Journal of Urological Surgery | |
Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery? | |
article | |
Önder Çınar1  Mustafa Suat Bolat2  Kemal Öztürk2  | |
[1] Zonguldak Bülent Ecevit University Faculty of Medicine, Department of Urology;Samsun Gazi Hospital, Clinic of Urology | |
关键词: Cost effectivity; Double-J stent; Extraction string; Ureterorenoscopy; Pain; | |
DOI : 10.4274/jus.galenos.2020.3113 | |
学科分类:社会科学、人文和艺术(综合) | |
来源: Galenos Yayinevi | |
【 摘 要 】
Objective: Ureterorenoscopic stone surgery (USS) is the primary method of ureteral stone treatment. Double-J (JJ) stenting is an integral part of a USS, and most urologists prefer to use it without an extraction string. The probable reason for such preference could be the lack of reliable and sufficient data on JJ stent use with an extraction string. Materials and Methods: A total of 177 patients who underwent USS were divided into four groups: Group 1 men (JJ stent was manually removed), group 2 men (JJ stent was cystoscopically removed), group 3 women (JJ stent was manually removed), and group 4 women (JJ stent was cystoscopically removed). We investigated the impact of two different JJ stent removal techniques on pain perception, lower urinary tract symptoms (LUTS), depressive symptomatology, complications, and cost. Results: 0.05). Postoperative pain scores in groups 3 and 4 were similar (p=0.06), but they were lower in group 1 than in group 2 (p=0.004). Postoperative Beck depression inventory scores were lower in groups 1 and 3 (p<0.02). The total cost of USS was 28.5% higher in groups 2 and 4 compared to groups 1 and 3. Conclusion: It is concluded that JJ stent removal with an extraction string is a reliable method with low treatment costs that does not adversely affect surgical outcomes.
【 授权许可】
CC BY-NC-ND
【 预 览 】
Files | Size | Format | View |
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RO202307120000613ZK.pdf | 330KB | download |