Ultrasound-Guided Ureteral Stent Removal in Women
| Autor: | Valeriy Korol, Aleksei Pisarev, Nair S. Tagirov, Nariman Gadzhiev, Vladimir Dmitriev, Vigen Malkhasyan, Vladislav Grigoryev, Sergei Petrov, Nikita Khromov-Borisov, Sergei Brovkin, Igor Semeniakin, Dmitry Shkarupa |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Cystoscope 030232 urology & nephrology Stage ii 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Stent removal Medicine Humans Radiology Nuclear Medicine and imaging Device Removal Ultrasonography Interventional Retrospective Studies Pelvic organ Radiological and Ultrasound Technology business.industry Visual Analog Pain Scale Ultrasound Middle Aged Ultrasound guided Ureteral stent removal Surgery surgical procedures operative Female Stents Ureter business |
| Zdroj: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 35(10) |
| ISSN: | 1550-9613 |
| Popis: | Objectives The purpose of this study was to develop a fast, comfortable, and safe method of ureteral stent removal in women. Methods From February 2014 to July 2015, a retrospective multicenter controlled study including 82 female outpatients was conducted. The control group was composed of 46 patients who underwent stent removal using a 22F cystoscope. The experimental group was composed of 36 patients who underwent stent removal under ultrasound guidance with a 15F spiral-ending device. Exclusion criteria were pelvic organ prolapse quantification stage II or higher and complicated stents (with migration or encrustation). Results All studied patients had successful ureteral stent removal. No complications were seen in both groups. Differences between mean visual analog pain scale scores and stent removal durations were statistically significant in favor of the experimental group (P = .0077 and .0075, respectively). Conclusions The proposed method for ureteral stent removal in women under ultrasound guidance was shown to be faster and to have lower visual analog pain scale scores, in comparison with removal by a cystoscope, which makes it an attractive option for outpatient urologic praxis in uncomplicated cases, and because it is free of the risk of ionizing radiation and more comfortable, it can be used in pregnant patients. |
| Databáze: | OpenAIRE |
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