Is routine ureteral stenting really necessary after retrograde intrarenal surgery?
Objectives: To investigate the situations in which ureteral double-J stent should be used after retrograde intrarenal surgery (RIRS). Patients and Methods: Patients with no ureteral double-J stent after RIRS constituted Group 1, and those with double- J stent after RIRS constituted Group 2. Patients...
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doaj-20d6abb6afb847979708bf2a782028822020-11-25T03:20:10ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972015-03-01871727510.4081/aiua.2015.1.724263Is routine ureteral stenting really necessary after retrograde intrarenal surgery?Ekrem Ozyuvali0Berkan Resorlu1Ural Oguz2Yildiray Yildiz3Tolga Sahin4Cagri Senocak5Omer Faruk Bozkurt6Erman Damar7Murat Yildirim8Ali Unsal9Department of Urology, Kecioren Training and Research Hospital, AnkaraDepartment of Urology, Canakkale Onsekiz Mart University, Faculty of Medicine, CanakkaleDepartment of Urology, Giresun University, Faculty of Medicine, GiresunDepartment of Urology, Kecioren Training and Research Hospital, AnkaraDepartment of Urology, Kecioren Training and Research Hospital, AnkaraDepartment of Urology, Kecioren Training and Research Hospital, AnkaraDepartment of Urology, Kecioren Training and Research Hospital, AnkaraDepartment of Urology, Kecioren Training and Research Hospital, AnkaraDepartment of Urology, Kecioren Training and Research Hospital, AnkaraDepartment of Urology, Gazi University, Faculty of Medicine, AnkaraObjectives: To investigate the situations in which ureteral double-J stent should be used after retrograde intrarenal surgery (RIRS). Patients and Methods: Patients with no ureteral double-J stent after RIRS constituted Group 1, and those with double- J stent after RIRS constituted Group 2. Patients’ age and gender, renal stone characteristics (location and dimension), stone-free status, VAS score 8 hours after surgery, post-procedural renal colic attacks, length of hospitalization, requirement for re-hospitalization, time to rehospitalization and secondary procedure requirements were analyzed. Results: RIRS was performed on 162 renal units. Double-J stent was used in 121 (74.6%) of these after RIRS, but not in the other 41 (25.4%). At radiological monitoring at the first month postoperatively after RIRS, complete stone-free status was determined in 122 (75.3%) renal units, while residual stone was present in 40 (24.6%). No significant differences were observed between the groups in terms of duration of fluoroscopy (p = 0.142), operation (p = 0.108) or hospitalization times (p = 0.798). VAS values determined routinely on the evening of surgery were significantly higher in Group 1 than in Group 2 (p = 0.025). Twenty-eight (17.2%) presentations were made to the emergency clinic due to renal colic within 1 month after surgery. Double-J catheter was present in 24 (85.7%) of these patients. Conclusions: Routine double-J stent insertion after RIRS is not essential since it increases costs, morbidity and operation time.http://www.pagepressjournals.org/index.php/aiua/article/view/5199Retrograde intrarenal surgeryUreteral stentUrolithiasis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ekrem Ozyuvali Berkan Resorlu Ural Oguz Yildiray Yildiz Tolga Sahin Cagri Senocak Omer Faruk Bozkurt Erman Damar Murat Yildirim Ali Unsal |
spellingShingle |
Ekrem Ozyuvali Berkan Resorlu Ural Oguz Yildiray Yildiz Tolga Sahin Cagri Senocak Omer Faruk Bozkurt Erman Damar Murat Yildirim Ali Unsal Is routine ureteral stenting really necessary after retrograde intrarenal surgery? Archivio Italiano di Urologia e Andrologia Retrograde intrarenal surgery Ureteral stent Urolithiasis |
author_facet |
Ekrem Ozyuvali Berkan Resorlu Ural Oguz Yildiray Yildiz Tolga Sahin Cagri Senocak Omer Faruk Bozkurt Erman Damar Murat Yildirim Ali Unsal |
author_sort |
Ekrem Ozyuvali |
title |
Is routine ureteral stenting really necessary after retrograde intrarenal surgery? |
title_short |
Is routine ureteral stenting really necessary after retrograde intrarenal surgery? |
title_full |
Is routine ureteral stenting really necessary after retrograde intrarenal surgery? |
title_fullStr |
Is routine ureteral stenting really necessary after retrograde intrarenal surgery? |
title_full_unstemmed |
Is routine ureteral stenting really necessary after retrograde intrarenal surgery? |
title_sort |
is routine ureteral stenting really necessary after retrograde intrarenal surgery? |
publisher |
PAGEPress Publications |
series |
Archivio Italiano di Urologia e Andrologia |
issn |
1124-3562 2282-4197 |
publishDate |
2015-03-01 |
description |
Objectives: To investigate the situations in which ureteral double-J stent should be used after retrograde intrarenal surgery (RIRS). Patients and Methods: Patients with no ureteral double-J stent after RIRS constituted Group 1, and those with double- J stent after RIRS constituted Group 2. Patients’ age and gender, renal stone characteristics (location and dimension), stone-free status, VAS score 8 hours after surgery, post-procedural renal colic attacks, length of hospitalization, requirement for re-hospitalization, time to rehospitalization and secondary procedure requirements were analyzed. Results: RIRS was performed on 162 renal units. Double-J stent was used in 121 (74.6%) of these after RIRS, but not in the other 41 (25.4%). At radiological monitoring at the first month postoperatively after RIRS, complete stone-free status was determined in 122 (75.3%) renal units, while residual stone was present in 40 (24.6%). No significant differences were observed between the groups in terms of duration of fluoroscopy (p = 0.142), operation (p = 0.108) or hospitalization times (p = 0.798). VAS values determined routinely on the evening of surgery were significantly higher in Group 1 than in Group 2 (p = 0.025). Twenty-eight (17.2%) presentations were made to the emergency clinic due to renal colic within 1 month after surgery. Double-J catheter was present in 24 (85.7%) of these patients. Conclusions: Routine double-J stent insertion after RIRS is not essential since it increases costs, morbidity and operation time. |
topic |
Retrograde intrarenal surgery Ureteral stent Urolithiasis |
url |
http://www.pagepressjournals.org/index.php/aiua/article/view/5199 |
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