Retrograde Intrarenal Surgery Without JJ Stent Placement in Selected Cases of Renal Stones of 1 cm or Less Requirement of Ureteral Catheterization: Retrospective Observational Study
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
ABS TRACT Objective: To evaluate the safety, efficacy of without JJ stent of retrograde intrarenal surgery (RIRS) for the management of renal stones of 1 cm or less, and to determine the advantages and disadvantages. Material and Methods: The data of 103 patients who underwent uncomplicated RIRS for kidney stones of 1 cm or less were retrospectively analyzed. We formed 3 groups. Group 1 consisted of 33 patients were not placed JJ stent, Group 2 consisted of 36 patients were placed open-tip ureteral stent and Group 3 consisted of 34 patients were placed JJ stent in the RIRS procedure. Demographic data of patients and stone characters, as well as operative and postoperative data were analysed. Postoperative pain in all patients was evaluated using visual analog scale (VAS). Results: There were no significant differences between the groups for demographic data and stone characteristics. While the VAS scores were significantly higher in Group 1 in the early postoperative period (first 24 hours), a significant higher was found in Group 3 in the postoperative 1st week control. There were no significant difference between the 3 groups in terms postoperative febrile urinary tract infection. Conclusion: Although there may be an increase in the need for analgesia in the early postoperative period, we support that effective and safe RIRS can be performed without JJ stent placement in selected cases. It should be kept in mind that there are no JJ stent symptoms and no additional intervention is required for its removal.
Açıklama
Anahtar Kelimeler
Kaynak
Journal of Reconstructive Urology
WoS Q Değeri
Scopus Q Değeri
Cilt
13
Sayı
1
