MP12-10 RADIATION EXPOSURE TO MEDICAL STAFF IN THE UROLOGY OPERATING THEATRE – A PROSPECTIVE STUDY

Abstract

You have accessJournal of UrologyImaging/Radiology III1 Apr 2014MP12-10 RADIATION EXPOSURE TO MEDICAL STAFF IN THE UROLOGY OPERATING THEATRE – A PROSPECTIVE STUDY Peter Sauermann, Gabriel Schell, Julia Johannsen, Joerg Binder, Thomas Leippold, Neff Thomas, and Guido Tenti Peter SauermannPeter Sauermann More articles by this author , Gabriel SchellGabriel Schell More articles by this author , Julia JohannsenJulia Johannsen More articles by this author , Joerg BinderJoerg Binder More articles by this author , Thomas LeippoldThomas Leippold More articles by this author , Neff ThomasNeff Thomas More articles by this author , and Guido TentiGuido Tenti More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.445AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Fluoroscopic screening is essential in urological standard surgery. However, there is only limited and inconsistent data available on the level of radiation exposure to the medical staff in the operating theatre, thus raising concerns about immediate and late effects of exposure to X-rays. METHODS In this prospective analysis, cumulative radiation doses were measured in a three months period from January to March 2013 in the urology operating theatre. All surgical procedures requiring fluoroscopic screening (Uroskop Access, Siemens) were included. Dosimeters (Dosilab®) were attached to the surgeon’s forehead and to the ring finger of the left hand. Radiation exposure of anesthesia staff was captured by a dosimeter that was placed on the surface of the respirator. In addition, general patient exposure in the areas outside the X-ray field was measured by a dosimeter positioned laterally of the patient’s pelvis. RESULTS A total of 108 surgical procedures, among them 41 ureterorenoscopies, 34 ureteral stent insertions, and 33 not further specified procedures, were evaluated. The surgeon’s cumulative exposure to radiation during the entire study period and as measured via finger ring dosimeter was 6.2 mSv, at the forehead (cornea level) 1.1 mSv were measured. The general cumulative patient exposure amounted to 0.3 mSv. At the anesthesia work place, which is in about 3 meters distance from the fluoroscope, no radiation exposure was detected (0.0 mSv). CONCLUSIONS Despite the regular need of fluoroscopic screening for diagnostic and therapeutic procedures in the urology operating theatre, cumulative radiation exposure to the surgeon’s cornea and fingers reached only one-hundredth of the maximum permissible annual dose. For the anesthesia staff as well as for the patient, no significant increase in cumulative dose was detected as compared to the natural background radiation. However, a responsible handling of the radiation source is an immediate requirement. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e109 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Peter Sauermann More articles by this author Gabriel Schell More articles by this author Julia Johannsen More articles by this author Joerg Binder More articles by this author Thomas Leippold More articles by this author Neff Thomas More articles by this author Guido Tenti More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...