Stent Position Is More Important than α-Blockers or Anticholinergics for Stent-Related Lower Urinary Tract Symptoms after Ureteroscopic Ureterolithotomy: A Prospective Randomized Study
이선주, 유창희, 오철영, 이용성, 조성태, 이성호, 양대열, 이상곤, 조진선,
소속 상세정보
이선주 ( Lee Sun-Ju )
한림대학교 의과대학 비뇨기과학교실
유창희 ( Yoo Chang-Hee )
한림대학교 의과대학 비뇨기과학교실
오철영 ( Oh Cheol-Young )
한림대학교 의과대학 비뇨기과학교실
이용성 ( Lee Yong-Seong )
한림대학교 의과대학 비뇨기과학교실
조성태 ( Cho Sung-Tae )
한림대학교 의과대학 비뇨기과학교실
이성호 ( Lee Seong-Ho )
한림대학교 의과대학 비뇨기과학교실
양대열 ( Yang Dae-Yul )
한림대학교 의과대학 비뇨기과학교실
이상곤 ( Lee Sang-Kon )
한림대학교 의과대학 비뇨기과학교실
조진선 ( Cho Jin-Seon )
한림대학교 의과대학 비뇨기과학교실
KMID : 0358320100510090636
Abstract
PurposeTo evaluate the clinical factors that impact ureteral stent-related lower urinary tract symptoms (LUTS) after ureteroscopic ureterolithotomy, including the stent position and medication.
Materials and MethodsFifty-three patients who underwent ureteroscopic ureterolithotomy with indwelling a stent were distributed into three groups. On demand analgesics were given to the group 1 (n=18). Daily tamsulosin 0.2 mg was added for group 2 (n=15) and daily tamsulosin 0.2 mg and tolterodine 4 mg was added for group 3 (n=20). The patients were also subclassified into appropriate or inappropriate group according to stent position. All the patients completed a visual analogue scale (VAS) and International Prostate Symptom Score (IPSS) on the 1st and 7th postoperative days. The VAS and IPSS were analyzed according to the medication groups and the stent position.
ResultsIn the appropriate stent potion group, only the storage symptom scores of groups 2 and 3 on the 1st postoperative day were significantly lower than those of the group 1 (p=0.001). This medication effect on LUTS was not observed in the inappropriate stent position group. In this group, total IPSS (p=0.015) and storage symptom scores (p=0.002) were higher than in the appropriate stent position group on the 7th postoperative day.
ConclusionsCorrect placement of the stent was more important than medication for lessening stent-related storage symptoms.
키워드
Adrenergic alpha-antagonists;Cholinergic antagonists;Ureteroscopy;Urinary catheterization;Urological manifestations
원문 및 링크아웃 정보
등재저널 정보