Kauer P C, Laguna M P, Alivizatos G, Joyce A, Muschter R, Swartz R, Tolley D, de la Rosette J J M C H
Department of Urology, Academic Medical Hospital, Amsterdam, The Netherlands.
Eur Urol. 2005 Aug;48(2):182-8. doi: 10.1016/j.eururo.2005.01.002. Epub 2005 Jan 19.
The European Society of Urological Technology (ESUT) conducted a survey in order to assess and record the current trends between urologists with regard to the application of endourological stone management to identify trends and differences in treatment strategies among urologists.
A total of 695 certified urologists and urological residents answered the ESUT Endourological Stone Management Questionnaire. There were 136 (28.7%) chief urologists, 240 (50.6%) staff urologists and 98 (20.7%) residents. The respondents were classified according to both the geographical origin (in four groups: Northern Europe (NE), Southern Europe (SE), Eastern Europe (EE) and Outside Europe (OE)), and department size (number of urological beds per department: small < or = 25, medium 26-50 beds, large > 50 beds) in order to identify any differences in the replies.
On average, 40.1 newly diagnosed patients and 73.6 revisits with urolithiasis are seen a month per department. According to the replies, there are no significant differences in total numbers of treatments in ESWL and/or endourological stone managements amongst the geographically based groups. Monthly, on average 68.5 ESWL treatments and 23.0 URS are performed per department. A significant majority of surveyed urologists performs URS with a rigid or semi-rigid instrument (79%) instead of a flexible instrument (21%, p = 0.003). URS is more frequently performed outside Europe (p = 0.02) with a more frequent use of dormia catheters (p < 0.001). On average, 20.9 double g-stents are placed monthly in each department, most commonly before or after endourological procedures (p < 0.001). Percutaneous procedures are performed by 69.6% of the respondents with a mean of 16.8 PNL procedures a month. PNL for stone management is mainly performed in Eastern Europe and non-European countries (p = 0.017). Nephrostomy tubes are used by 77.7% of the responding urologists. Monthly, 13.1 nephrostomy tubes are placed, mostly during PNL or after endourological procedures (40.7%).
The data obtained from the 695 urologists and residents provides information on the performed procedures and the use of material. In general, respondents from different geographical locations perform similar procedures and use identical material; however URS and PNL are performed more frequently outside of Europe, whereas laser lithotripsy is frequently used in Northern European counties.
欧洲泌尿外科技术学会（ESUT）开展了一项调查，以评估和记录泌尿外科医生在腔内泌尿外科结石治疗方面的当前趋势，从而确定泌尿外科医生治疗策略的趋势和差异。
共有695名认证泌尿外科医生和泌尿外科住院医师回答了ESUT腔内泌尿外科结石治疗问卷。其中有136名（28.7%）泌尿外科主任、240名（50.6%）主治医师和98名（20.7%）住院医师。受访者根据地理来源（分为四组：北欧（NE）、南欧（SE）、东欧（EE）和欧洲以外地区（OE））以及科室规模（每个科室的泌尿外科病床数量：小科室≤25张，中等科室26 - 50张病床，大科室＞50张病床）进行分类，以便确定回答中的任何差异。
每个科室每月平均有40.1例新诊断的尿路结石患者和73.6例复诊患者。根据回答，基于地理区域的各组在ESWL和/或腔内泌尿外科结石治疗的总治疗次数上没有显著差异。每个科室每月平均进行68.5次ESWL治疗和23.0次输尿管镜检查（URS）。绝大多数接受调查的泌尿外科医生使用硬性或半硬性器械进行URS（79%），而非软性器械（21%，p = 0.003）。URS在欧洲以外地区更频繁地进行（p = 0.02），并且更频繁地使用多尔米亚导管（p < 0.001）。每个科室每月平均放置20.9个双J支架，最常见于腔内泌尿外科手术之前或之后（p < 0.001）。69.6%的受访者进行经皮手术，平均每月进行16.8次经皮肾镜取石术（PNL）。用于结石治疗的PNL主要在东欧和非欧洲国家进行（p = 0.017）。77.7%的受访泌尿外科医生使用肾造瘘管。每月放置13.1根肾造瘘管，大多在PNL期间或腔内泌尿外科手术后（40.7%）。
从695名泌尿外科医生和住院医师获得的数据提供了有关所执行手术和材料使用的信息。总体而言，来自不同地理位置的受访者进行类似的手术并使用相同的材料；然而，URS和PNL在欧洲以外地区更频繁地进行，而激光碎石术在北欧国家经常使用。
