra‐operative fluoroscopy and personal dosimeters. |
| first_indexed | 2024-03-11T19:17:32Z |
| format | Article |
| id | doaj.art-ce6dfff2816845f49790e013d0bf0b55 |
| institution | Directory Open Access Journal |
| issn | 2688-4526 |
| language | English |
| last_indexed | 2024-03-11T19:17:32Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj.art-ce6dfff2816845f49790e013d0bf0b552023-10-09T01:20:53ZengWileyBJUI Compass2688-45262023-11-014668068710.1002/bco2.245Radiation exposure in emergency ureteric stenting: A subgroup analysis by operatorKevin Tree0Nicholas Chang1Roy Huynh2Balasubramaniam Indrajit3Dean Fisher4Sris Baskaranathan5Department of Surgery Dubbo Base Hospital Dubbo AustraliaDepartment of Surgery Dubbo Base Hospital Dubbo AustraliaDepartment of Surgery Dubbo Base Hospital Dubbo AustraliaDepartment of Surgery Dubbo Base Hospital Dubbo AustraliaDepartment of Surgery Dubbo Base Hospital Dubbo AustraliaDepartment of Surgery Dubbo Base Hospital Dubbo AustraliaAbstract Objectives To review radiation exposure during emergency ureteric stent insertion to identify differences based on operator experience, specialty operator and stone characteristics. Patients and methods A retrospective audit over 10 years was performed for patients who underwent emergency stent insertion for urolithiasis with intraoperative fluoroscopy. Outcomes measured included operator experience, radiation exposure (mGy), dose area product (Gy/cm2), fluoroscopy time, stone characteristics and patient BMI. Analysis was performed in IBM SPSS Version 28. p < 0.05 was considered statistically significant. Results Four hundred ten patients were identified, with a median age of 57 years, 64.6% male and a median BMI of 30. Urolithiasis was left‐sided in 50.8%, with a median size of 7 mm and predominantly proximal (49%) followed by mid (34.5%) and distal (12.1%) location. Median radiation exposure was 12.6 mGy, 2.94 Gy/cm2 and fluoroscopy time 44.5 s, with no significant difference between consultants and registrars. No significant association between radiation exposure for subgroups of stone location, gender, size, laterality or specialty registrar (general surgery vs. urology). Conclusion No significant difference in radiation exposure was identified between registrars and consultants or between subspecialty registrars. We suggest formal radiation safety education for all health professionals involved with intra‐operative fluoroscopy and personal dosimeters.https://doi.org/10.1002/bco2.245radiation dosagestentsureteric stonesurolithiasisurology |
| spellingShingle | Kevin Tree Nicholas Chang Roy Huynh Balasubramaniam Indrajit Dean Fisher Sris Baskaranathan Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator BJUI Compass radiation dosage stents ureteric stones urolithiasis urology |
| title | Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator |
| title_full | Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator |
| title_fullStr | Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator |
| title_full_unstemmed | Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator |
| title_short | Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator |
| title_sort | radiation exposure in emergency ureteric stenting a subgroup analysis by operator |
| topic | radiation dosage stents ureteric stones urolithiasis urology |
| url | https://doi.org/10.1002/bco2.245 |
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