Is routine ureteral stenting really necessary after retrograde intrarenal surgery?

  • Ekrem Ozyuvali Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey.
  • Berkan Resorlu | drberkan79@gmail.com Department of Urology, Canakkale Onsekiz Mart University, Faculty of Medicine, Canakkale, Turkey.
  • Ural Oguz Department of Urology, Giresun University, Faculty of Medicine, Giresun, Turkey.
  • Yildiray Yildiz Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey.
  • Tolga Sahin Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey.
  • Cagri Senocak Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey.
  • Omer Faruk Bozkurt Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey.
  • Erman Damar Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey.
  • Murat Yildirim Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey.
  • Ali Unsal Department of Urology, Gazi University, Faculty of Medicine, Ankara, Turkey.

Abstract

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.

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Published
2015-03-31
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Issue
Section
Original Papers - Stones and Infections
Keywords:
Retrograde intrarenal surgery, Ureteral stent, Urolithiasis
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How to Cite
Ozyuvali, E., Resorlu, B., Oguz, U., Yildiz, Y., Sahin, T., Senocak, C., Bozkurt, O., Damar, E., Yildirim, M., & Unsal, A. (2015). Is routine ureteral stenting really necessary after retrograde intrarenal surgery?. Archivio Italiano Di Urologia E Andrologia, 87(1), 72-75. https://doi.org/10.4081/aiua.2015.1.72