Ureteral stenting after retrograde ureteroscopy. Experience of Iaşi urological department
Novac, C.; Pricop, C.; Costache, C.; Negru, I.; Negru, D.; Tomac, I.; Ristescu, C.; Tănase, V.; Bîrleanu, C.
Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 107(1): 153-156
2003
ISSN/ISBN: 0048-7848 PMID: 14755987 Document Number: 563112
Ureteroscopy is a well-established procedure, which has proven the efficiency for diagnostic purposes, but mostly for ureteric stone removal. The authors describe their strategy after ureteroscopic lithotripsy with Wolf 8 Ch semirigid ureteroscope. Insertion of a double J stent for 2-4 weeks was the rule when there was an important bleeding during the procedure, the fragments were big and could not be extracted, some fragments migrated in upper third of the ureter or renal pelvis, a perforation occurred or it was found a ureteral stenosis. If the stone can be extracted without any problems (in one piece) and the ureter is normal there is no need for ureteral stenting. Having in mind that many patients describe problems with the double J stent (pains, polakiuria, etc) we recommend to insert a stent at the end of ureteroscopy only for selected cases.