Transient stent placement versus tubeless procedure after ureteroscopy retrograde surgery stone extraction (Fast Track Stent study 2): A randomized prospective evaluation

Autor:	Lisa Dahlkamp, Jüri Palisaar, Peter Bach, Christian von Bodman, Joachim Noldus, Alina Reicherz, Verena Maas, Patricia Wenzel
Rok vydání:	2020
Předmět:	medicine.medical_specialty Schmidt sting pain index medicine.diagnostic_test urogenital system business.industry Urology Urinary system medicine.medical_treatment 030232 urology & nephrology Stent urologic and male genital diseases female genital diseases and pregnancy complications Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine Quality of life 030220 oncology & carcinogenesis Statistical significance medicine Stone extraction Ureteroscopy Fast track business
Zdroj:	International Journal of Urology. 27:749-754
ISSN:	1442-2042 0919-8172
DOI:	10.1111/iju.14291
Popis:	OBJECTIVES To determine whether in pre-stented patients undergoing ureteroscopic stone removal (ureteroscopy retrograde surgery) a tubeless procedure provides a better outcome compared with short-term (6 h) ureteral stenting using an external ureteral catheter. METHODS In this single academic center study (Fast Track Stent study 2), carried out between May 2016 and April 2018, 121 patients with renal or ureteral calculi were initially treated with double-J insertion. Before secondary ureteroscopy retrograde surgery, patients were prospectively randomized into two groups: tubeless versus ureteral catheter insertion for 6 h after ureteroscopy retrograde surgery. Exclusion criteria were acute urinary tract infection, solitary kidney or stone diameter >25 mm. Study end-points were stent-related symptoms assessed by a validated questionnaire (ureteral stent symptom questionnaire), administered both before and 4 weeks after surgery. Numerical ureteral stent symptom questionnaire scores were compared using the Mann-Whitney-U-test. The level of significance was defined as P 90% stone removal in all patients (n = 121), with a mean operation time of 19.9 versus 18.0 min for ureteral catheter versus tubeless, respectively (P = 0.37). Patient groups did not differ significantly in their ureteral stent symptom questionnaire scores (urinary index P = 0.24; pain index P = 0.35). Patients showed a significant preference for tubeless procedure over ureteral catheter reinsertion (Question GQ P
Databáze:	OpenAIRE
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