Feasibility study of selective stentless management after ureteroscopic lithotripsy
10.3969/j.issn.1671-8348.2025.11.023
- VernacularTitle:输尿管镜碎石术后选择性免留置输尿管内支架的可行性研究
- Author:
Li JIANG
1
;
Yue WU
;
Hua HU
;
Lian FU
;
Chaoying LIU
;
Chao MA
;
Gang ZHOU
;
Yunhan RAN
;
Rui ZHU
Author Information
1. 重庆市第五人民医院泌尿外科,重庆 400062
- Keywords:
ureteral calculi;
ureteroscope lithotripsy;
ureteroscope;
ureteral stent
- From:
Chongqing Medicine
2025;54(11):2616-2620
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of selectively omitting ureteral stent placement after ureteroscopic lithotripsy(URL).Methods A total of 118 patients with distal ureteral calculi undergoing URL from 2021 to 2024 were enrolled.Patients were divided into a control group(indwelling ureteral stent for 2 weeks,n=86)and an observation group(no ureteral stent placement,n=32).General data,operation time,hospital stay,and total medical costs were compared between the two groups.Patients were followed 2 weeks postoperatively for assessment of flank pain visual analogue scale(VAS)scores,bladder irritation symptoms,hematuria,and incidence of urinary tract infection.Hydronephrosis was evaluated by ultrasonography 3 months after surgery.Results There was no significant difference in the general information and operation time between the two groups(P>0.05).The length of hospital stay and total treatment cost in the observa-tion group were significantly lower than those in the control group(P<0.05).Two weeks after surgery,the VAS scores of low back pain on the affected side and occurrence rates of bladder irritation symptoms,hematu-ria,and urinary tract infection in the observation group were significantly lower than those in the control group(P<0.01).Three months after operation,no hydronephrosis was observed in both groups.Conclusion It is safe and feasible to avoid indwelling ureteral stent after URL in appropriate cases.
