Ureteric stenting after ureteroscopy for ureteric stones: A prospective randomized study assessing symptoms and complications

H. Jeong, C. Kwak, S. E. Lee, Margaret S Pearle

Research output: Contribution to journalArticlepeer-review

59 Scopus citations

Abstract

OBJECTIVE: To compare patients with and with no stenting after ureteroscopy for ureteric calculi, as placing such stents is routine, although many patients complain of pain and urinary symptoms. PATIENTS AND METHODS: In all, 45 patients with ureteric calculi amenable to ureteroscopic management were prospectively randomized into a stented (23) or an unstented (22) group. Standard ureteroscopic basketing and lithotripsy was used, through a ureteroscope (8.5 F) with or without ureteric dilatation. Symptom questionnaires were completed by the patients after treatment, and they were followed radiographically to assess stone-free rate and evidence of obstruction. RESULTS: There was no statistically significant difference in age, stone size, operative duration or hospital stay between the groups (P > 0.05). Furthermore, there was no statistical difference in flank pain or urinary symptoms (P > 0.05), except haematuria, between the groups; haematuria was more severe and prolonged in the stented group (P =0.001). CONCLUSIONS: Uncomplicated ureteroscopy for removing calculi is safe with no stent after treatment, and after considering complications and side-effects we think that the routine use of ureteric stents after uncomplicated ureteroscopy for stone extraction is unnecessary.

Original languageEnglish (US)
Pages (from-to)1032-1034
Number of pages3
JournalBJU international
Volume93
Issue number7
DOIs
StatePublished - May 2004

Keywords

  • Calculi
  • Outcome
  • Stent
  • Ureter
  • Ureteroscope

ASJC Scopus subject areas

  • Urology

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