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DI Bari S, Stella G, Benedetti M, Talso M, Saita A, Zaraca C, Ferrari R, Acquati P, Lombardo R, Ferretti S, Puliatti S, Cormio L, Micali S. Stone centers: a national survey on surgical techniques performed in Italy. Minerva Urol Nephrol 2024; 76:230-234. [PMID: 38742556 DOI: 10.23736/s2724-6051.24.05778-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2024]
Abstract
BACKGROUND Recurrent and complex stone disease may be considered a challenging disease. In 2018, the Calculus group of the SIU (Italian Society of Urology) set itself the goal of establishing the minimum requirements for a center that could continuously manage urolithiasis pathology, named a Stone Center. In this study we present the results of a pilot survey carried out in 2019 with the aim of drawing a map of the situation of Italian urological centers dealing with urinary stones. METHODS A total of 260 national urology departments dealing with urolithiasis surgery were contacted for this study. A survey was issued to each of the centers to determine the number of patients treated for urinary stones and the amount of procedures performed per year: 1) extracorporeal shock wave lithotripsy ESWL; 2) ureterorenoscopy URS; 3) retrograde intrarenal surgery RIRS; 4) percutaneous nephrolithotomy PCNL. RESULTS Out of 260 centers contacted, 188 fulfilled the survey. Outcomes were quite variable, with approximately 37% of the centers lacking a lithotripter, and 46% of those that did have it performing fewer than 100 treatments per year. In terms of endoscopic procedures, more than 80% of the centers contacted performed URS or RIRS; however, when it came to percutaneous lithotripsy, these numbers dropped significantly; 33% of the centers contacted did not perform PCNL, and of those who did, 18% had less than 5 years of experience as a center. CONCLUSIONS Our survey shows a very heterogeneous national picture about urolithiasis treatments. Our goal is to create national paradigms to be able to define stone centers where the patient suffering from complex urinary stones can find a network of professionals with an adequate armamentarium suitable for the management of their pathology.
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Affiliation(s)
- Stefano DI Bari
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Giuseppe Stella
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Mattia Benedetti
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Michele Talso
- SIU working group: Urinary Stones and Endourology, Rome, Italy
- Department of Urology, ASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Milan, Italy
| | - Alberto Saita
- SIU working group: Urinary Stones and Endourology, Rome, Italy
- Department of Urology, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
| | - Carlo Zaraca
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Riccardo Ferrari
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Pietro Acquati
- SIU working group: Urinary Stones and Endourology, Rome, Italy
- Department of Urology, IRCCS Policlinico San Donato, Milan, Italy
| | - Riccardo Lombardo
- SIU working group: Urinary Stones and Endourology, Rome, Italy
- Sant'Andrea Hospital, Sapienza University, Rome, Italy
| | | | - Stefano Puliatti
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Luigi Cormio
- SIU working group: Urinary Stones and Endourology, Rome, Italy
- Department of Urology, University of Foggia, Foggia, Italy
| | - Salvatore Micali
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy -
- SIU working group: Urinary Stones and Endourology, Rome, Italy
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Melchionna A, Choong S, Arumuham V, Mazzon G. Comment on: "Mini-percutaneous nephrolithotomy versus retrograde intrarenal surgery for the treatment of 10-20-mm kidney stones in patients with ileal conduit: a comparative study". Minerva Urol Nephrol 2023; 75:783-785. [PMID: 38126293 DOI: 10.23736/s2724-6051.23.05639-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
Affiliation(s)
- Alberto Melchionna
- Institute of Urology, University College Hospitals of London, London, UK
| | - Simon Choong
- Institute of Urology, University College Hospitals of London, London, UK
| | - Vimoshan Arumuham
- Institute of Urology, University College Hospitals of London, London, UK
| | - Giorgio Mazzon
- Institute of Urology, University College Hospitals of London, London, UK -
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