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 83
- Downloads 0
Does Urinary Protein Excretion and Hypertension Significantly Correlate with Progression to End Stage Renal Failure?
Aims: To identify the prognostic factors possibly related to end-stage renal failure development. Materials & Methods: The prognostic factors affecting chronic renal failure progression were analysed in 456 patients aime...
Usefulness of Ultrasonography with Fine Needle Aspiration Cytology in Early Detection of Breast Cancer: A Hospital Based Study
ABSTRACT Introduction: Breast malignancy is the mainly extensively recognized tumor in females around the world. It is likewise the guideline reason for death from malignancy among ladies internationally. The (USG-FNAC)...
A Comparative Analysis to Determine the Anti-Hypertensive Effect of Olmesartan Medoxomil and Enalapril
Background: The industrial revolution, development and adoption of western life style have made hypertension a significant health problem in India and thus have adversely affected the cardiovascular haemodynamics. Olmesa...
Role of IL-6 and Insulin Resistance in the Etiopathogenesis of Atherosclerosis
Objectives: Our study attempts to evaluate the role of Nuclear Factor-kappa Beta(NF-κB), Interleukin-6 and Homeostatic model assessment of insulin resistance (HOMA-IR) in assessment of severity of atherosclerosis current...
Prognostic Factors for Outcome of Childhood Lymphoblastic Leukemia At Cancer Centers in Jeddah
Background: Pediatric acute lymphoblastic leukemia (ALL) is disease of considerable interest, partly due to its high mortality rate if left untreated, and partly due to its high survival rates when properly treated. Earl...