According to Sirikan Rojanasarot, Ph.D., and Amy E. Krambeck, M.D., the use of stents with extraction strings for uncomplicated ureteroscopies is a safe and economical option. Leaving a string in place allows patients to remove their stents independently, eliminating the need for additional procedures while maintaining similar outcomes.
Presenting self-removal stents as a safe and economical option can help #urologists allay patient concerns and save on healthcare resources.
Source:
1 in 20 kidney stone patients develop sepsis after URS*.
The cost of ureteroscopy increases nearly fourfold when patients develop severe sepsis post-operation. How can urologists better mitigate the risk of post-operative sepsis?
Bhojani et al identified 6 predictors of urosepsis to help urologists identify high-risk patients. These include diabetes, ischemic heart disease, a positive urine culture and previous stent placements. Additionally, sepsis risk also increases linearly with patients’ age, the duration of surgery and the extent of comorbidity. To minimize the risk of urosepsis, urologists should personalize treatments according to patients’ risk profiles.
*Source:
Scientific Program of 38th World Congress Of Endourology Program Book
Unaware of the symptoms of kidney stone obstruction, some patients in our community have been dismissing their pain and delaying treatment, leading to infection and sepsis.
With 1 in 10 patients developing septic shock due to urinary infection complicated by anatomic urinary obstruction*, improving patient education is key. Help patients by informing them about the signs and risks of stone obstruction!
Early surgical intervention is important for removing obstructive kidney stones. However, when dealing with smaller stones, it may be better to leave them alone.
According to Innes et al, early intervention of smaller stones (<5mm) leads to a 14% increase in treatment failure compared with spontaneous passage*. Patients who are older, female, prone to hydronephrosis and have proximal stones are also at higher risk of treatment failure.
Sources:
Which Patients Should Have Early Surgical Intervention for Acute Ureteral Colic?
Despite growing patient demand, urology has consistently struggled to recruit and retain female urologists. A recent interview in the Urology Times suggests that gender biases may be a driving factor.
According to Dr Jennifer Miles-Thomas, M.D., female urologists are often the subject of offensive comments and gender-stereotypic perceptions at work*.
Listening actively and developing a retention strategy are some ways that urology practices can help women tackle these unseen barriers!
*Source:
Dr. Jennifer Miles-Thomas addresses the gender gap in urology
Kidney stones can strike at the most unexpected time, and some parents from our kidney stone patient community have been delaying treatment due to a lack of childcare arrangements.
Studies have shown that patients who delay treatment by more than 45 days are up to 15 times more likely to have an unplanned clinic visit, and 5 times more likely to develop infections*. Offering some flexibility in treatment scheduling can help to ease patients’ stress and help them to receive timely care.
*Source:
MP75-15 The Consequences Of Delaying Stone Treatment
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