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Radiation Safety During Ureteroscopy

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Book cover Ureteroscopy

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Medical imaging is essential for state-of-the-art diagnosis, surgical treatment and follow-up in individuals undergoing ureteroscopy. The imaging utilized has evolved from the use of plain films and intravenous pyelograms (IVP) with long acquisition times to spiral CT imaging with rapid image acquisition, high sensitivity and specificity. Although these advances in imaging have improved patient care, they have produced a moderate to significant increase in radiation exposure. Since the effects of radiation are not immediately perceived by the patient or the physician, their inherent risks may be easily overlooked. It is important that the urologic surgeon consider the potential risks and benefits of all imaging modalities prior to employing them.

Recently, concerns regarding increasing patient radiation exposure from medical imaging have led the US Food and Drug Administration (FDA) to call for a reduction in exposure during diagnostic and therapeutic medical procedures. In order to ensure high quality healthcare while optimizing patient safety it becomes essential for the treating physician to develop a clear understanding of the units of radiation exposure, the amount of radiation provided by different diagnostic and therapeutic interventions, the potential risks associated with this radiation exposure and the reduced radiation alternatives currently available. By adhering to the principles outlined in this chapter for the appropriate utilization of ionizing radiation, the urologic surgeon can achieve optimal outcomes with a significant reduction in risk for both the patient and staff.

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Authors and Affiliations

  1. Department of Urology, Loma Linda University School of Medicine, Loma Linda, CA, USA

    Don C. Arnold II M.D.

  2. Department of Urology, Loma Linda University Medical Center, Loma Linda University School of Medicine, 11234 Anderson Street, Room A560, Loma Linda, CA, 92354, USA

    D. Duane Baldwin M.D.

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  1. Glickman Urological & Kidney Institute, Department of Urology, The Cleveland Clinic, 2842 Fontenay Road, Cleveland, 44120, Ohio, USA

    Manoj Monga

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Arnold, D.C., Baldwin, D.D. (2013). Radiation Safety During Ureteroscopy. In: Monga, M. (eds) Ureteroscopy. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-206-3_20

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  • DOI: https://doi.org/10.1007/978-1-62703-206-3_20

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-205-6

  • Online ISBN: 978-1-62703-206-3

  • eBook Packages: MedicineMedicine (R0)

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