Randomized Study of Ureteral Catheter <i>vs</i> Double-J Stent in Tubeless Minimally Invasive Percutaneous Nephrolithotomy Patients

Zhou, Yizhou; Zhu, Jianguo; Gurioli, Alberto; Yuan, Dongbo; Luo, Jiawei; Li, Zhilin; Zhang, Wei; Xiao, Shiwei; Liu, Yongda

doi:10.1089/end.2016.0759

Cited by 8 publications

(4 citation statements)

References 20 publications

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“…Similar to our study, Zhou et al in a recent study compared the outcomes of using externalized ureteral catheter versus double-J ureteral stent in tubeless minimally invasive percutaneous nephrolithotomy and showed that stent-related symptoms were reported in 19.6% of patients in the EUC group while they were reported in 60.4% of patients in double-J stenting group (p=0.001). No significant difference was noted in pain score (VAS: 2.80±2.49 vs. 2.92±2.07, p=0.408), urinary extravasation (7.1% vs. 9.4%, p=0.931), and length of hospital stay (5.70± 2.72 vs. 5.72±2.08, p=0.961) in both the groups [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…No significant difference was noted in pain score (visual analog scale {VAS}: 2.80±2.49 vs. 2.92±2.07, p=0.408), urinary extravasation (7.1% vs. 9.4%. p=0.931), and length of hospital stay (5.70±2.72 days vs. 5.72±2.08 days, p=0.961) in both the groups [ 11 ]. Joshi et al in another similar study evaluated the outcome of standard PCNL using two different stenting techniques, i.e., externalized ureteral catheter placement compared with double-J stent placement and reported that 64% of patients showed stent-related symptoms in the double-J stenting group, while in the EUC group, 28% of patients experienced such complications [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparative Study of Externalized Ureteral Catheter Versus Double-J Stent on Percutaneous Nephrolithotomy: A Randomized Controlled Trial

Habib¹,

Hassan²,

Roman³

et al. 2022

Cureus

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Background: External ureteral catheter (EUC) and double-J stent are both commonly used to drain upper urinary tract in percutaneous nephrolithotomy (PCNL). We compared the outcomes of using EUC versus double-J stent in performing PCNL in patients with renal stones in our settings in order to identify a better technique for the management of renal stones in terms of postoperative stent-related symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparative Study of Externalized Ureteral Catheter Versus Double-J Stent on Percutaneous Nephrolithotomy: A Randomized Controlled Trial

Habib¹,

Hassan²,

Roman³

et al. 2022

Cureus

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“…and Fakhulddin S. [16] reported postoperative fever in 28.33% of patients may be due to longer duration of the procedure. Zhou Y et al, [17] demonstrated that no advantage of DJ ureteric stents over ureteric catheter in uncomplicated cases. Karadag A et al [18] determined that tubeless PCNL in selected uncomplicated cases has advantages over conventional PCNL as a lesser postoperative pain, shorter hospital stay and shorter time of urinary leakage.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Safety and Efficacy of PCNL in Lower Calyceal Stones

