Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019;72(4):393-397.
doi: 10.5173/ceju.2019.0041. Epub 2019 Oct 14.

Worldwide Survey of Flexible Ureteroscopy Practice: A Survey From European Association of Urology Sections of Young Academic Urologists and Uro-Technology Groups

Free PMC article

Worldwide Survey of Flexible Ureteroscopy Practice: A Survey From European Association of Urology Sections of Young Academic Urologists and Uro-Technology Groups

Amelia Pietropaolo et al. Cent European J Urol. .
Free PMC article


Introduction: To understand the current practice of flexible ureteroscopy (fURS), we conducted a worldwide survey among urologists with a special interest in endourology.

Material and methods: A 42-question survey was designed after an initial consultation with European Association of Urology young academic urologists (YAU) and uro-technology (ESUT) groups. This was distributed via the SurveyMonkey® platform and an ESUT meeting to cover practice patterns and techniques in regard to ureteroscopy usage worldwide.

Results: A total of 114 completed responses were obtained. A safety guidewire was reportedly used by 84.5% of endourologists, an access sheath was always or almost always used by 71% and a reusable laser fibre was used by two-thirds of respondents. While a combination of dusting and fragmentation was used by 47% as a preferred mode of intra-renal stone treatment, some used dusting (43%) or fragmentation with basketing (10%).Disposable scopes were only used by 40% and three quarters of them used it for challenging cases only. Antibiotic prophylaxis was limited to a single peri-operative dose by two-thirds (67%) of respondents. The procedural time was limited to between 1-2 hours by two-thirds (70%) of respondents and very rarely (7.4%) it exceeded 2 hours. The irrigation method varied between manual pump (46%), mechanical irrigation (22%) or gravity irrigation (27%).

Conclusions: Our survey shows a wide variation in the available endourological armamentarium and surgical practice amongst urologists. However, there seems to be a broad agreement in the use of peri-operative antibiotics, access sheath usage, method of stone treatment and the use of post-operative stent.

Keywords: access sheath; endourology; flexible; fragmentation; laser; stone; survey; ureteroscopy; urolithiasis.

Conflict of interest statement

The authors declare that there is no conflict of interest from any of the co-authors. No funding was received for this work.

Similar articles

See all similar articles


    1. Somani BK, Giusti G, Sun Y, et al. Com- plications associated with ureterorenoscopy (URS) related to treatment of urolithiasis: the Clinical Research Office of Endourological Society URS Global study. World J Urol. 2017;35:675–681. - PMC - PubMed
    1. Kronenberg P, Somani BK. Advances in Lasers for the Treatment of Stones - a Systematic Review. Curr Urol Rep. 2018;19:45. - PMC - PubMed
    1. Rukin NJ, Siddiqui ZA, Chedgy ECP, Somani BK. Trends in Upper Tract Stone Disease in England: Evidence from the Hospital Episodes Statistics Database. Urol Int. 2017;98:391–396. - PubMed
    1. Pietropaolo A, Proietti S, Geraghty R, et al. Trends of 'urolithiasis: interventions, simulation, and laser technology' over the last 16 years (2000-2015) as published in the literature (PubMed): a systematic review from European section of Uro-technology (ESUT) World J Urol. 2017;35:1651–1658. - PMC - PubMed
    1. Somani BK, Robertson A, Kata SG. Decreasing the cost of flexible ureterorenoscopic procedures. Urology. 2011;78:528–530. - PubMed

LinkOut - more resources