Is routine ureteral stenting really necessary after retrograde intrarenal surgery?

Abstract

OBJECTIVES:

To investigate the situations in which ureteral double-J stent should be used after retrograde intrarenal surgery (RIRS).

PATIENTS AND METHODS:

Patients with no ureteral double-J stent after RIRS constituted Group 1, and those with double- J stent after RIRS constituted Group 2. Patients' age and gender, renal stone characteristics (location and dimension), stone-free status, VAS score 8 hours after surgery, post-procedural renal colic attacks, length of hospitalization, requirement for re-hospitalization, time to rehospitalization and secondary procedure requirements were analyzed.

RESULTS:

RIRS was performed on 162 renal units. Double-J stent was used in 121 (74.6%) of these after RIRS, but not in the other 41 (25.4%). At radiological monitoring at the first month postoperatively after RIRS, complete stone-free status was determined in 122 (75.3%) renal units, while residual stone was present in 40 (24.6%). No significant differences were observed between the groups in terms of duration of fluoroscopy (p = 0.142), operation (p = 0.108) or hospitalization times (p = 0.798). VAS values determined routinely on the evening of surgery were significantly higher in Group 1 than in Group 2 (p = 0.025). Twenty-eight (17.2%) presentations were made to the emergency clinic due to renal colic within 1 month after surgery. Double-J catheter was present in 24 (85.7%) of these patients.

CONCLUSIONS:

Routine double-J stent insertion after RIRS is not essential since it increases costs, morbidity and operation time.

• Authors: Ekrem Ozyuvali, Berkan Resorlu, Ural Oguz, Yildiray Yildiz, Tolga Sahin, Cagri Senocak, Omer Faruk Bozkurt, Erman Damar, Murat Yildirim, Ali Unsal
• Journal: Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica (Arch Ital Urol Androl) Vol. 87 Issue 1 Pg. 72-5 (Mar 31 2015) ISSN: 1124-3562 [Print] Italy
• PMID: 25847901 (Publication Type: Comparative Study, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Child
• Child, Preschool
• Female
• Fluoroscopy
• Humans
• Kidney Calculi (diagnostic imaging, surgery)
• Length of Stay
• Male
• Middle Aged
• Postoperative Care (methods)
• Stents
• Treatment Outcome
• Ureter
• Ureteroscopy (methods)