Category: Clinical Stones: Ureteroscopy

MP24-1 - Complications after 3000 flexible ureteroscopies – “Saint John” Emergency

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

Introduction & Objective :

Nowadays flexible ureteroscopy became a routine procedure utilized all-around of the world. The aim of this study was to evaluate the indications, limits and efficacy of flexible ureteroscopy on a significant number of cases and on a long follow-up period.


Methods :

Between January 2003 – January 2018, 3000 diagnosis and treatment retrograde flexible ureteroscopic procedures were performed in “Saint John” Emergency Clinical Hospital. We retrospectively reviewed the indications, endoscopes’ types, procedural efficacity and complications rates.


Results :

A fiberoptic first generation Storz flexible ureteroscope was used in 470 cases, a digital Flex-Xc in 691 cases, a fiberoptic Wolf Cobra in 68 cases, a digital Olympus URF-V in 473 cases and an Olympus URF-V2 in 1303 cases. 10% of the procedures were diagnostic, 3.2% therapeutic for upper urinary tract tumors and 86.8% for pyelocaliceal lithiasis (associated or not with other patologies such as pyelocaliceal diverticulum or infundibulum stenosis). During the diagnostic procedures inspection of the entire upper urinary tract was possible in 90% of the cases (2700 patients). Stone free rate in lithiasis cases was 93.3% after one procedure, 95.2% after the second and 97.3% after the third one. Complication rate was 20.5%, 17.6% Clavien I and II, 5.1% Clavien III, 0% Clavien IV and V.


Conclusions :

Retrograde flexible ureteroscopic approach is an efficient diagnostic and treatment method for renal pathology. Also the complication rate is relatively reduced, but a serious training is indicated before using this device.

Bogdan Geavlete

Associate Professor of Urology
"Saint John" Emergency Clinical Hospital, Department of Urology, Bucharest, Romania
Bucharest, Bucuresti, Romania

Dr. Bogdan Geavlete, MD, PhD, is Associate Professor at the "Saint John" Emergency Clinical Hospital, Department of Urology in Bucharest, Romania. As a research scholar, his training included fellowships in endourology in general at Asklepios Klinik Barmbek in Hamburg, Germany, as well as in flexible ureteroscopy in particular, at Tenon Hospital in Paris, France. Dr. Geavlete also completed a European Urological Scholarship Programme (EUSP) clinical fellowship at Radboud University, in Nijmegen, The Netherlands.
During the past 10 years, he was involved as faculty (speaker and moderator) in the most prestigious urological international events such as the EAU, AUA, WCE, SIU, CEM, EULIS and Challenges in Endourology annual meetings, while also co-authoring over 300 posters and videos.
His main areas of expertise and research focuses have been centered on non-muscle invasive bladder cancer (PhD in photodynamic diagnostic, international premiere and randomized clinical research in plasma-button large tumors’ vaporization), benign prostatic obstruction (prospective, randomized-controlled studies in BPH bipolar plasma enucleation published in famous ISI journals) and urolithiasis (international speaker, moderator and trainer in flexible ureteroscopy).
Dr. Geavlete gained 10 international awards for best posters, videos or oral presentations in the most important congresses of the urological international scientific agenda such as the EAU, CEM, EMUC, Experts in stone disease, Engineering and Urology Society and Challenges in Endourology & Functional Urology meetings. Also, he is an investigator in multicenter international clinical trials as well as in national research grants, while also completing a post-PhD research fellowship in narrow band imaging. He is a member in the organizing committees of national congresses and earned 5 national awards.
Over the past decade, Dr. Geavlete has been selected as a reviewer for 31 international journals, published 3 books in international publishing houses and 26 articles in international ISI journals and co-authored 68 PubMed indexed articles.

Razvan Multescu

Bucharest, Bucuresti, Romania

Dragos Georgescu

Bucharest, Bucuresti, Romania

Cosmin Ene

Bucharest, Bucuresti, Romania

Georgiana Balan

Bucharest, Bucuresti, Romania

Catalin Bulai

Bucharest, Bucuresti, Romania

Petrisor Geavlete

Professor
Saint John Emergency clinical Hospital
Bucharest, Bucuresti, Romania

Professor of Urology, Chairman of the "Saint John" Emergency Clinical Hospital, Department of Urology, Vice-president of the Romanian Association of Urology