The impact of ureteral Double-J stent insertion following ureterorenoscopy in patients with ureteral stones accompanied by perirenal fat stranding


Submitted: October 15, 2017
Accepted: December 10, 2017
Published: March 31, 2018
Abstract Views: 1350
PDF: 631
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Authors

  • Ercan Ogreden Giresun University, Faculty of Medicine, Department of Urology, Giresun, Turkey.
  • Ural Oguz Giresun University, Faculty of Medicine, Department of Urology, Giresun, Turkey.
  • Erhan Demirelli Giresun University, Faculty of Medicine, Department of Urology, Giresun, Turkey.
  • Erdal Benli Ordu University, Faculty of Medicine, Department of Urology, Ordu, Turkey.
  • Özkan Özen Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey.
Objective: To evaluate the impact of ureteral stent insertion following semirigid ureterorenoscopy (URS) in patients with perirenal fat stranding (PFS) due to ureteral stones.
Material and methods: Data of 600 patients who underwent URS were analyzed retrospectively. Seventy-two patients detected to have PFS accompanying ureteral stone were included. Patients who did not undergo double J (DJ) stent insertion following semirigid URS were classified as Group I (n: 52), while those who underwent stent insertion were classified as Group II (n: 20). Side distribution; localization of the stones, stone size, presence of fever, urinary tract infection (UTIs) and urosepsis rates were compared in the two groups.
Results: The average age of the patients was 44.4 (20-71) years. Male/female ratio and side of the stone location showed similar distribution in both groups (p > 0.05). Fever occurred in 23 cases (44.2%) in Group I and in 15 cases (75%) in Group II (p = 0.038). UTIs occurred in 15 cases (28.9%) in Group I and in 12 cases (60%) in Group II (p = 0.03). Urosepsis presented in 3 (5.8%) and 5 (25%) of the patients in Group I and II, respectively (p = 0.033).
Conclusions: According to our results, ureteral DJ stent insertion following URS in patients with PFS due to ureteral stone caused an increase on postoperative infection related complications.

Ogreden, E., Oguz, U., Demirelli, E., Benli, E., & Özen, Özkan. (2018). The impact of ureteral Double-J stent insertion following ureterorenoscopy in patients with ureteral stones accompanied by perirenal fat stranding. Archivio Italiano Di Urologia E Andrologia, 90(1), 15–19. https://doi.org/10.4081/aiua.2018.1.15

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