The burden on a urologist of percutaneous nephrostomies and antegrade ureteric stents : should trainee urologists learn to perform these procedures?
Donati-Bourne, Jack Nour, Shahd Seifeldin Siddiqui, Zain Viney, Richard P.
Donati-Bourne, Jack
Nour, Shahd Seifeldin
Siddiqui, Zain
Viney, Richard P.
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Affiliation
University Hospitals Birmingham NHS Foundation Trust; University Hospitals North Midlands NHS Trust; George Eliot Hospital NHS Trust, Nuneaton;
Other Contributors
Publication date
2019-11-28
Subject
Research Projects
Organizational Units
Journal Issue
Abstract
Background and Objective
Renal obstruction is a common urological emergency potentially requiring urgent decompression by percutaneous nephrostomy (PCN) or antegrade ureteric stent (AUrS), procedures performed by interventional radiologists, or retrograde stenting in theatre by a urologist.
The study aimed to assess the burden of PCN / AUrS on the overall workload of a urology department and evaluate impact of procedural delays in terms of bed-occupancy and cost.
The findings serve to explore whether formal PCN / AUrS training would be desirable for UK trainees in urology.
Material and Methods
Prospective study of all patients admitted under urology at Queen Elizabeth Hospital Birmingham (QEHB) between 20thOctober - 18thNovember 2018.
Electronic records to retrieve data pertaining to admission, treatment provided, length of in-patient stay and delay awaiting PCN / AUrS.
Results
n=148 patients identified. n=22 (14.8% of total) primary admission reason and/or main treatment provided related to PCN / AUrS. 601 urology in-patient days occupied for all causes, 166 (27.6%) related to PCN / AUrS and 66 (10.9%) awaiting PCN / AUrS (delays cost �11,361 / month).
Conclusion
PCN / AUrS constituted a noteworthy proportion of all admissions and in-patient bed days in QEHB urology. Clinically non-urgent patients experienced notable cumulative delays whilst awaiting PCN / AUrS which adversely impacted bed occupancy. A suitably trained urologist competent at PCN / AUrS may positively address these issues. The findings merit consideration of a call for UK urology trainees to be trained in PCN / AUrS as part of CCT requirements.
Citation
Donati-Bourne J, Nour SS, Siddiqui Z, Viney RP. The Burden on a Urologist of Percutaneous Nephrostomies and Antegrade Ureteric Stents: Should Trainee Urologists Learn to Perform these Procedures? J Endolum Endourol. 2019;2(4):e23-e28. doi: 10.22374/jeleu.v2i4.71.
Type
Article