Category: Clinical Stones: Ureteroscopy

MP24-20 - Italian endourological panorama: results from a national Survey

Sun, Sep 23
10:00 AM - 12:00 PM

Introduction & Objective :

to explore the dissemination of flexible ureteroscopy (fURS), shockwave lithotripsy (SWL) and percutaneous nephrolithotomy (PCNL) in the Italian urological community and to know the real availability of the complex endourological armamentarium all over the country.

Methods :

An online questionnaire characterizing the case volume per year of upper urinary tract stone treatment and the availability of flexible ureteroscopes (FUs) armamentarium was sent to all urological Italian centers through e-mail.

Results :

The survey was sent to 294 urological centers and 146 responded (49.7%).The case volume per year of fURS was the following: 50 and 100 cases in 28 centers (19.2%). The case volume per year of SWL was the following: 50 and 200 cases in 35 centers (24%). In 37 centers (25.3%) SWL was not utilised at all. The case volume per year of PCNL was the following: < 10 cases in 20 centers (14%); > 10 and < 30 cases in 55 centers (30%), > 30 and < 50 cases in 33 centers (23%),  >50 and 100 procedures in 2 centers (1%). However, 24 centers (16%) did not perform any PCNL procedure.

Four centers (3%) did not have any FU at the moment of the survey. The availability of FUs was as follows: One FU in 21 (14%) centers, two FUs in 61 (42%) centers, three FUs in 29 (20%) centers, four FUs in 13 (9%) centers and ≥five FUs in 16 (9%) centers. Only 82 (56%) centers had all of their FUs in working condition. Digital FUs were available only in 59 (40%) centers. Results are swhon in Figure 1.

Conclusions :

This survey succeded in providing a complete overview on Italian endourological situation in terms of availability of all the required endourological instrumentation. Italian endourologist appeared to be keen to embrace Endourology in general and fURS in particular but costs of acquisition and maintainance of endourological endoscopic equipment is conditioning and slowing down its capillary dissemination across the country.

Moises E. Rodriguez-Socarras

Ospedale San Raffaele-Turro, Milan, Italy.
Milan, Lombardia, Italy

Silvia Proietti

Ospedale San Raffaele Turro, Milan, Italy
Milan, Lombardia, Italy

Dr Silvia Proietti graduated at University of Perugia (Italy) in 2006 with full marks cum laude.
During her residency, she won LLP-Erasmus Student Placement and she spent 4 months at Guy’s and St Thomas’ NHS Foundation Trust of London, under the direction of Professor Prokar Dasgupta; she also developed particular interest in functional urology, under the supervision of Professor Antonella Giannantoni.
She then graduated at School of Urology of University of Perugia on October 2006 with full marks cum laude.
From 2012 to April 2015 she was member of staff of Urology Department at Humanitas Clinical and Research Center in Milan and in particular at the “Stone Center” directed by Dr Guido Giusti.
In 2015, she did a 6-month fellowship in endourology at Tenon University Hospital under the direction of Professor Olivier Traxer.
She is currently working at Urology Department of San Raffaele Hospital, Ville Turro Division, in Milan, principally performing endourological treatment of stones and upper urinary tract tumors, which represent her main field of interest.
She is ViceDirector of the European Training Center of Endourology (ETCE) under the direction of Dr Giusti.
She is author of several papers published in peer-reviewed Journals and she won several awards at National and International meetings.

Bhaskar K. Somani

Consultant Urologist, Associate Professor
University Hospital Southampton , U.K
Southampton, England, United Kingdom

Bhaskar is an Endourologist and Associate Professor in Southampton, and is an active member of European School of Urology 'Training and Research group' and ESUT Endourology group. He has been teaching on EUREP hands-on-training for the last 5 years and is the senior author in the new ‘Endoscopic stone treatment (EST)’ curriculum established for training and examinations. He has performed live surgery in EAU with presentations and moderations in EULIS, WCE and SIU. He is also a member of EAU ‘Train the Trainer’ committee.

He is research active and has published more than 200 papers with over 300 published abstracts/presentations. He is on the editorial board of 3 journals, a reviewer for 14 journals and Investigator for 5 trials. He sits on the MCQ panel for FRCS examinations and is a ‘Specialist advisor’ to National Institute of Clinical Excellence (NICE) Interventional procedures and ‘Invited expert’ to NICE urological infections. He is an elected member of BAUS Academic section and was recently selected as a Fellow of Faculty of Surgical Trainers.

Amelia Pietropaolo

Urology senior fellow
University Hospital Southampton
Southampton, England, United Kingdom

Giuseppe Saitta

Ospedale San Raffaele-Turro, Milan, Italy.
Milan, Lombardia, Italy

Marco Rosso

Ospedale San Raffaele-Turro, Milan, Italy.
Milan, Lombardia, Italy

Guglielmo Mantica

Ospedale San Raffaele-Turro, Milan, Italy.
Milan, Lombardia, Italy

Davide De Marchi

Ospedale San Raffaele-Turro, Milan, Italy.
Milan, Lombardia, Italy

Franco Gaboardi

Ospedale San Raffaele-Turro, Milan, Italy.
Milan, Lombardia, Italy

Guido Giusti

Head of European Training Center in Endourology
Ospedale San Raffaele-Turro IRCCS , Milan, Italy
Milan, Lombardia, Italy