Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?
Yıl: 2020 Cilt: 7 Sayı: 3 Sayfa Aralığı: 158 - 165 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2020.3113 İndeks Tarihi: 10-12-2020
Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?
Öz: Objective: Ureterorenoscopic stone surgery (USS) is the primary method of ureteral stone treatment. Double-J (JJ) stenting is an integral part ofa USS, and most urologists prefer to use it without an extraction string. The probable reason for such preference could be the lack of reliable andsufficient data on JJ stent use with an extraction string.Materials and Methods: A total of 177 patients who underwent USS were divided into four groups: Group 1 men (JJ stent was manuallyremoved), group 2 men (JJ stent was cystoscopically removed), group 3 women (JJ stent was manually removed), and group 4 women (JJ stent wascystoscopically removed). We investigated the impact of two different JJ stent removal techniques on pain perception, lower urinary tract symptoms(LUTS), depressive symptomatology, complications, and cost.Results: Compared to groups 1 and 3, the mean surgery times were higher in groups 2 and 4 (p=0.001). Preoperative LUTS scores were similar inall groups (p>0.05). Postoperative pain scores in groups 3 and 4 were similar (p=0.06), but they were lower in group 1 than in group 2 (p=0.004).Postoperative Beck depression inventory scores were lower in groups 1 and 3 (p<0.02). The total cost of USS was 28.5% higher in groups 2 and 4compared to groups 1 and 3.Conclusion: It is concluded that JJ stent removal with an extraction string is a reliable method with low treatment costs that does not adverselyaffect surgical outcomes.
Anahtar Kelime: Üreteroroskopik Taş Cerrahisinden Sonra Double-J Stent Endoskopik Yolla Çıkarılmalı mı?
Öz: Amaç: Üreterorenoskopik taş cerrahisi, üreter taşı tedavisinin temel yöntemidir. Double-J (JJ) stent, taş cerrahisinin ayrılmaz bir parçasıdır ve çoğu ürolog ipsiz JJ stent kullanmayı tercih etmektedir. Bu tercih, büyük olasılıkla, ipli JJ stent kullanımı hakkında güvenilir ve yeterli veri bulunmamasından kaynaklanmaktadır. Gereç ve Yöntem: Üreterorenoskopik taş cerrahisi uygulanan toplam 177 hasta grup 1 erkeklere (ipli JJ stent, manuel olarak çıkarıldı), grup 2 erkek (ipsiz JJ stent sistoskopik olarak çıkarıldı), grup 3 kadınlara (ipli JJ stent, manuel olarak çıkarıldı) ve grup 4 kadınlara (ipsiz JJ stent sistoskopik olarak çıkarıldı) sınıflandırıldı. İki farklı JJ stent çıkarma tekniğinin ağrı algısı, alt idrar yolu semptomları (AÜSS), depresif semptomlar, komplikasyonlar ve maliyet üzerindeki etkisini araştırdık. Bulgular: Grup 1 ve 3 ile karşılaştırıldığında, ortalama ameliyat süresi grup 2 ve 4’te daha yüksekti (p=0,001). Preoperatif AÜSS skorları tüm gruplarda benzerdi (p>0,05). Postoperatif 3. ve 4. gruplardaki ağrı skorları benzerdi (p=0,06), ancak grup 1’de grup 2’den düşüktü (p=0,004). Postoperatif Beck depresyon envanteri skorları 1. ve 3. gruplarda daha düşüktü (p<0,02). Üreterorenoskopik taş cerrahisinin toplam maliyeti grup 1 ve 3’e kıyasla grup 2 ve 4’te %28,5 daha yüksek olarak saptandı. Sonuç: JJ stentin ipli şekilde manuel oarak çıkarılmasının düşük tedavi maliyetleriyle güvenilir bir yöntem olduğu sonucuna ulaştık. JJ stentlerin ipli kullanımı cerrahi sonuçları olumsuz yönde etkilememektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | çinar ö, Bolat M, OZTURK K (2020). Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. , 158 - 165. 10.4274/jus.galenos.2020.3113 |
| Chicago | çinar önder,Bolat Mustafa Suat,OZTURK KEMAL Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. (2020): 158 - 165. 10.4274/jus.galenos.2020.3113 |
| MLA | çinar önder,Bolat Mustafa Suat,OZTURK KEMAL Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. , 2020, ss.158 - 165. 10.4274/jus.galenos.2020.3113 |
| AMA | çinar ö,Bolat M,OZTURK K Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. . 2020; 158 - 165. 10.4274/jus.galenos.2020.3113 |
| Vancouver | çinar ö,Bolat M,OZTURK K Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. . 2020; 158 - 165. 10.4274/jus.galenos.2020.3113 |
| IEEE | çinar ö,Bolat M,OZTURK K "Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?." , ss.158 - 165, 2020. 10.4274/jus.galenos.2020.3113 |
| ISNAD | çinar, önder vd. "Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?". (2020), 158-165. https://doi.org/10.4274/jus.galenos.2020.3113 |
| APA | çinar ö, Bolat M, OZTURK K (2020). Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. Journal of Urological Surgery, 7(3), 158 - 165. 10.4274/jus.galenos.2020.3113 |
| Chicago | çinar önder,Bolat Mustafa Suat,OZTURK KEMAL Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. Journal of Urological Surgery 7, no.3 (2020): 158 - 165. 10.4274/jus.galenos.2020.3113 |
| MLA | çinar önder,Bolat Mustafa Suat,OZTURK KEMAL Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. Journal of Urological Surgery, vol.7, no.3, 2020, ss.158 - 165. 10.4274/jus.galenos.2020.3113 |
| AMA | çinar ö,Bolat M,OZTURK K Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. Journal of Urological Surgery. 2020; 7(3): 158 - 165. 10.4274/jus.galenos.2020.3113 |
| Vancouver | çinar ö,Bolat M,OZTURK K Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?. Journal of Urological Surgery. 2020; 7(3): 158 - 165. 10.4274/jus.galenos.2020.3113 |
| IEEE | çinar ö,Bolat M,OZTURK K "Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?." Journal of Urological Surgery, 7, ss.158 - 165, 2020. 10.4274/jus.galenos.2020.3113 |
| ISNAD | çinar, önder vd. "Should the Double-J Stent Be Removed Endoscopically after a Ureteroscopic Stone Surgery?". Journal of Urological Surgery 7/3 (2020), 158-165. https://doi.org/10.4274/jus.galenos.2020.3113 |
