Radiation Exposure, Urolithiasis
Conditions
Brief summary
In the medical world more and more procedures are performed with the use of ionizing radiation (x-ray), both diagnostic and therapeutic. The main and most known risk is the development of malignancies as a result of the use of ionizing radiation. Purpose of this study: To examine the patient radiation dose (PRD) if the frames per second (FPS) are set differently during the five most performed endourological procedures where fluoroscopy is used (insertion/replacement of ureteral stent, (mini-)percutaneous nephrolithotomy (PCNL/PNL), ureterorenoscopy (URS) and extracorporeal shock wave lithotripsy (ESWL/SWL)) and to propose an acceptable PRD for these procedures in a multicentric study.
Interventions
Other settings for frames per second
Sponsors
Study design
Eligibility
Inclusion criteria
* all patients who receive insertion/replacement of ureteral stent, URS (flexible or semirigid), (mini-)PCNL (including ECIRS) or ESWL under fluoroscopic with or without ultrasonic guidance * Only cases performed or directly supervised by experts
Exclusion criteria
* Bilateral cases * Diagnostic ureterorenoscopies * Antegrade ureteroscopies * Procedures for Upper Tract Urothelial Carcinoma (UTUC) * Procedures on children (aged \<18 years) * Pregnant women * Abnormal urinary anatomy (e.g. ureteral duplication, pelvic kidney, bladder derivation, horseshoe kidney)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dose limit | 1 year | Dose limit for the PRD during the insertion or replacement of a ureteral stent, URS, PCNL and ESWL |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Difference in PRD | 1 year | Difference in the PRD during the insertion or replacement of a ureteral stent, URS, PCNL and ESWL when the FPS are set to 3 to 5 compared to \>5 to 8 |
| PRD different centres | 1 year | PRD differ between the different participating urologists and centres |
| PRD difference complicated cases | 1 year | PRD difference between normal and complicated cases |
Countries
Belgium