The Burden on a Urologist of Percutaneous Nephrostomies and Antegrade Ureteric Stents: should Trainee Urologists Learn to Perform these Procedures?

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Shahd Seifeldin Nour
Zain Siddiqui
Richard Viney




Background and Objective

Renal obstruction is a common urological emergency potentially requiring urgent decompression by percutaneous nephrostomy (PCN) or antegrade ureteric stent (AUrS), procedures performed by interventional radiologists, or retrograde stenting in theatre by a urologist.

The study aimed to assess the burden of PCN / AUrS on the overall workload of a urology department and evaluate impact of procedural delays in terms of bed-occupancy and cost.

The findings serve to explore whether formal PCN / AUrS training would be desirable for UK trainees in urology.


Material and Methods

Prospective study of all patients admitted under urology at Queen Elizabeth Hospital Birmingham (QEHB) between 20thOctober - 18thNovember 2018.

Electronic records to retrieve data pertaining to admission, treatment provided, length of in-patient stay and delay awaiting PCN / AUrS.



n=148 patients identified.

n=22 (14.8% of total) primary admission reason and/or main treatment provided related to PCN / AUrS.

601 urology in-patient days occupied for all causes, 166 (27.6%) related to PCN / AUrS and 66 (10.9%) awaiting PCN / AUrS (delays cost £11,361 / month).



PCN / AUrS constituted a noteworthy proportion of all admissions and in-patient bed days in QEHB urology.

Clinically non-urgent patients experienced notable cumulative delays whilst awaiting PCN / AUrS which adversely impacted bed occupancy.

A suitably trained urologist competent at PCN / AUrS may positively address these issues.

The findings merit consideration of a call for UK urology trainees to be trained in PCN / AUrS as part of CCT requirements.



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How to Cite
DONATI-BOURNE, J., Nour, S. S., Siddiqui, Z., & Viney, R. (2019). The Burden on a Urologist of Percutaneous Nephrostomies and Antegrade Ureteric Stents: should Trainee Urologists Learn to Perform these Procedures?. Journal of Endoluminal Endourology, 2(4), e23-e28.
Original Article


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