Urologist's fatigue and discomfort in different body regions after performing flexible ureteroscopy.

IF 2.1 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology Pub Date : 2025-04-04 DOI:10.1016/j.urology.2025.04.004

Sarah Razavi, Emeka Udedibia, Kristin L Chrouser, Hamid Norasi, M Susan Hallbeck, Arun Rai, Stephanie Izard, Karen Huang, David Hoenig, Zeph Okeke

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引用次数: 0

Abstract

Objective: To assess self -reported surgeon fatigue and discomfort in different body regions after performing flexible ureteroscopy.

Methods: An anonymous survey was designed and distributed among urologists and trainees in four hospitals. Participants rated their discomfort in different body and hand regions as well as overall fatigue before and immediately after each flexible ureteroscopy procedure they performed.

Results: The final working sample size was 45 unique surgeons (26 female and 19 male) completing 58 procedures. Respondents were 38.2 ±14.7 years of age. Forty-two percent of respondents were male, 75% were right-hand dominant and 25% reported existing musculoskeletal disorder. Urologists' overall fatigue score significantly increased after ureteroscopy, but females had a significantly larger increase (female β: 1.74, p<0.001; male β: 0.78, p=0.017). Women experienced higher discomfort in neck, upper back, right shoulder and right elbow than men. Across different hand regions, increased post-procedural discomfort was reported mostly in the thenar area (41.8 %) followed by hypothenar area (28.5%) and thumb area (27.9%).

Discussion: Urologists experience significant increase in overall fatigue and discomfort across most body and hand regions. Women seem to be disproportionally affected. Additional studies are needed to determine the causality of these findings and explore potential interventions aimed at reducing procedure-related discomfort among all urologists, especially women.

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输尿管软镜检查后泌尿科医生不同身体部位的疲劳和不适。

目的：评价外科医生在输尿管软镜手术后不同身体部位的疲劳和不适。方法：对4家医院泌尿科医师和实习医师进行匿名调查。参与者评估了他们在每次输尿管镜检查前后身体和手部不同部位的不适程度，以及整体疲劳程度。结果：最终工作样本量为45名外科医生（26名女性，19名男性）完成58例手术。年龄38.2±14.7岁。42%的受访者是男性，75%的人是右手主导型，25%的人患有肌肉骨骼疾病。输尿管镜检查后泌尿科医生的总体疲劳评分明显增加，但女性的增加幅度更大（女性β: 1.74, p）讨论：泌尿科医生在大多数身体和手部区域的总体疲劳和不适明显增加。女性似乎受到了不成比例的影响。需要进一步的研究来确定这些发现的因果关系，并探索潜在的干预措施，旨在减少所有泌尿科医生，特别是女性的手术相关不适。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urology 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

9.50%

发文量

716

审稿时长

59 days

期刊介绍： Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.