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 69
- Downloads 0
Serum Lactate and Base Deficit as a Predictor of Morbidity and Mortality In Shock Patients of Trauma and Sepsis in Surgical ICU
Objectives: To determine whether lactate levels and base deficits in critically ill surgical intensive care unit (SICU) patients correlate and whether either measure is a significant indicator of mortality and morbidity....
Seminal Fluid Analysis of a Sample of Iraqi Obese Males
Introduction: Obesity a medical condition that may lead to reduced life expectancy and/or increased health problems. Obesity may impair the reproductive health of men that it can be considered as an infertility factor in...
Role of ARFI Elastography in Assessment of Differences in Quantitative Placental Elasticity in Normal Versus Intra Uterine Growth Retarded Pregnancies
Objective: This study is aimed at comparing quantitative elasticity of placenta using acoustic radiation force impulse (ARFI) elastography in normal versus intra uterine growth retarded pregnancies. Materials and Methods...
Evaluation of Biochemical, Haematological Parameters and Noninvasive Prognostic Scores in Alcoholic Liver Disease with and without Complications
Background: Chronic and excessive alcohol ingestion is one of the major causes of liver disease in the industrialized nations. The spectrum of pathology of alcoholic liver injury ranges from fatty liver to alcoholic hepa...
Serum Homocysteine Levels in Various Stages of Chronic Kidney Disease
Objectives: To study serum homocysteine levels in Chronic Kidney Disease (CKD) patients and co-relate it with the stages of CKD, Body Mass Index (BMI), cholesterol levels and cardiac function and to study effect of hemod...