Optimal Time of Ureteral Catheter Removal after Retrograde Intrarenal Surgery

Introduction: Stenting in the ureter following RIRS (Retrograde Intrarenal Surgery) and stone removal is recommended to prevent edema and colic pain. This study aims to find the optimal time for ureteral stent removal after RIRS with fewer complications. Methods: This study was run under Tehran Uni...

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Autores principales: Alimohammad Fakhr Yasseri, Mohammad Saatchi, Vahid Abedi Yarandi
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Lenguaje:EN
Publicado: Urology Research Center 2021
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spelling oai:doaj.org-article:fa92782e91d8431fb5f94f4c17fcb08e2021-11-30T07:10:07ZOptimal Time of Ureteral Catheter Removal after Retrograde Intrarenal Surgery10.22034/TRU.2021.292795.10692717-042Xhttps://doaj.org/article/fa92782e91d8431fb5f94f4c17fcb08e2021-07-01T00:00:00Zhttps://www.transresurology.com/article_132983.htmlhttps://doaj.org/toc/2717-042XIntroduction: Stenting in the ureter following RIRS (Retrograde Intrarenal Surgery) and stone removal is recommended to prevent edema and colic pain. This study aims to find the optimal time for ureteral stent removal after RIRS with fewer complications. Methods: This study was run under Tehran University of Medical Sciences Ethical Committee (IR.TUMS.VCR.REC.1398.750). In this retrospective study, demographic and clinical information of patients from 2013 to 2019 were investigated. The patients were classified based on the duration of ureteral catheter placement: group A less than 24h, group B 24-72h and group C Removed after 72h. Results: From our 80 patients who met inclusion criteria in A and B groups, urologists had to insert a DJ stent for 16 of 19 (84%) (Due to pain and hydronephrosis) and 9 of 27 patients (33%), respectively. In group C, however; only 5 (15%) in 33 patients required DJ stent following the removal of the simple ureteral catheter. Hence, 84% of the patients with a simple ureteral catheter for over 72h in their ureter did not need re-stenting (P-value < 0.001). Conclusions: We concluded that the optimal time of stenting for a simple ureteral catheter is 72 hours. Catheter removal after this time would lead to the least complications.Alimohammad Fakhr YasseriMohammad SaatchiVahid Abedi Yarandi Urology Research Centerarticlerirsurinary catheterizationnephrolithiasisureteroscopyminimally invasive surgical procedureslithotripsylaserDiseases of the genitourinary system. UrologyRC870-923ENTranslational Research in Urology, Vol 3, Iss 2, Pp 54-58 (2021)
institution DOAJ
collection DOAJ
language EN
topic rirs
urinary catheterization
nephrolithiasis
ureteroscopy
minimally invasive surgical procedures
lithotripsy
laser
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle rirs
urinary catheterization
nephrolithiasis
ureteroscopy
minimally invasive surgical procedures
lithotripsy
laser
Diseases of the genitourinary system. Urology
RC870-923
Alimohammad Fakhr Yasseri
Mohammad Saatchi
Vahid Abedi Yarandi
Optimal Time of Ureteral Catheter Removal after Retrograde Intrarenal Surgery
description Introduction: Stenting in the ureter following RIRS (Retrograde Intrarenal Surgery) and stone removal is recommended to prevent edema and colic pain. This study aims to find the optimal time for ureteral stent removal after RIRS with fewer complications. Methods: This study was run under Tehran University of Medical Sciences Ethical Committee (IR.TUMS.VCR.REC.1398.750). In this retrospective study, demographic and clinical information of patients from 2013 to 2019 were investigated. The patients were classified based on the duration of ureteral catheter placement: group A less than 24h, group B 24-72h and group C Removed after 72h. Results: From our 80 patients who met inclusion criteria in A and B groups, urologists had to insert a DJ stent for 16 of 19 (84%) (Due to pain and hydronephrosis) and 9 of 27 patients (33%), respectively. In group C, however; only 5 (15%) in 33 patients required DJ stent following the removal of the simple ureteral catheter. Hence, 84% of the patients with a simple ureteral catheter for over 72h in their ureter did not need re-stenting (P-value < 0.001). Conclusions: We concluded that the optimal time of stenting for a simple ureteral catheter is 72 hours. Catheter removal after this time would lead to the least complications.
format article
author Alimohammad Fakhr Yasseri
Mohammad Saatchi
Vahid Abedi Yarandi
author_facet Alimohammad Fakhr Yasseri
Mohammad Saatchi
Vahid Abedi Yarandi
author_sort Alimohammad Fakhr Yasseri
title Optimal Time of Ureteral Catheter Removal after Retrograde Intrarenal Surgery
title_short Optimal Time of Ureteral Catheter Removal after Retrograde Intrarenal Surgery
title_full Optimal Time of Ureteral Catheter Removal after Retrograde Intrarenal Surgery
title_fullStr Optimal Time of Ureteral Catheter Removal after Retrograde Intrarenal Surgery
title_full_unstemmed Optimal Time of Ureteral Catheter Removal after Retrograde Intrarenal Surgery
title_sort optimal time of ureteral catheter removal after retrograde intrarenal surgery
publisher Urology Research Center
publishDate 2021
url https://doaj.org/article/fa92782e91d8431fb5f94f4c17fcb08e
work_keys_str_mv AT alimohammadfakhryasseri optimaltimeofureteralcatheterremovalafterretrogradeintrarenalsurgery
AT mohammadsaatchi optimaltimeofureteralcatheterremovalafterretrogradeintrarenalsurgery
AT vahidabediyarandi optimaltimeofureteralcatheterremovalafterretrogradeintrarenalsurgery
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