A severely encrusted forgotten double - J ureteral catheter with giant stone formation

Garg, Gaurav; Sharma, Deepanshu; Pandey, Siddharth; Kumar, Manoj

doi:10.1590/s1677-5538.ibju.2018.0330

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…DJ stent is known as useful and routine instrumentation in urology surgeries that reduces obstruction of the upper urinary tract, deflects the urine outflow, helps ureter dilatation for stone passing and helps to heal the tissue by reduction of inflammation. However, it can cause symptoms and even giant stone formation related to a stent that affects more than 80 percent of the patients (2,11,18).…”

Section: Discussionmentioning

confidence: 99%

The effects of pregabalin, solifenacin and their combination therapy on ureteral double-J stent-related symptoms: A randomized controlled clinical trial

et al. 2021

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Background: Many medical therapies have been tested to deal with urinary stentrelated symptoms (USRS). Several preventive and pharmaceutical methods have been already used for better compatibility of stents. However, the existing evidence for pharmacological treatment is still controversial. This study aims to evaluate the effects of pregabalin, solifenacin, and combination therapy on ureteral double-J stent-related symptoms following ureteroscopy and transureteral lithotripsy (TUL). Materials and methods: In a randomized controlled clinical trial, from November 2017 to March 2019, 256 patients who underwent ureteroscopy were enrolled. Patients were randomly divided into four groups including: group A received pregabalin 75mg BID (twice daily), group B received solifenacin 5mg orally once daily, group C received combination of pregabalin and solifenacin and the group D (control) given no drugs. Results: One hundred and fifty-one (58.9%) males and 101 (41.1%) females were enrolled in this study with a mean age of 43.47±7 (p=0.32, p=0.67). USSQ domains score such as urinary symptoms, pain, general condition, work performance, sexual matters and additional problems were significantly differenced during second and fourth week of follow-up among study groups (p <0.0001). In Tukey's multiple comparison test, urinary symptoms (p=0.735), pain (p=0.954) and sexual matters (p=0.080) in second week and work performance in forth week in group B was not significantly better than group D. Only group C in all indexes of USSQ showed significantly beneficial effects over group D (p <0.0001). Conclusion: Combination therapy of pregabalin and solifenacin has a significant effect on stent-related symptoms and is preferred over monotherapy of the respected medications.

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Section: Discussionmentioning

confidence: 99%