Is Creation AV Fistulas still in the domain of the Urologist?
Creating AV Fistulas and placing Grafts for Haemodialysis was in the purview of the Urologists for long and as I am not in this field, am unsure of the current practice. We as Urologists have a way of handing over what is rightfully our domain to other specialists in different fields stating that we are overworked with our involvement with â€˜Endourologyâ€™. In many centres, my observation has been that as Urologists we have become mere â€˜techniciansâ€™ for Renal Transplant and some do not even participate in decision making.
I am providing the latest â€˜Clinical Practice Guideline on Peri and Postop Care of AV Fistulas and grafts for haemodialysis in adultsâ€™ for your reading for what it is worth.
https://academic.oup.com/ndt/article/34/Supplement_2/ii1/5514502 (PDF available)
It may be of use for those still involved in creation of Fistulas and Graft placement for Haemodialysis.
For trainees in the field, no doubt it would be worth a read as they are not in a position as yet to disregard many areas which were once in Urology Domain.
With warm regards,