Document Detail


Effects of prophylactic insertion of Double-J stents to decrease episodes of renal colic in patients with recurrent ureteral stones.
MedLine Citation:
PMID:  18355138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the hypothesis that prophylactic insertion of Double-J stents after uncomplicated transurethral lithotripsy (TUL) can decrease the number of episodes of renal colic and their intensity in patients with recurrent ureteral stones (those with three or more episodes of stone formation). PATIENTS AND METHODS: During a prospective randomized clinical trial from May 1999 to January 2004, 195 patients with recurrent ureteral stones were included in our study; 94 had stents in place for 4 weeks, and 101 patients remained stentless (control group). A few patients in each group had residual stone disease. All patients were followed-up for a mean period of 24 months and questioned about the number and intensity of their episodes of renal colic, and were also evaluated for their rates of spontaneous stone passage. RESULTS: Spontaneous passage of stones was seen in 43 patients (45.7%; CI 95%, 35.7, 55.8) who underwent stenting, and 35 patients (34.7%; CI 95%, 25.4, 43.9) in the stentless group (P > 0.05). The number of episodes of renal colic was significantly lower in the stented group (P < 0.001). CONCLUSION: Insertion of Double-J stents for 4 weeks after uncomplicated TUL in patients with recurrent ureteral stones significantly decreases the number of episodes of ureteral colic, although it does not decrease the rate of stone formation.
Authors:
Seyed Mohammad Kazem Aghamir; Abdolreza Mohammadi; Hasan Farahmand; Ali Pasha Meysamie
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  22     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-21     Completed Date:  2008-09-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  435-7     Citation Subset:  IM    
Affiliation:
Department of Urology, Tehran University of Medical Sciences, Tehran, Iran.
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MeSH Terms
Descriptor/Qualifier:
Adult
Colic / etiology,  prevention & control*
Female
Humans
Lithotripsy
Male
Middle Aged
Recurrence
Stents*
Ureteral Calculi / complications,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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