Urology Procedure Timing Not Linked to Better or Worse Outcomes

Research published in the Journal of Urology suggests later operative start times — commonly thought to cause surgeon fatigue — may not necessarily lead to worse patient outcomes.


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For the study, surgeons performed two urological procedures at different times of the day. Ultimately, researchers compared patient outcomes for 72 laparoscopic and 340 robot-assisted laparoscopic prostatectomies and 110 percutaneous nephrolithotomies.

Their analysis showed multiple outcomes, including complication rates and residual fragments, did not differ significantly between the first procedure and the later second procedure during percutaneous nephrolithotomies. Similar outcomes were also found between the first and second procedures during laparoscopic and robot-assisted laparoscopic prostatectomies. The only difference worth noting is that nerve sparing occurred more frequently during later robot-assisted laparoscopic prostatectomies.

The researchers concluded, despite concerns over surgeon fatigue, timing of complex urological procedures is not linked to worse patient outcomes.

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