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Journals / Journal of Urological Surgery / 2020 / Cilt: 7 - Sayı: 3

Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?

Üreteroroskopik Taş Cerrahisinden Sonra Double-J Stent Endoskopik Yolla Çıkarılmalı mı?

Mustafa Suat BOLAT
Önder ÇINAR
Kemal ÖZTÜRK
Pages
158–165
Publication Date
2022-11-06
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Postoperative pain scores in groups 3 and 4 were similar (p=0.06), but they were lower in group 1 than in group 2 (p=0.004).Postoperative Beck depression inventory scores were lower in groups 1 and 3 (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Ureterorenoscopic stone surgery (USS) is the primary method of ureteral stone treatment.
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Key Findings & Data:The probable reason for such preference could be the lack of reliable andsufficient data on JJ stent use with an extraction string.Materials and Methods: A total of 177 patients who underwent USS were divided into four groups: Group 1 men (JJ stent was manuallyremoved), group 2 men (JJ stent was cystoscopically removed), group 3 women (JJ stent was manually removed), and group 4 women (JJ stent wascystoscopically removed).
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Conclusion & Impact:Postoperative pain scores in groups 3 and 4 were similar (p=0.06), but they were lower in group 1 than in group 2 (p=0.004).Postoperative Beck depression inventory scores were lower in groups 1 and 3 (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Ureterorenoscopic stone surgery (USS) is the primary method of ureteral stone treatment. Double-J (JJ) stenting is an integral part ofa USS, and most urologists prefer to use it without an extraction string. The probable reason for such preference could be the lack of reliable andsufficient data on JJ stent use with an extraction string.Materials and Methods: A total of 177 patients who underwent USS were divided into four groups: Group 1 men (JJ stent was manuallyremoved), group 2 men (JJ stent was cystoscopically removed), group 3 women (JJ stent was manually removed), and group 4 women (JJ stent wascystoscopically removed). We investigated the impact of two different JJ stent removal techniques on pain perception, lower urinary tract symptoms(LUTS), depressive symptomatology, complications, and cost.Results: Compared to groups 1 and 3, the mean surgery times were higher in groups 2 and 4 (p=0.001). Preoperative LUTS scores were similar inall groups (p>0.05). Postoperative pain scores in groups 3 and 4 were similar (p=0.06), but they were lower in group 1 than in group 2 (p=0.004).Postoperative Beck depression inventory scores were lower in groups 1 and 3 (p

Özet

Amaç: Üreterorenoskopik taş cerrahisi, üreter taşı tedavisinin temel yöntemidir. Double-J (JJ) stent, taş cerrahisinin ayrılmaz bir parçasıdır ve çoğu ürolog ipsiz JJ stent kullanmayı tercih etmektedir. Bu tercih, büyük olasılıkla, ipli JJ stent kullanımı hakkında güvenilir ve yeterli veri bulunmamasından kaynaklanmaktadır. Gereç ve Yöntem: Üreterorenoskopik taş cerrahisi uygulanan toplam 177 hasta grup 1 erkeklere (ipli JJ stent, manuel olarak çıkarıldı), grup 2 erkek (ipsiz JJ stent sistoskopik olarak çıkarıldı), grup 3 kadınlara (ipli JJ stent, manuel olarak çıkarıldı) ve grup 4 kadınlara (ipsiz JJ stent sistoskopik olarak çıkarıldı) sınıflandırıldı. İki farklı JJ stent çıkarma tekniğinin ağrı algısı, alt idrar yolu semptomları (AÜSS), depresif semptomlar, komplikasyonlar ve maliyet üzerindeki etkisini araştırdık. Bulgular: Grup 1 ve 3 ile karşılaştırıldığında, ortalama ameliyat süresi grup 2 ve 4’te daha yüksekti (p=0,001). Preoperatif AÜSS skorları tüm gruplarda benzerdi (p>0,05). Postoperatif 3. ve 4. gruplardaki ağrı skorları benzerdi (p=0,06), ancak grup 1’de grup 2’den düşüktü (p=0,004). Postoperatif Beck depresyon envanteri skorları 1. ve 3. gruplarda daha düşüktü (p

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Cite This Article

BOLAT, M. S., ÇINAR, Ö., ÖZTÜRK, K. (2022). Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. Journal of Urological Surgery, Cilt: 7 - Sayı: 3, 158–165. https://ajindex.com/articles/652654

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