Stented Foley's catheter is a versatile, highly useful, easy-to-use way of double J stenting for a short time: A randomized study

Purpose: A stented Foley's catheter was designed to combine two catheters into a single catheter to reduce the postureteroscopy (URS) pain and complications. This study evaluated the pain score and complications associated with the use of stented Foley's catheter in double J (DJ) stenting compared to the use of infant feeding tube (IFT) or a ureteric catheter in patients undergoing DJ stenting. Materials and Methods: A randomized parallel-group study was conducted in patients undergoing DJ stenting along with URS and stone fragmentation with pneumatic lithotripsy/LASER. The patients were randomized to be managed with either stented Foley's catheter or IFT along with Foley's catheter. The postoperative pain and complications were recorded. Results: A total of 200 patients were randomized (1:1) into Group A (100 patients with stented Foley's catheter) and Group B (100 patients with IFT). Male preponderance was observed in Group A (73%) and Group B (69%). A significantly higher number of patients from Group B (n = 20) had pericatheter leakage compared to Group A (n = 2). In Group B, the pericatheter leakage resolved in three males and three females, whereas six males and eight females continued to leak, which is managed by diapers. The number of patients with no pain was higher in Group A (52%) than Group B (36%), whereas none of the patients from both groups had severe pain scores (V or VI). Conclusion: The patients undergoing DJ stenting were tolerant to the use of stented Foley's catheter compared to those with the IFT.