Evaluate the optimal stent duration following endourology procedures: 5 days versus 14 days

Authors

  • Avijit Banerjee Department of Urology, SRIHER, Chennai, Tamil Nadu, India
  • Velmurugan P. Department of Urology, SRIHER, Chennai, Tamil Nadu, India
  • Natarajan K. Department of Urology, SRIHER, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20230969

Keywords:

URSL, RIRS, PCNL, Dysuria, Flank pain, Supra-pubic pain, Stenting

Abstract

Background: Most urologists prefer not to place a stent in an uncomplicated URS (ureterorenoscopy) in the post-op period. Even if they do so, they place it with an extraction string that can be removed in post-op day 3-5 based on the patient’s compliance. Here we sought to determine the optimal duration of stenting following endo-urology procedures (URSL, RIRS, PCNL) for stone disease (5 days vs 14 days).

Methods: It was a prospective randomised study where 1547 patients were evaluated over a span of 1.5 years, 671 of whom stent was removed on day 5 and 876 of whom stent was removed on day 14.

Results: Of all the patients, 32% experienced post-procedure-related events within 30 days (15% of 5-day stent removal compared to 44.9% of 14-day patients).

Conclusions: Removal of the stent on the 5th day does not warrant re-procedure and is associated with fewer post-procedure-related symptoms.

References

Auge BK, Sarvis JA, L’esperance JO, Preminger GM. Practice patterns of ureteral stenting after routine ureteroscopic stone surgery: a survey of practicing urologists. J Endourol 2007;21:1287-91.

Dauw CA, Simeon L, Alruwaily AF, Sanguedolce F, Hollingsworth JM, Roberts WW, et al: Contemporary practice patterns of flexible ureteroscopy for treating renal stones: results of a Worldwide Survey. J Endourol. 2015;29:1221-30.

Aoyagi T, Hatano T, Tachibana M, Hata M. Short-term ureteral catheter stenting after uncomplicated transurethral uretero-lithotomy. World J Urol. 2004;22(6):449-51.

Barnes KT, Bing MT, Tracy CR. Do ureteric stent extraction strings affect stent-related quality of life or complications after ureteroscopy for urolithiasis: a prospective randomised control trial. BJU Int. 2014; 113(4):605-9.

Tolley D. Ureteric stents, far from ideal. Lancet. 2000;356(9233):872-3.

Netto NR, Ikonomidis J, Zillo C. Routine ureteral stenting after ureteroscopy for ureteral lithiasis: is it really necessary? J Urol. 2001;166(4):1252-4.

Jones JS. Shortened pull-string simplifies office-based ureteral stent removal. Urology. 2002;60(6):1095-7.

Denstedt JD, Wollin TA, Sofer M, Nott L, Weir M, D'A Honey RJ. A prospective randomized controlled trial comparing nonstented versus stented ureteroscopic lithotripsy. J Urol. 2001;165(5):1419-22.

Joshi HB, Stainthorpe A, Keeley FX Jr, MacDonagh R, Timoney AG. Indwelling ureteral stents: evaluation of quality of life to aid outcome analysis. J Endourol. 2001;15(2):151-4.

Giannarini G, Keeley FX, Valent F, Manassero F, Mogorovich A, Autorino R, et al. Predictors of morbidity in patients with indwelling ureteric stents: results of a prospective study using the validated Ureteric Stent Symptoms Questionnaire. BJU Int. 2011;107(4):648-54.

Chen YT, Chen J, Wong WY, Yang SS, Hsieh CH, Wang CC. Is ureteral stenting necessary after uncomplicated ureteroscopic lithotripsy? A prospective, randomized controlled trial. J Urol. 2002; 167(5):1977-80.

Paul CJ, Brooks NA, Ghareeb GM, Tracy CR. Pilot study to determine optimal stent duration following ureteroscopy: three versus seven days. Curr Urol. 2018;11(2):97-102.

Torricelli FC, De S, Hinck B, Noble M, Monga M. Flexible ureteroscopy with a ureteral access sheath: when to stent? Urology. 2014;83(2):278-81.

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Published

2023-03-31

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Section

Original Research Articles