MP35-20 COMPARING TREATMENT OUTCOMES FOR FLUOROSCOPIC AND ‘FLUOROSCOPY-FREE’ ENDOUROLOGICAL PROCEDURES: A SYSTEMATIC REVIEW ON BEHALF OF THE EAU UROLITHIASIS GUIDELINES PANEL

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP35-20 COMPARING TREATMENT OUTCOMES FOR FLUOROSCOPIC AND ‘FLUOROSCOPY-FREE’ ENDOUROLOGICAL PROCEDURES: A SYSTEMATIC REVIEW ON BEHALF OF THE EAU UROLITHIASIS GUIDELINES PANEL Niall Davis, Lazaros Tzelves, Robert Geraghty, Riccardo Lombardo, Cathy Yuan, Ales Petrik, Andreas Neisius, Giovanni Gambaro, Helene Jung, Robert Shepherd, Thomas Tailly, Bhaskar Somani, and Andreas Skolarikos Niall DavisNiall Davis More articles by this author , Lazaros TzelvesLazaros Tzelves More articles by this author , Robert GeraghtyRobert Geraghty More articles by this author , Riccardo LombardoRiccardo Lombardo More articles by this author , Cathy YuanCathy Yuan More articles by this author , Ales PetrikAles Petrik More articles by this author , Andreas NeisiusAndreas Neisius More articles by this author , Giovanni GambaroGiovanni Gambaro More articles by this author , Helene JungHelene Jung More articles by this author , Robert ShepherdRobert Shepherd More articles by this author , Thomas TaillyThomas Tailly More articles by this author , Bhaskar SomaniBhaskar Somani More articles by this author , and Andreas SkolarikosAndreas Skolarikos More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003269.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Endourological procedures frequently necessitate fluoroscopic guidance, which results in harmful radiation exposure to patients and staff. Recently, several reports underlined the possibility to bypass the use of fluoroscopy. The aim of this systematic review and meta-analysis is to compare benefits and risks of fluoroscopic vs fluoroscopy-free procedures. METHODS: A systematic review of literature in MEDLINE/Pubmed, Embase and Cochrane controlled trials database and ClinicalTrial.gov was performed between 1970-2022. Primary outcomes assessed were complications and stone-free rate (SFR), while eligible studies reported data on ureteroscopy and percutaneous nephrolithotripsy (PCNL). RESULTS: 24 eligible studies (12 randomized and 12 observational) out of 834 initially screened abstracts were eligible for analysis, accounting for 4882 patients. Pooled analysis of all procedures revealed no significant differences for SFR, operative time, length of stay, minor (Clavien I-II) or major complications (Clavien III-V) between groups. Similar results were noted when subanalyses for ureteroscopy and PCNL were performed. When only randomized studies were analyzed, results were similar except that minor and major complications favored fluoroscopy-free group (RR 0.68 and 0.59 respectively). CONCLUSIONS: Pooled analysis revealed that the SFR and complication rates when fluoroscopy-free procedures are used, are similar with fluoroscopy-guided procedures. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e477 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Niall Davis More articles by this author Lazaros Tzelves More articles by this author Robert Geraghty More articles by this author Riccardo Lombardo More articles by this author Cathy Yuan More articles by this author Ales Petrik More articles by this author Andreas Neisius More articles by this author Giovanni Gambaro More articles by this author Helene Jung More articles by this author Robert Shepherd More articles by this author Thomas Tailly More articles by this author Bhaskar Somani More articles by this author Andreas Skolarikos More articles by this author Expand All Advertisement PDF downloadLoading ...