We aimed to evaluate operative time with the outcomes of ureteroscopy (URS), investigate and investigate the relationship between these factors, and assess if longer operative times were associated with a higher risk of complications.

We retrospectively audited consecutive cases of URS done. Data were collected for operative times, patient demographics, stone parameters, stent insertions, ureteric access sheath, length of stay, SFR, and complications. Statistical analysis was performed using IBM SPSS version 24.

Over 6.5 years, 736 patients with a male: female ratio of 1.8:1 and a mean age of 54.7 years underwent 860 URS and stone treatment procedures. The mean operative time was 43.5 min, with a stone size of 12.3 mm, and access sheath was used in 35.8%. The initial and final SFR was 86% and 92.5%, respectively, and 85.6% of patients were discharged the same day of the procedure.

Patients with shorter operative times have a higher chance of being discharged home the same day without a post-operative stent. Higher operative times are associated with high-grade, especially infection-related, complications.

Reference: https://journals.sagepub.com/doi/full/10.1177/1756287220934403