首页|Effect of Preoperative Double-J Ureteral Stenting before Flexible Ureterorenoscopy on Stone-free Rates and Complications

Effect of Preoperative Double-J Ureteral Stenting before Flexible Ureterorenoscopy on Stone-free Rates and Complications

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The effect of preoperative Double-J(DJ)ureteral stenting before flexible ureterorenoscopy(FURS)in the treatment for urinary stones was evaluated.We retrospectively enrolled 306 consecutive patients who underwent FURS from Jan.2014 to Dec.2017.All the patients were classified into two groups according to whether they had DJ ureteral stenting before FURS.Baseline characteristics(age,sex,stone location,stone size,surgical success rate,operation time,stone-free rate of the first day after surgery,stone-free rate of the first month after surgery,total complication rate)were compared using Chi-square test for categorical variables and Kruskal-Wallis test for continuous variables.In total,306 patients were included in this study.The group of DJ stenting before FURS included 203(66.3％)patients,and non-DJ stenting before FURS was observed in 103(33.7％)patients.The group of DJ stenting before FURS was significantly associated with a shorter operation time(53.8 vs.59.3 min,P＜0.001),a higher stone-free rate of the first day after surgery(69.0％vs.51.5％,P=0.003).However,statistical significant differences were not found in the age,sex,stone location,stone size,surgical success rate,stone-free rate of the first month after surgery(89.2％vs.81.6％,P=0.065)and total complication rate(5.4％vs.9.7％,P=0.161)between the two groups.Preoperative DJ ureteral stenting before FURS could reduce the operation time and increase stone-free rate of the first day after surgery.However,it might not benefit the stone-free rate of the first month after surgery and reduce the complication rate.Preoperative DJ stenting should be not routinely performed.

Double-J ureteral stentingflexible ureterorenoscopystone-free ratecomplication rate

Pei-de BAI、Tao WANG、Hai-chao HUANG、Zhun WU、Xue-gang WANG、Jia-xuan QIN、Hui-qiang WANG、Bin CHEN、Meng-bo HU、Jin-chun XING

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The Key Laboratory of Urinary Tract Tumors and Calculi,Department of Urology Surgery,The First Affiliated Hospital of Xiamen University,Xiamen 361003,China

Department of Urology,Huashan Hospital,Fudan University,Shanghai 200000,China

This study was supported by the Natural Science Foundation of FujianYoung and Middle-aged Backbone Talents Training Project of FujianNational Natural Science Foundation of China

2017D00102017-ZQN-8181970604

2021

10.1007/s11596-021-2328-z

当代医学科学(英文)
同济医科大学

当代医学科学(英文)

SCI
ISSN：2096-5230
年,卷(期)：2021.41(1)
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