Comparison of an Indwelling Period Following Ureteroscopic Removal of Stones between Double-J Stents and Open-Ended Catheters: A Prospective, Pilot, Randomized, Multicenter Study
문경태, 조희주, 조정만, 강정윤, 유탁근, 문홍상, 이승욱,
소속 상세정보
문경태 ( Moon Kyong-Tae )
Eulji University School of Medicine Department of Urology
조희주 ( Cho Hee-Ju )
Eulji University School of Medicine Department of Urology
조정만 ( Cho Jeong-Man )
Eulji University School of Medicine Department of Urology
강정윤 ( Kang Jeong-Yoon )
Eulji University School of Medicine Department of Urology
유탁근 ( Yoo Tag-Keun )
Eulji University School of Medicine Eulji Hospital Department of Urology
문홍상 ( Moon Hong-Sang )
Hanyang University College of Medicine Department of Urology
이승욱 ( Lee Seung-Wook )
Hanyang University College of Medicine Department of Urology
KMID : 0358320110520100698
Abstract
Purpose:The aim of this study was to evaluate whether long-term, postoperative ureteral stenting is necessary after ureteroscopic removal of stones (URS) during an uncomplicated surgical procedure.
Materials and Methods :We prospectively examined 54 patients who underwent URS for lower ureteral stones from February 2010 to October 2010. Inclusion criteria were a stone less than 10 mm in diameter, absence of ureteral stricture, and absence of ureteral injury during surgery. We randomly placed 5 Fr. open-tip ureteral catheters in 26 patients and removed the Foley catheter at postoperative day 1. The remaining 28 patients received double-J stents that were removed at postoperative day 14 by cystoscopy under local anesthesia. All patients provided visual analogue scale (VAS) pain scores at postoperative days 1, 7, and 14 and completed the storage categories of the International Prostate Symptom Score (IPSS) at postoperative day 7.
Results:The VAS scores were not significantly different on postoperative day 1 but were significantly smaller in the 1-day ureteral catheter group at postoperative days 7 and 14 (p<0.01). All of the storage categories of the IPSS were significantly lower in the 1-day ureteral stent group (p<0.01). The ratio of patients who needed intravenous analgesics because of severe postoperative flank pain was not significantly different between the two groups (p=0.81). No patients experienced severe flank pain after postoperative day 2, and no patients in either group had any other complications.
Conclusions:One-day ureteral catheter placement after URS can reduce postoperative pain and did not cause specific complications compared with conventional double-J stent placement.
키워드
Pain; Ureteroscopy; Urinary Catheterization
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