[Should we consider a complementary treatment after a renal colic drained by an ureteral stent?].

Abstract

PURPOSE:

The aim of the study was to evaluate if only ureteral stent removing after complicated renal colic (RC) could prevent from complementary treatment (shock-wawe lithortripsy or ureteroscopy).

PATIENTS AND METHODS:

Data from 95 patients, 39 women and 56 men, who had an ureteral stent for complicated RC from 2005 to 2010 were retrospectively collected. Mean age was 46.4 ± 17.2 years. After the initial management, another hospitalization was organized where patients had ureteral stent removing under local anesthesia, then an abdominal CT-scan without injection and complementary treatment of ureteral stones (none or ESWL or ureteroscopy). Parameters studied were age, sex, stone size, location of calcul. Quantitative values were compared with Student's t test. Qualitative values were compared with the Chi(2). P<0.05 was considered statistically significant.

RESULTS:

Mean duration between the two hospitalizations were 1.58 ± 1.84 months. Sixty-one patients (64.2%) had no more urolithiasis. In these patients, mean size of urolithiasis was 5.85 ± 2.33 mm. Location of urolithiasis in distal, mild and proximal ureter was 77%, 3% and 20% respectively. Thirty-four patients (35.8%) had persistant lithiasis after CT-scan. Location of stone in distal, mild and proximal ureter was 17.5%, 5.8% and 76.7% respectively.

CONCLUSION:

After management of complicated renal colic by ureteral stent, 64% of patients had spontaneous elimination of stones after removing of ureteral stent, especially in women and pelvic ureter.

• Authors: M Roumiguié, J-B Beauval, J Guillotreau, B Bordier, N Doumerc, F Sallusto, M Mouzin, L Bellec, M Thoulouzan, P Labarthe, P Plante, M Soulié, B Malavaud, P Rischmann, X Gamé
• Journal: Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie (Prog Urol) Vol. 22 Issue 12 Pg. 701-4 (Oct 2012) ISSN: 1166-7087 [Print] France
• Vernacular Title: Faut-il envisager un traitement complémentaire après une colique néphrétique drainée par une sonde JJ ?
• PMID: 22999116 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Topics

• Female
• Humans
• Lithotripsy
• Male
• Middle Aged
• Renal Colic (therapy)
• Retrospective Studies
• Stents
• Ureteroscopy
• Urolithiasis (therapy)