Magnetic double-J stent: Evaluation of tolerance and impact on quality of life compared to traditional double-J stent

Diranzo-Garcia, M.; Pardo-Duarte, P.; Álvarez-Barrera, A.; Juan-Escudero, J.U.; Beltrán-Puig, M.; Monzó-Cataluña, Alba; Rechi-Sierra, K.; Sánchez-Ballester, F.; García-Ibáñez, Joan; López-Alcina, Emilio

doi:10.1016/j.acuroe.2021.04.004

Cited by 7 publications

(9 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This allowed the magnet to move and turn around more easily, thus facilitating contact with the urethral retrieval catheter's magnet, regardless of the position of the distal J. As a result of this improvement, the authors reported a stent removal success rate of 97% (9) , consistent with the latest studies available in the literature (10)(11)(12) .…”

Section: Discussionsupporting

confidence: 75%

Use of magnetic double J stents in pediatric patients

Fuente¹,

Ferrero²,

Temprano³

et al. 2022

Cir Pediatr

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 75%

Use of magnetic double J stents in pediatric patients

Fuente¹,

Ferrero²,

Temprano³

et al. 2022

Cir Pediatr

View full text Add to dashboard Cite

“…However, the indwelling of a double-J stent often leads to accompanying symptoms, such as lumbar and abdominal pain, pubic pain, frequent urination, urgency of urination, urination pain, haematuria, sexual dysfunction, and even high fever. 8 These accompanying symptoms may seriously hinder the patient's rapid postoperative recovery and affect the patient's life quality by preventing normal social networking and work. Particularly for patients with both pre-stenting and post-stenting, the duration of stent-associated symptoms may be longer than in patients who have received either pre- or post-stenting.…”

Section: Discussionmentioning

confidence: 99%

“…Some patients may experience stent-associated complications, such as fever, haematuria, pain, frequent urination, urgency, and dysuria while the double-J stent is in place. 8 With the practice of pre and post stenting, patients may experience such complications both before and after fURS. In order to reduce the duration of stent-associated symptoms, is it possible to adopt a stent free mode after surgery?…”

Section: Introductionmentioning

confidence: 99%

The study of double-J stent free mode of flexible ureteroscopy and laser lithotripsy: a single centre experience

Han²,

Zhu

et al. 2023

J Int Med Res

View full text Add to dashboard Cite

Objective To evaluate the effectiveness and safety of flexible ureteroscopy in the treatment of kidney and upper ureteral calculi under double-J stent free mode. Methods Data from patients who underwent flexible ureteroscopy and laser lithotripsy between February 2018 and September 2021 were retrospectively and analysed. Cases were grouped according to pre- or postoperative use of the double-J stent (6 Fr): Post-F group (preoperative double-J stent but no postoperative double-J stent); Pre-F group (no preoperative stenting but with postoperative double-J stent); and Routine group (preoperative and postoperative double-J stenting). Results A total of 554 patients (390 male and 164 female) were included. The mean operation time was similar between the three groups, with no statistically significant difference. Incidence of grade 0–1 ureteral injury was significantly higher in the Pre-F group versus other groups, but there were no significant between-group differences in other operation-related complications. During follow-up, stent-associated complications were observed in the Pre-F and Routine groups, but not in the Post-F group. Stone clearance rates were similar between all groups at 1, 3 and 6 months following surgery. Conclusions Flexible ureteroscopy using double-J stent free mode was found to be safe, feasible and effective in treating renal and upper ureteral calculi.

show abstract

“…For the sake of safety, most surgeons prefer to indwell double J stent after operation. However, the indwelling of double-J stent often leads to some accompanying symptoms, such as lumbar and abdominal pain, pubic pain, frequent urination, urgency of urination, urination pain, hematuria, sexual life disorder, and even high fever [9]. These accompanying symptoms can seriously hinder the patient's rapid recovery after operation and affect the patient's life quality by preventing them from normal social networking and work.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, the Double-J stent would be removed by cystoscopy after a certain time interval after operation. However, some patients may experience stent associated complications such as fever, hematuria, pain, frequent urination, urgency, dysuria after the Double-J stent indwelling in the body [9]. All of the above symptoms could cause great disturbance to people's daily life.…”

Section: Instructionmentioning

confidence: 99%

The study of Double-J stent free mode of flexible ureteroscopy and laser lithotripsy: A single center experience

Han

Zhu

et al. 2022

Preprint

View full text Add to dashboard Cite

Purpose To evaluate the effectiveness and safety of flexible ureteroscopy in the treatment of kidney and upper ureteral calculi under the Double-J stent free mode. Methods We retrospectively collected the data of patients who underwent flexible ureteroscopy and laser lithotripsy from February 2018 to September 2021 in our hospital. Cases were divided into three groups according to used of the Double-J stent pre-operation and post-operation, namely, the Postoperative Double-J stent free (Post-F) group with pre-indwelling Double-J stent before operation and non-indwelling Double-J stent after operation, the Preoperative Double-J stent free (Pre-F) group with the Double-J stent not preset before operation and retained after operation, and the Routine group with the Double J stents placed in the ureter before and after operation. The data of all patients, including demographic and stone characteristics, perioperative data, postoperative outcomes and complications, were recorded, evaluated and compared. Results 554 patients as per prescribed research criteria were included with 101 cases in the Post-F group, 154 cases in the Pre-F group and 299 cases in the Routine group. There was no significant difference in baseline characteristics among the three groups, such as age, body mass index, the cumulative calculi maximum length diameter (CMD), average CT value of stones (p > 0.05). The average operation time among the three groups was also similar which demonstrated no statistical difference. The incidence of grade 0–1 ureteral injury in the Post-F group was higher than the other two groups, and the difference was statistically significant (p < 0.01). There was no significant difference in the operation related complications such as bleeding, renal subcapsular effusion, urosepsis, and ureteral stricture. During the follow-up, the data showed there was a certain proportion of Double-J stent associated complications between the Pre-F group and the Routine group, while no risk of these complications were identified in the Post-F group. At the end of time intervals of one month, three months and six months after operation, the stone clearance rates of the three groups were (88.1% vs 87.7% vs89.6%), (91.5% vs 91.9% vs 93.8%), (93.1% vs 93.0% vs 94.9%) respectively, and the differences did not reach statistical significance. (p > 0.05). Conclusion It was a safe, feasible and effective management method to treat renal and upper ureteral calculi by flexible ureteroscopy using Double-J stent free mode. This model could avoid the stent associated complications after operation and is suggested to be widely used in clinic.

show abstract

Magnetic double-J stent: Evaluation of tolerance and impact on quality of life compared to traditional double-J stent

Cited by 7 publications

References 26 publications

Use of magnetic double J stents in pediatric patients

Use of magnetic double J stents in pediatric patients

The study of double-J stent free mode of flexible ureteroscopy and laser lithotripsy: a single centre experience

The study of Double-J stent free mode of flexible ureteroscopy and laser lithotripsy: A single center experience

Contact Info

Product

Resources

About