Outcomes and complications from a randomized controlled study comparing conventional stent placement versus no stent placement after ureteroscopy for distal ureteric calculus < 1 cm

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dc.authorid0000-0002-6308-1763
dc.authorid0000-0003-0906-4417
dc.contributor.authorReddy, Suraj Jayadeva
dc.contributor.authorReddy, Bathi Sourabh
dc.contributor.authorChawla, Arun
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.contributor.authordel Pilar Laguna Pes, Maria
dc.contributor.authorHegde, Padmaraj
dc.contributor.authorShah, Abhijit
dc.contributor.authorChoudhary, Anupam
dc.contributor.authorKankaria, Sanket
dc.contributor.authorHiremath, Vivekanand Kedarlingayya
dc.date.accessioned2022-12-26T08:23:12Z
dc.date.available2022-12-26T08:23:12Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractUreteric stent insertion following ureteroscopic lithotripsy (URSL) is a common and widely accepted procedure. However, there is no agreement on whether a ureteric stent should be placed following an uncomplicated URSL. Furthermore, the definition of uncomplicated URSL remains debatable. To compare the efficacy, safety, and morbidity of no stent placement with the conventional stent placement after uncomplicated retrograde semirigid URS for a distal ureteric calculus of size <= 1 cm, we compared the corresponding complication rates, emergency visits, secondary interventions, and pain at follow-up. Following an uncomplicated ureteroscopic lithotripsy, 104 patients were randomized into the conventional stented group (CSG) and nonstented group (NSG). Lower urinary tract symptoms and sexual function were evaluated using validated questionnaires (IPSS + IIEF-5 + MSHQ-EjD/FSFI) preoperatively and at 4 weeks during follow-up. Pain scores at follow-up were recorded using a visual analogue scale (VAS). Patients who visited the emergency room or needed secondary interventions before the recommended follow-up time were noted. The Generalized Estimating Equations method was used to explore the difference in change in the domains of IPSS, IIEF-5, MSHQ-EjD, and FSFI between the two groups over time. A significant difference was noted in the following IPSS domains: Frequency, Urgency, Nocturia, Storage Symptoms, Total IPSS Score (p <= 0.001), and QoL (p = 0.002); IIEF-5 domains: Overall Score (p = 0.004); MSHQ-EjD domains: Ejaculation Bother/Satisfaction (p <= 0.001); and FSFI domains: Lubrication (p <= 0.001), Satisfaction (p = 0.006), and Overall Score (p = 0.004). There was no significant difference between the various groups in terms of distribution of emergency visits, readmission and secondary interventions, pain at follow-up (VAS), and need for long-term analgesia. Nonplacement of stents after uncomplicated URS decreases stent-related symptoms and preserves QoL without placing the patient under increased postoperative risk.
dc.identifier.citationReddy, S. J., Reddy, B. S., Chawla, A., de la Rosette, J. J. M. C. H., del Pilar Laguna Pes, M. ve Hegde, P. (2022). Outcomes and complications from a randomized controlled study comparing conventional stent placement versus no stent placement after ureteroscopy for distal ureteric calculus < 1 cm. Journal of Clinical Medicine, 11(23). https://doi.org/10.3390/jcm11237023
dc.identifier.doi10.3390/jcm11237023
dc.identifier.issn2077-0383
dc.identifier.issue23
dc.identifier.pmid36498598
dc.identifier.scopus2-s2.0-85143582894
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.3390/jcm11237023
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10181
dc.identifier.volume11
dc.identifier.wos000896401700001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorde la Rosette, Jean J. M. C. H.
dc.institutionauthordel Pilar Laguna Pes, Maria
dc.language.isoen
dc.publisherMDPI
dc.relation.ispartofJournal of Clinical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectConventional Stent
dc.subjectStent-Related Symptoms
dc.subjectQuality of Life
dc.subjectLUTS
dc.subjectSexual Function
dc.titleOutcomes and complications from a randomized controlled study comparing conventional stent placement versus no stent placement after ureteroscopy for distal ureteric calculus < 1 cm
dc.typeArticle

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