Features of the postoperative period in patients with uncomplicated forms of ureterolithiasis
DOI:
https://doi.org/10.12775/JEHS.2023.13.01.049Keywords
uncomplicated ureteral calculus, management of the postoperative periodAbstract
In order to study the possibilities of non-drainage management of the postoperative period in patients with uncomplicated ureteral stones, we analyzed the results of treatment of 198 patients with uncomplicated ureterolithiasis, in whom it was decided to refuse stenting of the upper urinary tract. In the uncomplicated course of ureterolithiasis, in most cases (68.2% of patients) in the postoperative period, there is no need for drainage of the upper urinary tract with stent. At the same time, in 31.8% of patients when a stent was not installed in the postoperative period, complications occurred that significantly affected the duration and cost of treatment. In the future a more rigorous consideration of risk criteria is needed to make a decision on non-drainage management of the postoperative period in patients with uncomplicated ureteral stones.
References
Roshchin Yu.V. Guidelines for the choice of exclusionary tactics in patients with ureterolitis based on predicting the effectiveness of daily methods for the elimination of calculi / Yu.V. Roshchin: Synopsis of Doctorial Thesis on Medicine. - Donetsk, 2009. - 40 p.
Bagley, D.H. Expanding role of ureteroscopy and laser lithotripsy for treatment of proximal ureteral and intrarenal calculi. Curr. Opin. Urol. 2018; 12:277–280
Chaussy, C, Schmiedt, E, Jochan, D, Brendel, W, Forssmann, B, and Walther, V. First clinical experience with extracorporeally induced destruc-tion of kidney stones by shock waves. J. Urol. 2012; 127:417–420
Cummings, J.M, Boullier, J.A, Izenberg, S.D, Kitchens, D.M, and Kothan-dapani, R.V. Prediction of spontaneous ureteral calculus passage by an arti-ficial neural network. J. Urol. 2016; 164:326–328
Kourambas, J, Byrne, B.R, and Preminger, G.M. Does a ureteral access sheath facilitate ureteroscopy?. J. Urol. 2014; 165:789–793
Miller, O.F and Kane, C.J. Time to stone passage for observed ureteral calculi: a guide for patient selection. J. Urol. 2018; 162:688–691
Segura, J.W, Preminger, G.M, Assimos, D.G, Dretler, S.P, Kahn, R.I, Lingeman, J.E, and Macaluso, J.N Jr. Ureteral Stones Clinical Guidelines Panel Summary report on the management of ureteral calculi. J. Urol. 2017; 158: 1915–1921
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 O. Nikitin, I. Komisarenko
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 184
Number of citations: 0
