Comparison of different ureteral length measurement methods in the indwelling of double-J stent after ureteroscopy
10.3969/j.issn.1009-8291.2023.02.004
- VernacularTitle:不同输尿管长度测量法在双J管留置中的应用
- Author:
Yongchuan WANG
1
;
Yuhang BI
1
;
Anji REN
1
;
Xiaolu LUN
1
;
Jing DU
1
;
Haijun ZHOU
1
;
Kai WANG
1
;
Zhiyong YU
1
;
Wenshun LIU
1
;
Teng SHEN
1
;
Yi SHAO
2
Author Information
1. Department of Urology, Weifang Traditional Chinese Medicine Hospital, Weifang 261041
2. Department of Urology, Shanghai Jiaotong University Affiliated First People’s Hospital, Shanghai 200080, China
- Publication Type:Journal Article
- Keywords:
ureteral length measurement;
double-J stent;
ureteral stent related symptoms
- From:
Journal of Modern Urology
2023;28(2):106-110
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the application of different ureteral length measurement methods in the indwelling of double-J stent. 【Methods】 Clinical data of 260 patients with double-J stent indwelling after ureteroscopic surgery during Jul.2018 and Dec.2020 were prospectively analyzed. The patients were randomly divided into height calculation group, CT measurement group, KUB group and ureteroscopic measurement group. The length of ureter was calculated accordingly and the appropriate length of double-J stent was selected. KUB was performed on the first day after operation and before extubation to determine the position of double-J stent. The patients completed the ureteral stent-related symptom questionnaire (USSQ), urinary symptom score, lower urinary tract symptom (LUTS) score, pain score, hematuria score, and quality of life score before and after double-J catheter placement. 【Results】 There were no significant differences in age, gender, height, side of stent and urinary symptom score among the four groups (P>0.05). The average lengths of the ureters measured by the four methods were (21.5±1.0) cm, (21.5±1.8) cm, (23.8±1.3) cm and (21.7±1.8) cm, respectively. There were no significant differences among the height calculation group, CT measurement group and ureteroscope group, but there was significant difference between the three groups and the KUB group. The ideal ureteral stent length indwelling ratio in the ureteroscopic group was 76.9%, which was better than that in the other three groups. Postoperative indwelling time was 7-42 d (mean 29.8 d). The USSQ score of the ureteroscopic group before extubation was (14.1±1.5), which was lower than that of the other three groups (P<0.05). The ureteroscopic group was better than the other three groups in the comparison of frequency and urgency of urination, nocturia, hematuria, quality of life score, and pain score (P<0.05). 【Conclusion】 Intraoperative ureteroscopic measurement of the ureteral length is a simple and feasible method in guiding the indwelling of double-J stent to reduce ureteral stent related symptoms.
