Current status of radiological protection in endourological procedures in Spain

Abstract

Objective

To know the degree of training in radiation protection (RP) of the Spanish urologists who perform endourological techniques, as well as to analyse the use of control and protection measures against ionizing radiation.

Material and Methods

Survey carried out, using the Multicentre Studies Platform (PIEM), among the 1,894 associates of the Spanish Association of Urology between April and October 2015. The questionnaire consisted of 21 questions that asked about the endourological activity performed, the degree of training in RP and the use of protective measures and personal dosimeters. A 17% of respondents was obtained, with 238 surveys finally being valid for analysis.

Results

63% of the respondents did not have any specific RP training, 25% had the first level accreditation and only 12% the second level one. A 57%, 27% and 2% of the urologists used chest, wrist and eye-lens dosimeter badges, respectively. The use of radiation protection measures proved to be insufficient. 53% of urologists at a higher risk of exposure had no RP training, 30% did not wear chest badges, and 40% did not use lead aprons or thyroid shields during endourological procedures.

Conclusion

RP training, dose control and the use of measures to protect against ionizing radiation is insufficient, even in those professionals most exposed to radiation. It is essential to correct these serious deficiencies in RP, working at an individual level, urology services, scientific societies and health authorities.