Is Ureteral Catheterization Necessary after Ureteroscopic Lithotripsy for Uncomplicated Upper Ureteral Stones?

Günlüsoy, Bülent; Değirmenci, Tansu; Arslan, Murat; Kozacýoglu, Zafer; Minareci, Süleyman; Ayder, Ali Rıza

doi:10.1089/end.2008.0098

Cited by 13 publications

(6 citation statements)

References 21 publications

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“…A reduction in irritant symptoms of micturition, hematuria rate, and dysuria was recorded, but this study was limited due to the retrospective design. 7 This phenomenon could be confirmed in our trial. No significant difference was reported concerning pain, fever, or hematuria within the early follow-up.…”

Section: Discussionsupporting

confidence: 81%

“…10 In the past, it could be shown that DJ insertion was associated with increased urinary symptoms, which can only be limited by its removal. 7 This phenomenon could be confirmed in our trial. FaST patients most commonly complained about micturition frequency, dysuria, and hematuria.…”

Section: Discussionsupporting

confidence: 81%

“…1 Routine stenting may promote healing of mucosal injuries, passage of stone fragments, and may reduce the incidence of late complications such as ureteral stricture. [6][7][8][9] However, the majority of studies suffer from retrospective design and low patient numbers. 2 However, DJ insertion is associated with urinary symptoms, flank, and suprapubic pain as well as UTIs.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] The need to place a DJ after URS is controversially discussed in literature and depends on the subjective discretion of the treating urologist. [6][7][8][9] However, the majority of studies suffer from retrospective design and low patient numbers. 10 In this "Fast track stent study" (FaST) we aim to investigate the outcome of a short-term UC placement in comparison to the routine placement of a DJ after ureteroscopic stone removal in pre-stented patients by means of validated tools (USSQ, VAS).…”

Section: Introductionmentioning

confidence: 99%

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Short‐term external ureter stenting shows significant benefit in comparison to routine double‐J stent placement after ureterorenoscopic stone extraction: A prospective randomized trial – the Fast track stent study (FaST)

et al. 2018

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A short-term ureter catheter insertion for 6 h following ureteroscopy retrograde surgery stone removal is a safe procedure and superior to double-J stent insertion with regard to urinary symptoms, pain, quality of life, and stent related symptoms. Patients treated with a short-term ureter catheter recover more quickly, return to work earlier, and need less doctor visits. Most patients would recommend a ureter catheter, and would prefer this strategy in case of future stone treatments.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Short‐term external ureter stenting shows significant benefit in comparison to routine double‐J stent placement after ureterorenoscopic stone extraction: A prospective randomized trial – the Fast track stent study (FaST)

et al. 2018

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“…Research has revealed that there is no need for ureteral stenting after uncomplicated URSL [14,15]. In the present study, we routinely placed the double-J stent in all subjects following URSL to prevent postoperative morbidities such as hydronephrosis and colic during the process of ureteral edema resolution after URSL.…”

Section: Discussionmentioning

confidence: 87%

Effect of two different doses of solifenacin succinate therapy (5 mg, 10 mg) for the treatment of ureteral stent (Double J) related symptoms in comparison to placebo

Mohammed¹,

Ghazala²,

Al-Ibraheem³

2018

Trends Med

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Background and objectives: Double-J ureteral stent is widely used in the endourologic surgery. However, it might cause some annoying side effects. This study aimed to evaluate the effect of two different doses of solifenacin (5 mg, 10 mg) on double-J stent-related symptoms after uncomplicated ureteroscopic lithotripsy.Methods: This study involved 120 patients. A total of 80 patients undergoing double-J ureteral stent insertion after ureteroscopic lithotripsy were recruited and provided with solifenacin postoperatively (40 patients received 5 mg and another 40 patients received 10 mg). Another 40 age-and sex-matched patients without solifenacin therapy (received placebo) were enrolled as a placebo group. All patients completed the modified-form Ureteral Symptom Score Questionnaire to evaluate the lower urinary tract symptoms, hematuria and stent-related body pain two weeks following the operation. The severity of stent-related symptoms was compared between the three groups.Results: The mean age was 45.4 years in 5 mg solifenacin group, 48.2 years in the 10 mg solifenacin group and 46.8 years in the placebo group. Compared to the placebo group, both solifenacin groups had significantly lower total symptom score, urgency and urge incontinence scores. Solifenacin groups had significantly less urethral, abdominal and flank pain and hematuria scores. There was no statistically significant difference between the two solifenacin groups of 5 mg and 10 mg. The solifenacin groups versus placebo group showed significant benefits in lower urinary tract symptoms, hematuria and stent-related pain in both genders. Ten subjects encountered minor adverse events in solifenacin groups (8 in the 10 mg group and 2 in the 5 mg group) which was mostly dry mouth and constipation. Conclusion:Postoperative solifenacin was effective and well-tolerated in patients undergoing ureteroscopic lithotripsy and double-J stent indwelling irrespective of genders, particularly for the treatment of stent-related body pain, hematuria and the lower urinary tract symptoms.

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Postoperative Care of the Ureteroscopy Patient

2019

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Is Ureteral Catheterization Necessary after Ureteroscopic Lithotripsy for Uncomplicated Upper Ureteral Stones?

Cited by 13 publications

References 21 publications

Short‐term external ureter stenting shows significant benefit in comparison to routine double‐J stent placement after ureterorenoscopic stone extraction: A prospective randomized trial – the Fast track stent study (FaST)

Short‐term external ureter stenting shows significant benefit in comparison to routine double‐J stent placement after ureterorenoscopic stone extraction: A prospective randomized trial – the Fast track stent study (FaST)

Effect of two different doses of solifenacin succinate therapy (5 mg, 10 mg) for the treatment of ureteral stent (Double J) related symptoms in comparison to placebo

Postoperative Care of the Ureteroscopy Patient

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