Is routine ureteral stenting really necessary after retrograde intrarenal surgery?


Submitted: April 1, 2015
Accepted: April 1, 2015
Published: March 31, 2015
Abstract Views: 3840
PDF: 2209
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Authors

  • Ekrem Ozyuvali Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey.
  • Berkan Resorlu 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.
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.

Ozyuvali, E., Resorlu, B., Oguz, U., Yildiz, Y., Sahin, T., Senocak, C., Bozkurt, O. F., 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

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