Clinical factors predicting ureteral stent failure in patients with external ureteral compression

Double-J stent (DJ) placement is usually the treatment of choice for relieving external compression of the ureter. However, in some cases DJ function may become impaired and a percutaneous nephrostomy (PCN) may be required. Previous studies have reported different predictive factors for choosing PCN...

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Autores principales:	Wu Kuan Ju, Chen Yi Zhong, Chen Marcelo, Chen Yu-Hsin
Formato:	article
Lenguaje:	EN
Publicado:	De Gruyter 2021
Materias:	external ureteral compression double j hydronephrosis pyuria prediction factors Medicine R
Acceso en línea:	https://doaj.org/article/16fb1abc2989474d9f72a4ee544ab36f
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id	oai:doaj.org-article:16fb1abc2989474d9f72a4ee544ab36f
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spelling	oai:doaj.org-article:16fb1abc2989474d9f72a4ee544ab36f2021-12-05T14:10:55ZClinical factors predicting ureteral stent failure in patients with external ureteral compression2391-546310.1515/med-2021-0345https://doaj.org/article/16fb1abc2989474d9f72a4ee544ab36f2021-09-01T00:00:00Zhttps://doi.org/10.1515/med-2021-0345https://doaj.org/toc/2391-5463Double-J stent (DJ) placement is usually the treatment of choice for relieving external compression of the ureter. However, in some cases DJ function may become impaired and a percutaneous nephrostomy (PCN) may be required. Previous studies have reported different predictive factors for choosing PCN or DJ insertion as the initial treatment. In this study, we analyzed the risk factors for DJ failure in patients with external ureteral compression. Our results showed that the patients with moderate and severe hydronephrosis (p-value = 0.0171 and 0.0249, respectively), preexisting pyuria (p-value = 0.0128), or lower ureter obstruction (p-value = 0.0305) were more prone to DJ laterality. Age was also an important predictor. Urologists should pay more attention to these patients and consider PCN as the initial treatment.Wu Kuan JuChen Yi ZhongChen MarceloChen Yu-HsinDe Gruyterarticleexternal ureteral compressiondouble jhydronephrosispyuriaprediction factorsMedicineRENOpen Medicine, Vol 16, Iss 1, Pp 1299-1305 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	external ureteral compression double j hydronephrosis pyuria prediction factors Medicine R
spellingShingle	external ureteral compression double j hydronephrosis pyuria prediction factors Medicine R Wu Kuan Ju Chen Yi Zhong Chen Marcelo Chen Yu-Hsin Clinical factors predicting ureteral stent failure in patients with external ureteral compression
description	Double-J stent (DJ) placement is usually the treatment of choice for relieving external compression of the ureter. However, in some cases DJ function may become impaired and a percutaneous nephrostomy (PCN) may be required. Previous studies have reported different predictive factors for choosing PCN or DJ insertion as the initial treatment. In this study, we analyzed the risk factors for DJ failure in patients with external ureteral compression. Our results showed that the patients with moderate and severe hydronephrosis (p-value = 0.0171 and 0.0249, respectively), preexisting pyuria (p-value = 0.0128), or lower ureter obstruction (p-value = 0.0305) were more prone to DJ laterality. Age was also an important predictor. Urologists should pay more attention to these patients and consider PCN as the initial treatment.
format	article
author	Wu Kuan Ju Chen Yi Zhong Chen Marcelo Chen Yu-Hsin
author_facet	Wu Kuan Ju Chen Yi Zhong Chen Marcelo Chen Yu-Hsin
author_sort	Wu Kuan Ju
title	Clinical factors predicting ureteral stent failure in patients with external ureteral compression
title_short	Clinical factors predicting ureteral stent failure in patients with external ureteral compression
title_full	Clinical factors predicting ureteral stent failure in patients with external ureteral compression
title_fullStr	Clinical factors predicting ureteral stent failure in patients with external ureteral compression
title_full_unstemmed	Clinical factors predicting ureteral stent failure in patients with external ureteral compression
title_sort	clinical factors predicting ureteral stent failure in patients with external ureteral compression
publisher	De Gruyter
publishDate	2021
url	https://doaj.org/article/16fb1abc2989474d9f72a4ee544ab36f
work_keys_str_mv	AT wukuanju clinicalfactorspredictingureteralstentfailureinpatientswithexternalureteralcompression AT chenyizhong clinicalfactorspredictingureteralstentfailureinpatientswithexternalureteralcompression AT chenmarcelo clinicalfactorspredictingureteralstentfailureinpatientswithexternalureteralcompression AT chenyuhsin clinicalfactorspredictingureteralstentfailureinpatientswithexternalureteralcompression
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Clinical factors predicting ureteral stent failure in patients with external ureteral compression

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