Double J stenting evaluation after ureteroscopy for urolithiasis - Université d'Angers Accéder directement au contenu
Article Dans Une Revue Progrès en Urologie Année : 2019

Double J stenting evaluation after ureteroscopy for urolithiasis

Résumé

Objectives: During ureteroscopy for urolithiasis, postoperative ureteral drainage with double J stent is frequently used. It may reduce acute postoperative pain and late ureteral stenosis. Double J stent can have negative impact on life quality. After uncomplicated intervention, double J stent is not mandatory. Objective of our study was to evaluate pain and complications after ureteroscopy with or without stent. Methods: We retrospectively analyzed ureteroscopy performed between May 2014 and January 2017. Interventions were compared regarding ureteral drainage with double J stent or not. Our primary outcome was early postoperative pain evaluated with an oral pain scale form 1 to 10 on day one after intervention. Clinical characteristics, per- and postoperative data were collected. We also looked for risks factors of complications. Results: Three hundred and sixty-six interventions were included, 259 (70.8%) with and 107 (29.2%) without double J stent. Stone burden was higher in stented group (18.3 vs 9.4mm, P<0.0001). Patients without postoperative stents had more ureteral preparation with double J stent (78.5% vs 62.5%, P=0.0032) and had more ambulatory interventions (75.7% vs 52.5%, P<0.0001). Postoperative pain was not different (22% vs 17.75%, P=0.398). Complication rate was similar (29% vs 20.5%, P=0.1181), so was rehospitalization rate (0.8% vs 0.9%, P=1). In multivariate analysis, complications factors were unprepared ureter, experienced surgeons and access sheath. Conclusion: Not stenting after ureteroscopy do not increase pain or complications. Stenting should not be used after uncomplicated interventions for centimetric stones.
Fichier principal
Vignette du fichier
S1166708719304543.pdf (261.67 Ko) Télécharger le fichier
Origine : Fichiers produits par l'(les) auteur(s)

Dates et versions

hal-02416137 , version 1 (20-07-2022)

Licence

Paternité - Pas d'utilisation commerciale

Identifiants

Citer

T. Segalen, S. Lebdai, P. Panayotopoulos, T. Culty, E. Brassart, et al.. Double J stenting evaluation after ureteroscopy for urolithiasis. Progrès en Urologie, 2019, 29 (12), pp.589-595. ⟨10.1016/j.purol.2019.08.266⟩. ⟨hal-02416137⟩
28 Consultations
95 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More