title: A review of day care ureteroscopy of a teaching hospital in Malaysia.
abstract: This is a retrospective review of 200 day-care ureteroscopies performed between April 1998 and October 2002. The aim was to determine the feasibility and safety of this procedure. The mean age was 38.8 years and 75% of them were male. Eighty-three percent were ASA 1 and the remainders were ASA 2. The side of procedure were 48.5% right, 2.5% left and 6% both sides. Fentanyl and proprofol were used during induction. Calculi were found in 82.5% of cases. Rigid and flexible scope were used in 91.5% and 10.5% of cases. There were 33% upper, 23% mid and 44% distal ureteric stones. The mean stone size was 9.37 X 6.93mm. Seventy-four percent required a ureteric stent insertion. The mean operative time was 58.3 minutes. Four percent of patients experienced pain post-operatively relieved by NSAID injection. Repeat ureteroscopy performed in 30% of patients. There were zero admission rates. This study suggests day-care ureteroscopy is effective, safe and well tolerated by patients.
authors.affiliation: Division of Urology, Department of Surgery, Hospital Universiti Kebangsaan Malaysia, 56000, Kuala Lumpur.
authors.forename: K Y
authors.initials: KY
authors.lastname: Chan
authors.forename: M Z
authors.initials: MZ
authors.lastname: Zulkifli
authors.forename: M J
authors.initials: MJ
authors.lastname: Nazri
authors.forename: M O
authors.initials: MO
authors.lastname: Rashid
mesh_terms: D000293:Adolescent; D000328:Adult; D003631:Day Care, Medical; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008296:Malaysia; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000601:surgery*; D018666:Ureteroscopy