El-Sakka¹,

El-Gamal

2018

The Medical Journal of Cairo University

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Background: The management of lower calyceal stones is still one of today's topics in endourology. Percutaneous nephrolithotomy (PCNL) is found to be a highly effective procedure in treatment of lower pole calculi. However, many factors are affecting the stone free rate and complication rate. Aim of the Study:The aim of this study was to evaluate the factors that affect the safety and efficacy of PCNL in lower calyceal stones more than 2cm.Patients and Methods: Forty eight patients with lower pole calculi more than 2 cm underwent percutaneous nephrolithotomy. Preoperative, operative and postoperative data were reported. Multivariate analyses as well as univariate analyses were used to investigate the effects of different variables on residual stones and blood transfusion rate. These factors include age, sex, laterality, body mass index, history of ipsilateral open renal surgery, operative time, lower pole parenchymal thickness, presence of hydronephrosis, stone burden and stone density.Results: Unvariate analysis determined that stone burden (p<0.001), stone count (p<0.02), lower pole parenchymal thickness (p<0.03), presence of hydronephrosis ( p<0.001) and operative time (p<0.04) were statistically significant with the stone free rate. Multivariate analysis revealed that, presence of hydronephrosis (odds ratio [OR]: 0.365, 95% confidence interval [CI]: 0.104-0.652, p=0.034), lower pole parenchymal thickness (OR: 0.347, 95% CI: 0.241-0.874, p=0.04), the operative time (OR: 0.587, 95% CI: 0.149-0.857, p=0.032), stone count (OR: 0.647, 95% CI: 0.205-0.874, p=0.028) and stone burden (OR: 0.428, 95% CI: 0.169-0.985, p=0.021) were significant independent factors influence stone residual. Univariate analysis determined that stone burden ( p<0.001), body mass index (p<0.015), history of ipsilateral open renal surgery (p<0.017), lower pole parenchymal thickness (p<0.001) and operative time (p<0.015) correlated with blood transfusion rate. Multivariate analysis revealed that stone burden (OR: 0.628, 95% CI: 0.149-0.852, p=0.014), operative time (OR: 0.452, 95% CI: 0.125-0.856, p=0.002), lower pole parenchymal thickness (OR: 0.365, 95% CI: 0.014-0.836, p=0.002), body mass index (OR: 0.589, 95% CI: 0.159-0.744, p=0.038) and history of ipsilateral surgery (OR: 0.635, 95% CI: 0.258-0.825, p=0.017) were significant independent factors influence blood transfusion rate.Conclusion: PCNL is a safe and effective procedure for lower calyceal stones more than 2cm. The stone free rate in the study was affected mainly by the stone burden and the operative time, the stone count, the degree of hydronephrosis and the lower pole parenchymal thickness were also involved. The blood transfusion rate was also affected by the stone burden, the operative time, the BMI, history of ipsilateral open renal surgery and the lower pole parenchymal thickness.

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“…Ureteral calculi are products of abnormal accumulation of crystalline substances and organic matter in the urinary system, which may be related to water quality and dietary structure. [1,2] Ureteral calculi are generally caused by kidney stones during the discharge process, temporarily blocked in the stenosis of the ureter. [3–6] Primary ureteral stones are rare.…”

Section: Introductionmentioning

confidence: 99%

Traditional Chinese medicine on treating ureteral calculi

Li¹,

Deng²,

Wang³

et al. 2019

Medicine

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BackgroundUreteral calculi generally refer to the temporary obstruction of the human body after the ureteral stenosis. When the ureteral stones are not discharged in time, they can grow in the original site, causing the patient to have corresponding clinical manifestations, such as: renal colic, hematuria, etc, when severe, can cause renal obstruction and hydronephrosis, seriously endangering the patient's health. Ureteral calculi usually occur in young and middle-aged people. The peak age of the disease is between 20 and 50 years old. It also occurs in the young and middle-aged labor force. The men incidence rate is 2 to 3 times that of women. Ureteral calculi is one of the current refractory diseases, and the effect after treatment with integrated Chinese and Western medicine is remarkable.Methods and analysisWe will search for PubMed, Cochrane Library, AMED, EMbase, WorldSciNet; Nature, Science online and China Journal Full-text Database (CNKI), China Biomedical Literature CD-ROM Database (CBM), and related randomized controlled trials included in the China Resources Database. The time is limited from the construction of the library to November 2018. We will use the criteria provided by Cochrane 5.1.0 for quality assessment and risk assessment of the included studies, and use the Revman 5.3 and Stata13.0 software for meta-analysis of the effectiveness, recurrence rate, and symptom scores of ureteral.Ethics and disseminationThis systematic review will evaluate the efficacy and safety of Traditional Chinese medicine for ureteral. Because all of the data used in this systematic review and meta-analysis has been published, this review does not require ethical approval. Furthermore, all data will be analyzed anonymously during the review process Trial.Registration number: PROSPERO CRD42019137095

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Randomized Study of Ureteral Catheter vs Double-J Stent in Tubeless Minimally Invasive Percutaneous Nephrolithotomy Patients

Abstract: Positioning EUC in tubeless MPCNL is a safe alternative to DJ in patients with renal or upper ureteral calculi. EUC provides several benefits: obviated the need of a second endoscopic procedure, reduced stent-related discomfort, and lowered the occurrence of severe VUR.

Cited by 8 publications

References 20 publications

Comparative Study of Externalized Ureteral Catheter Versus Double-J Stent on Percutaneous Nephrolithotomy: A Randomized Controlled Trial

Comparative Study of Externalized Ureteral Catheter Versus Double-J Stent on Percutaneous Nephrolithotomy: A Randomized Controlled Trial

Factors Affecting Safety and Efficacy of PCNL in Lower Calyceal Stones

Traditional Chinese medicine on treating ureteral calculi

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