Risks and Benefits of Postoperative Double-J Stent Placement After Ureteroscopy: Results from the Clinical Research Office of Endourological Society Ureteroscopy Global Study

The effects of ureteral stent diameters on ureteral stent‐related symptoms were evaluated by using Turkish‐validated Ureteral Stent Related Symptoms Questionnaire (USSQ). Datas on 126 patients underwent uncomplicated flexible ureterorenoscopy and 62 patients underwent uncomplicated semirigid ureteroscopy surgery without stent insertion (group 3) were collected. Patients were randomized preoperatively in a double‐blind fashion to 4.8 French (group 1) and 6 French (group 2) ureteral JJ stents groups. The first follow‐up visit was done at one week after surgery for all groups. Stents were removed on the third postoperative week for stented groups. The second follow‐up visit was done at one week after stent removal for group 1 and group 2, and four week after surgery for group 3. Preoperative characteristics, operation time and hospitalization times were similar in both groups. Total USSQ scores were 91.9, 103.0, 44.2 at first visit and 54.3, 58.7, 28.5 at second visit in group 1, group 2, and group 3, respectively. At both first and second visits, the group 2 had significantly higher USSQ scores than the group 1 (p = 0.01 and p < 0.001, respectively). Group 1 and 2 had higher scores than group 3 at both visits. Ureteral stents are associated with poor effects on patients' comfort and high USSQ scores. Using 4.8 Fr JJ stents improves stent‐related symptoms and decreases the USSQ score more than 6 Fr JJ stents. Therefore, if ureteral stent is to be used after URS, we recommend using 4.8 Fr stent.

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“…In a recent publication Muslumanoglu et al. suggested a patient‐based, individual decision for stent insertion [2].…”

Section: Discussionmentioning

confidence: 99%

“…Although current guidelines do not recommend routine stent insertion after an uncomplicated URS, urologists tend to apply ureteral stents [12]. In a recent publication Muslumanoglu et al suggested a patient-based, individual decision for stent insertion [2].…”

Section: Discussionmentioning

confidence: 99%

Comparison of 4.8 Fr and 6 Fr ureteral stents on stent related symptoms following ureterorenoscopy: A prospective randomized controlled trial

Çubuk

Yanaral

Özgör

et al. 2018

The Kaohsiung J of Med Scie

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“…165,166 Stenting after procedure Ureteral stenting with a double-J stent is usually practiced after URS or RIRS, especially when UAS is used. It is believed that its use will decrease postoperative complications, 167 and stents will be removed in 3-14 days to minimize the complications. [168][169][170] However, forgotten stents is an important issue, with a report rate of up to 12.5%.…”

Section: Complicationsmentioning

confidence: 99%

Updates in endourological management of urolithiasis

Teoh

2018

Int J of Urology

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Urinary stone disease, or urolithiasis, is a very common disease with increasing prevalence and incidence. With the advancement of endoscopic techniques, the treatment outcomes of ureteroscopy (or transureteral lithotripsy) and percutaneous nephrolithotomy are continuously improving. In recent years, there have been many new developments in the field, including new endoscopy design, more effective auxiliary tools, improvement in treatment protocols, introduction of robotic technology, combining both ureteroscopy and percutaneous nephrolithotomy (endoscopic combined intrarenal surgery or transureteral lithotripsy‐assisted percutaneous nephrolithotomy), improvement in laser technology, and so on. All these new inputs will further improve the treatment efficacy and safety of the procedures, thus benefiting our patients. In the present review, we briefly go through the main steps of ureteroscopy and percutaneous nephrolithotomy, with a concise description and application of these new advances.

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“…reported that routine postoperative stenting is not mandatory, even in patients with uncomplicated ureteroscopy for impacted ureteral stones . In contrast, in the CROES large retrospective study, postoperative DJ stent placement in URS treatment was associated with improvement of some clinical outcomes, such as fewer postoperative complications, compared with not stenting postoperatively . Recently, the necessity of postoperative stenting has not been categorical, rather being decided by surgeon's preference.…”

Section: Rirsmentioning

confidence: 99%

“…41 In contrast, in the CROES large retrospective study, postoperative DJ stent placement in URS treatment was associated with improvement of some clinical outcomes, such as fewer postoperative complications, compared with not stenting postoperatively. 42 Recently, the necessity of postoperative stenting has not been categorical, rather being decided by surgeon's preference. Thanks to the development of smaller instruments for ureteroscopic treatment, it has become apparent that the number of patients who do not need postoperative stenting has increased.…”

Section: Postoperative Stentingmentioning

confidence: 99%

Current trends and pitfalls in endoscopic treatment of urolithiasis

et al. 2017

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Current development of endoscopic technology, lithotripters, and stoneretrieval devices has expanded the indications for retrograde and antegrade endoscopic therapy in the management of urolithiasis. This technology has also resulted in minimally invasive therapy. As surgeons' experience of endourological procedures with the newer instruments has become integrated, the surgical technique and indications for urolithiasis have also changed in the past few years. The present review provides an overview of endourological procedures for upper urinary tract stones and the key points related to surgical techniques.

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Risks and Benefits of Postoperative Double-J Stent Placement After Ureteroscopy: Results from the Clinical Research Office of Endourological Society Ureteroscopy Global Study

Abstract: Patient- and procedure-related variables were identified, which may enable an individualized approach to postoperative stenting, resulting in improved clinical outcomes in urologic stone treatment by URS.

Cited by 52 publications

References 18 publications

Comparison of 4.8 Fr and 6 Fr ureteral stents on stent related symptoms following ureterorenoscopy: A prospective randomized controlled trial

Comparison of 4.8 Fr and 6 Fr ureteral stents on stent related symptoms following ureterorenoscopy: A prospective randomized controlled trial

Updates in endourological management of urolithiasis

Current trends and pitfalls in endoscopic treatment of urolithiasis

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