Abstract
Aim: The standard method for retrieving the ureteral stents is the cystoscopic technique. We describe a minimally painful method for retrieving ureteral stents by using an ureteroscope. Methods: A total of 60 patients with ureteral stents were enrolled in this study. The patients were randomized into a cystoscopic (30 cases) and an ureteroscopic (30 cases) group. All stents were retrieved by a cystoscope in the first group and by an ureteroscope in the second group, under topical anesthesia. Patients in each group were assessed for stented time, stent side and reason of stent placement, operative time, peroperative pain, postoperative pain, irritative voiding symptoms and hematuria. Results: Stents were successfully retrieved in 60 patients. There were no statistical differences in the two groups regarding patient’s gender and age or stent side, operative time and stented time (p>0.05). Mean operative pain score was significantly higher in the cystoscopic group than in the ureteroscopic group (p<0.01). The irritative voiding symptom scores and hematuria were more prevalent in the first group than the second (p< 0.05). Conclusion: In present study ureteroscopic stent retrieval was found to be minimally a painful, safe and reliable method. The ureteroscopic retrieval procedure is highly tolerable by patients than the cystoscopic retrieval. We suggest that it may be the standard technique for stent retrieval.
Highlights
Double J stents have been an essential part of urological practice
The operation time was calculated from the time the cystoscope or ureteroscope was introduced to the final removal of all endoscopes and stents
Patients in each group were assessed for stented time, stent side and reason of stent placement, operation time, peroperative pain, postoperative pain, irritative voiding symptoms and hematuria
Summary
Double J stents have been an essential part of urological practice They are typically placed to prevent ureteral obstruction due to a variety of intrinsic or extrinsic etiologies. These include ureteral strictures, obstructing ureteral calculi, uretero-pelvic junction obstruction, retroperitoneal tumor or fibrosis, trauma, gestational hydronephrosis and iatrogenic injury. Retrieval of ureteral stents using by ureterescope identify and prevent inadvertent injury to the ureters before surgical procedures. Their use has increased especially with the popular use of extracorporeal shock wave lithotripsy and improvement in the endourological techniques and stent technology[1]
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