Research summary, original research, 2013

Fluoroless ureteroscopy: zero-dose fluoroscopy during ureteroscopic treatment of urinary-tract calculi

Hsi RS, Harper JD. Journal of endourology. 2013

Read the original paper

In plain language

In 162 ureteroscopies by one urologist, a minimal-fluoroscopy protocol kept mean fluoroscopy time to 3.3 seconds, and most cases needed none. Staff dose was not measured directly, but less fluoroscopy use likely means less exposure for the operating room team.

At a glance

Type of study
Original research, Prospective cohort study
Who was studied
Urologists, Patients
Size
n = 156 renal units with fluoroscopy data (162 procedures)
Summary based on
the abstract

What it found

  • A minimal-fluoroscopy protocol produced very short fluoroscopy times during ureteroscopy.

    Key figures: mean 3.3 s, median 2.0 s (0-35 s)

  • Most cases needed no fluoroscopy apart from stent confirmation.

    Key figures: 75% fluoroless; 85% ≤2 s

  • Radiation dose (air kerma) was low.

    Key figures: mean 1.1 mGy, median 0.6 mGy (0.0-17.5 mGy); n=98

  • Longer fluoroscopy was linked to difficult anatomy or stent placement.

    Key figures: >5 s

  • Fluoroscopy times were far below the pooled literature average.

    Key figures: 144 seconds per case (literature)

Limits to keep in mind

Single-surgeon, uncontrolled series compared only with literature values; staff dose was not measured directly and dose data were available for only 98 renal units.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.