Day-case rigid and flexible ureteroscopy.
BACKGROUND
The aim of this study was to evaluate the feasibility of rigid and flexible ureteroscopy as a day-surgery procedure.


METHODS
All patients requiring elective ureteroscopy from March 2004 were considered for a day-surgery procedure. The standard day-surgery exclusions existed but there were no urological criteria for exclusion. A single consultant urologist performed or supervised all procedures.


RESULTS
A total of 64 patients underwent 50 rigid and 14 flexible procedures. Six diagnostic ureteroscopies were performed. There was a 96% stone clearance rate. Five patients required an unplanned admission within the first 2 weeks' postoperatively. Three of these patients were admitted on the day of surgery, two for pain and one for social reasons. Two patients were admitted at 24 h and 48 h, respectively, for urinary retention.


CONCLUSIONS
Ureteroscopy, both rigid and flexible, is a safe procedure for the day-surgery setting. Routine use of prophylactic antibiotics, intravenous non-steroidal anti-inflammatory drugs resulted in an acceptable re-admission rate.
Bromwich
E J
EJ
Department of Urology, St Mary's Hospital, Portsmouth, UK. emma.bromwich@virgin.net
Lockyer
R
R
Keoghane
S R
SR
D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D005240:Feasibility Studies; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D011446:Prospective Studies; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000601:surgery*; D018666:Ureteroscopy / Q000379:methods*
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