A treatment strategy to help select patients who may not need secondary intervention to remove symptomatic ureteral stones after previous stenting
| Autor: | Bernhard Kiss, Piet Bosshard, Beat Roth, Elena Stojkova Gafner, Thomas Grüter, Mihai Dorin Vartolomei, Marc A. Furrer |
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| Rok vydání: | 2020 |
| Předmět: |
Nephrology
medicine.medical_specialty Conservative management business.industry Urology medicine.medical_treatment 030232 urology & nephrology Ureteral stone Stent Stone size equipment and supplies Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine Stent removal 030220 oncology & carcinogenesis Internal medicine Retrospective analysis Medicine Treatment strategy business |
| Zdroj: | World Journal of Urology. 38:2955-2961 |
| ISSN: | 1433-8726 0724-4983 |
| Popis: | This study aimed at evaluating whether removal of the ureteral stent the day before scheduled secondary intervention facilitates spontaneous ureteral stone passage and thus can spare the pre-stented patient this surgery. Retrospective analysis of a single-centre consecutive series of 216 patients after previous stenting due to a symptomatic ureteral stone from 01/2013 to 01/2018. Indwelling stents were removed under local anaesthesia. Patients were told to filter their urine overnight. Multivariate analysis was performed to assess predictive factors for spontaneous stone passage. 34% (74/216) of patients had spontaneous stone passage while the stent was indwelling. Of the remaining 142 patients, 41% (58/142) had spontaneous stone passage within 24 h after stent removal. Only 84/216 (39%) patients needed secondary intervention. Multivariate logistic regression analysis of all 216 patients showed a significant association between spontaneous stone passage and smaller stone size (p |
| Databáze: | OpenAIRE |
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