Does We Need to Place Double J Stent After Ureteroscopic Guided Distal Ureteral Stone Removal?
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Objective: We determine the morbidity associated with no stent placement following uncomplicated ureteroscopy for removal of distal ureteral calculi. Methods: A total of 93 patients undergoing uncomplicated, complete removal of distal ureteral calculi were contacted 1 to 3 days and 7 to 10 days postoperatively to determine analgesic requirements and time of return to normal activity. Results: Of 93 patients 40 (43%) had no discomfort postoperatively. Of the 53 patients who had discomfort 45 (85%) had mild discomfort. only, controlled with oral analgesics. When discomfort occurred it resolved in 41 patients (77%) in 2 days or less. Of 12 patients who required intravenous narcotics postoperatively 5 required preoperative hospitalization for the narcotics and were still hospitalized at the time of stone removal. None of the 59 patients who had follow-up excretory urogram or renal ultrasound has had a newly identified ureteral stricture to date. Conclusion: In majority of patients undergoing uncomplicated ureteroscopy for removal of distal ureteral calculi postoperative discomfort is modest, lasts less than 2 days and is easily controlled with oral analgesics. Stricture formation has not been identified. We do not believe that routine placement of a ureteral stent following uncomplicated ureteroscopy for distal ureteral calculi are necessary.
Authors and Affiliations
Sunil Gokhroo, Nilesh Kumar Jain, Ankur Jhanwar, Nitin Lashkary, Sanjay Hada
Keywords
Related Articles
- EP ID EP543993
- DOI 10.21276/ijmrp.2017.3.2.036
- Views 74
- Downloads 0
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