Ureteric stenting after ureteroscopy... is it a must?

Resumo

Background: Ureteroscopy is a common treatment for renal and ureteral stones. This procedure may have caused some ureteral stress. Ureteral trauma can result in edema, ureteral obstruction, and flank pain. You may need to be admitted to the hospital or have a secondary ureteral stent inserted. It's not quite apparent if urologists should routinely implant temporary ureteral stents as a preventative measure to avert these issues. Objective: ureteric stent uses after URS (as an overnight ureteric catheter attached to urethral catheter) vs non-stenting ureters; to evaluate the morbidity of ureteral stenting following simple ureteroscopy for lower ureteric stones. Patients and methods: A randomized controlled trial included 60 patients with lower ureteric calculi who were treated by ureteroscopy during January 2021 to January 2022 at Damanhur National Medical Institute. Results: Regarding flank discomfort, temperature, frequency, and urgency, there was no difference between the groups under investigation (p>0.05). While in group I, post-operative dysuria was observed in 7 patients (23.3%), it occurred in group Ι in 20 patients (66.7%). Additionally, there was a significant difference (P Conclusion: Individuals without stents experience much fewer irritative urine symptoms, spend less money, have shorter hospital stays, and are not at risk for more complications.