Ureterorenoscopy and pneumatic lithotripsy in the management of ureteral calculus

Hossain, GM Zakir; Hasan, Rashedul; Rahman, Mohammad Arifur; Ahmed, Mina

doi:10.3329/jcmcta.v19i1.3844

Cited by 2 publications

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“…The majority of the patients, 71 (68.27%), were 18-40 years of age. These findings are also remarkably comparable to those of RasoolM et al 8 and Hossain JMZ et al 9 , whose studies showed mean ages of 38 and 39 years, respectively. Similarly, Manan A et al 10 investigations revealed a mean age of 38 years.…”

Section: Discussionsupporting

confidence: 91%

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Analysis of Stenting versus Non-Stenting in patients Undergoing Ureteroscopic Lithotripsy for Management of Ureteric Calculi

Wahab,

Alam,

Hussain

et al. 2023

PJMHS

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Background: Ureteroscopic lithotripsy (URL) for ureteric calculi is commonly followed by ureteric stenting in around 60% of patients. However, its use for ureteric stones is debatable due to the stent-related symptoms and extra risks of stent migration, stent encrustation, and vesicoureteral reflux. Aim: To compare stenting to no-stenting in terms of mean operative time and mean hospital stay in patients receiving ureteroscopic lithotripsy for the treatment of ureteric calculi. Methods: This RCT, conducted at the Armed forces institute of urology Rawalpindi, included 104 patients aged 18 to 65 years with newly diagnosed ureteric calculi of 10-20 mm in size. They were subsequently separated into two equal groups, group A patient underwent ureteric stenting, and group B patients without a ureteric stent after uncomplicated calculus clearance with URL. Operative time was recorded in minutes, and hospital stay was measured in hours. Data were analyzed by SPSS version 22. Results: The mean (SD) operative time was significantly longer in group A as compared to Group B, 48.02 ± 4.33 and 33.67 ± 2.27 min, respectively (p-value <0.0001), similarly mean duration of hospital stay for Group B patients was significantly shorter as compared to Group A patients (21.94 ± 2.29 versus 27.10 ± 4.16 hours) which were significant statistically (p < 0.0001). Practical implication: Every URS procedure does not need stenting. Patients with uncomplicated URS should not under DJ stenting. URS without stenting reduces hospital stay and operative time. Conclusions: Non-stenting has reduced mean hospital stay duration and reduced mean operative time in comparison with stenting after URL; thus, unless desirably needed stenting in URL should be avoided. Keywords: Ureteroscopy (URL), DJ stenting, operative time. hospital stay. Keywords: Ureteroscopy (URL), DJ/JJ stenting, operative time.Hospitalstay.

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Section: Discussionsupporting

confidence: 91%

“…The ratio of these 104 patients was 1.8:1, with 64(61.54%) men and 40(38.46%) women. Multiple previous studies also revealed this male predominance [8][9][10] . Our study thus showed that the majority of ureteric calculi patients were mainly male and first presented in their third and fourth decade of life.…”

Section: Discussionsupporting

confidence: 54%

Analysis of Stenting versus Non-Stenting in patients Undergoing Ureteroscopic Lithotripsy for Management of Ureteric Calculi

Wahab,

Alam,

Hussain

et al. 2023

PJMHS

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 54%

Analysis of Stenting versus Non-Stenting in patients Undergoing Ureteroscopic Lithotripsy for Management of Ureteric Calculi

Wahab,

Alam,

Hussain

et al. 2023

PJMHS

View full text Add to dashboard Cite

Background: Ureteroscopic lithotripsy (URL) for ureteric calculi is commonly followed by ureteric stenting in around 60% of patients. However, its use for ureteric stones is debatable due to the stent-related symptoms and extra risks of stent migration, stent encrustation, and vesicoureteral reflux. Aim: To compare stenting to no-stenting in terms of mean operative time and mean hospital stay in patients receiving ureteroscopic lithotripsy for the treatment of ureteric calculi. Methods: This RCT, conducted at the Armed forces institute of urology Rawalpindi, included 104 patients aged 18 to 65 years with newly diagnosed ureteric calculi of 10-20 mm in size. They were subsequently separated into two equal groups, group A patient underwent ureteric stenting, and group B patients without a ureteric stent after uncomplicated calculus clearance with URL. Operative time was recorded in minutes, and hospital stay was measured in hours. Data were analyzed by SPSS version 22. Results: The mean (SD) operative time was significantly longer in group A as compared to Group B, 48.02 ± 4.33 and 33.67 ± 2.27 min, respectively (p-value <0.0001), similarly mean duration of hospital stay for Group B patients was significantly shorter as compared to Group A patients (21.94 ± 2.29 versus 27.10 ± 4.16 hours) which were significant statistically (p < 0.0001). Conclusions: Non-stenting has reduced mean hospital stay duration and reduced mean operative time in comparison with stenting after URL; thus, unless desirably needed stenting in URL should be avoided. Keywords: Ureteroscopy (URL), DJ stenting, operative time. hospital stay. Keywords: Ureteroscopy (URL), DJ/JJ stenting, operative time. Hospital stay.

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Ureterorenoscopy and pneumatic lithotripsy in the management of ureteral calculus

Abstract: Key words: ureterorenoscopy; pneumatic lithotripsy; ureteric stone; spinal anaesthesisdoi: 10.3329/jcmcta.v19i1.3844Journal of Chittagong Medical College Teachers' Association 2008: 19(1):11-14

Cited by 2 publications

References 0 publications

Analysis of Stenting versus Non-Stenting in patients Undergoing Ureteroscopic Lithotripsy for Management of Ureteric Calculi

Analysis of Stenting versus Non-Stenting in patients Undergoing Ureteroscopic Lithotripsy for Management of Ureteric Calculi

Analysis of Stenting versus Non-Stenting in patients Undergoing Ureteroscopic Lithotripsy for Management of Ureteric Calculi

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