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Erschienen in: Urolithiasis 4/2012

01.08.2012 | Original Paper

How long should double J stent be kept in after ureteroscopic lithotripsy?

verfasst von: Katsumi Shigemura, Tomihiko Yasufuku, Kunito Yamanaka, Masuo Yamahsita, Soichi Arakawa, Masato Fujisawa

Erschienen in: Urolithiasis | Ausgabe 4/2012

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Abstract

Ureteroscopic lithotripsy (UL), for renal or ureteral stones, is a standard technique for every urologist. However, the length of time the double J (DJ) stent needs to be kept in postoperatively is still controversial. This study investigated how the duration of DJ stenting after UL affects postoperative adverse events, especially infection and pain. One hundred and twenty-five patients were enrolled in this study and data were analyzed retrospectively. We set the median duration for keeping the DJ stent postoperatively as 14 days from median value in all cases and compared it to a longer duration group (>15 days) and a shorter duration group (<14 days) in terms of febrile complications, urinalysis, and the need to give antibiotics at the time of DJ stent removal. The duration of DJ stenting was from 3 to 61 (median 14) days. Thirteen patients had adverse events related to DJ stent removal (febrile complications, 11 patients; lumbago, 2 patients). Thirty-one patients were given antibiotics at the time of DJ stent removal. Patients with longer durations (>15 days) of DJ stenting had a significantly higher ratio of adverse events such as fever or lumbago (p = 0.041). In conclusion, this study demonstrated that shorter duration (<14 days) DJ stent use after UL may decrease adverse events and require less antibiotic use. Further prospective studies are needed to determine the optimal duration of DJ stent use after UL.
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Metadaten
Titel
How long should double J stent be kept in after ureteroscopic lithotripsy?
verfasst von
Katsumi Shigemura
Tomihiko Yasufuku
Kunito Yamanaka
Masuo Yamahsita
Soichi Arakawa
Masato Fujisawa
Publikationsdatum
01.08.2012
Verlag
Springer-Verlag
Erschienen in
Urolithiasis / Ausgabe 4/2012
Print ISSN: 2194-7228
Elektronische ISSN: 2194-7236
DOI
https://doi.org/10.1007/s00240-011-0426-2

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