The Effect of Ureteral Stent Placement Before Radical Prostatectomy on the Safety of Ureteral Dissection and the Surgeon’s Comfort
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2017, Vol 4, Issue 3
Abstract
Objective: This study investigated the role of preoperative ureteral stent placement in reducing the risk of ureteral injury, an intraoperative complication of radical retropubic prostatectomy (RRP), and its contribution to the surgeon’s comfort. Materials and Methods: Open RRP was performed in 66 patients diagnosed with localized prostate cancer in our clinic between 2010 and 2015. The patients were divided into two groups; group 1 (n=34) underwent surgery without ureteral stent placement and group 2 (n=32) had surgery following the placement of a ureteral stent. The cases were preoperatively evaluated by suprapubic and transrectal ultrasonography. Perioperative and postoperative complications of all cases were determined. Both groups were assessed in terms of ureteral injury, operative time, and surgeon’s comfort. Results: The mean age of the patients in group 1 and group 2 was 61.12±5.92 (50-72) years and 63.58±6.2 (51-75) years, respectively. The mean prostate volume was 76.8±2.41 and 72.4±3.53 cc in groups 1 and 2, respectively. The mean operative time was 143.9±3.06 minutes in group 1 and 136.8±2.83 minutes in group 2. Partial ureteral injury occurred in three patients in group 1 and was repaired intraoperatively. Of these patients, two had previously undergone radiotherapy for prostate cancer and it was difficult to perform prostate dissection intraoperatively. The remaining patient had a history of transurethral resection of the prostate. No ureteral injury was observed in any of the patients in group 2. Conclusion: Preoperative ureteral stent placement in selected patients can facilitate ureteral dissection and reduce ureteral injury risk.
Authors and Affiliations
Fatih Akdemir, Emrah Okulu, Önder Kayıgil
Keywords
Related Articles
- EP ID EP243864
- DOI 10.4274/jus.1539
- Views 92
- Downloads 0
Re: Retro-peritoneal Cooling for Kidney Preservation from Multi-organ Cadaver Donors
.
Spontaneous Vesicouterine Fistula: A Case Report
Vesicouterine fistulae (VUFs) are the least common type of urogenital fistulae and they are usually associated with lower segment caesarean section. The classic triad of VUF has been defined as urinary incontinence, amen...
Re: Prevalence and Risk Factors of Infertility in Turkey: Evidence from Demographic and Health Surveys, 1993-2013
.
The Effect of Charlson’s Comorbidity Index on Clavien-Dindo Classification of Surgical Complications in Percutaneous Nephrolitotomy
Objective Percutaneous nephrolithotomy (PCNL) in comorbid patients is challenging due to the high susceptibility to complications. In our study, by taking the age of patents into account, we have tried to figure out the...
Supine PCNL is the Way Forward, with Reduced Anesthesia and Operative Times As Compared to Prone PCNL, Along with Comparable Blood Loss and Stone Free Rates
Objective: The aim of this study is to compare safety and efficacy of supine versus prone percutaneous nephrolithotomy (PCNL) in terms of stonefree rate, operative time, anesthesia time and blood loss in a retrospective...