Differences in the percutaneous nephrolithotomy practice patterns among Latin American urologists with and without endourology training

Vol. 44 (3): 512-523, May – June, 2018

doi: 10.1590/S1677-5538.IBJU.2017.0599


ORIGINAL ARTICLE

Braulio O. Manzo 1, Edgar Lozada 1, Fabio C. Vicentini 2, Francisco Javier Sanchez 3, Gildardo Manzo 1
1 Hospital Regional de Alta Especialidade do Bajío, México; 2 Hospital das Clínicas da universidade de São Paulo, São Paulo, SP, Brasil; 3 Centro de Urologia do México (UROCEM), México

ABSTRACT

Purpose: Although the worldwide percutaneous nephrolithotomy (PCNL) practice patterns determined via a survey sent to members of the Endourological Society have been published, differences in PCNL practice patterns among Latin American urologists based on endourological or lithiasis training have not been published.

To determine the PCNL practice patterns among Latin American urologists with and without training in endourology.

Materials and Methods: The SurveyMonkey® web platform was used to develop a 27- item survey on PCNL for the treatment of renal stones, and the survey was sent via e-mail and other electronic media to 2000 urologists from 15 Latin American countries. Endourology-trained (group 1) and nontrained urologists (group 2) were analyzed. The group results were compared using the chi-squared and Fisher’s exact tests. SPSS version 20 for Windows was used for all analyses.

Results: A total of 331 urologists responded to the survey (rate of 16.55%): 221 (66.7%) in group 1 and 110 (33.2%) in group 2). In groups 1 and 2, 91.9% and 63.2% performed PCNL, respectively; 85.1% and 58.5% used preoperative tomography, respectively; 12.7% and 4.7% used preoperative nephrolitometry nomograms, respectively; 45.2% and 32.1% used endoscopic combined intrarenal surgery, respectively; 68.3% and 38.7% used mul­tiple percutaneous tract realization, respectively; and 19.9% and 5.7% used minimally invasive PCNL, respectively (all p=0.0005).

Conclusions: Statistically significant differences were observed in PCNL practice patterns of Latin American urologists with and without training in endourology. Specific training in endourology significantly influence the practice patterns of Latin American urologists.

Keywords: Nephrolithotomy, Percutaneous; Health Care Surveys; Kidney Calculi

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