Comparison of efficacy and tolerance of short-duration open-ended ureteral catheter drainage and tamsulosin administration to indwelling double J stents following ureteroscopic removal of stones

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
Vikram S ChauhanMayuri Ahuja

Abstract

To evaluate the efficacy of short-duration, open-ended ureteral catheter drainage as a replacement to indwelling stent, and to study the effect of tamsulosin on stent-induced pain and storage symptoms following uncomplicated ureteroscopic removal of stones. Prospective randomised study. School of Medical Sciences and Research, Sharda University, Greater Noida, India. Patients who underwent ureteroscopic removal of stones for lower ureteral stones between November 2011 and January 2014 were randomly assigned into three groups. Patients in group 1 (n=33) were stented with 5-French double J stent for 2 weeks. Patients in group 2 (n=35) were administered tablet tamsulosin 0.4 mg once daily for 2 weeks in addition to stenting, and those in group 3 (n=31) underwent 5-French open-ended ureteral catheter drainage for 48 hours. All patients were evaluated for flank pain using visual analogue scale scores at days 1, 2, 7, and 14, and for storage (irritative) bladder symptoms using International Prostate Symptom Score on days 7 and 14, and for quality-of-life score (using International Prostate Symptom Score) on day 14. Of the 99 patients, visual analogue scale scores were significantly lower for groups 2 and 3 (P<0.0001). The Internation...Continue Reading

Citations

Feb 7, 2019·The Cochrane Database of Systematic Reviews·Maria OrdonezPhilipp Dahm

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