The Feasibility, Safety, and Efficacy of the Preemptive Indwelling of Double-J Stents in Percutaneous Nephrolithotomy Surgery: A Randomized Controlled Trial
The goal of this study is to compare the feasibility, safety, and efficacy of the preemptive indwelling of double-J stents (PI-DJS) versus the conventional preemptive indwelling of ureteral catheters (PI-UC) in percutaneous nephrolithotomy (PCNL) via a randomized, controlled clinical study. A total...
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| Veröffentlicht in: | Urology journal 2020-05, Vol.17 (3), p.232-236 |
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| creator | Bai, Fuding Wu, Huifeng Zhang, Nan Chen, JiMin Wen, Jiaming |
| description | The goal of this study is to compare the feasibility, safety, and efficacy of the preemptive indwelling of double-J stents (PI-DJS) versus the conventional preemptive indwelling of ureteral catheters (PI-UC) in percutaneous nephrolithotomy (PCNL) via a randomized, controlled clinical study.
A total of 75 patients with complex renal calculi underwent PCNL surgery and were randomized, using random number table, to receive either a PI-DJS (37 cases) or a PI-UC (38 cases). All operations were performed by the same experienced surgeon. Several outcomes were measured, including duration of operation, time to establish passage, level of hemoglobin decline, rate of stone clearance and incidence of complications.
Guided by B-ultrasound, percutaneous passages were successfully established in all patients who then underwent one-stage PCNL. The time required to establish a passage using a PI-DJS was 7.5min, whereas that of the group who received a PI-UC was 11.5min (P < 0.01). There was no significant difference between the two groups in terms of operation duration, postoperative Hb decline rate, stone clearance rate, and perioperative complication incidences (all P > 0.05).
PI-DJS during PCNL allowed for a reliable and stable reflux from the bladder into the renal pelvis to produce an artificial hydronephrosis without the formation of microbubbles, unlike conventional ureteral catheters. |
| doi_str_mv | 10.22037/uj.v0i0.4957 |
| format | Article |
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A total of 75 patients with complex renal calculi underwent PCNL surgery and were randomized, using random number table, to receive either a PI-DJS (37 cases) or a PI-UC (38 cases). All operations were performed by the same experienced surgeon. Several outcomes were measured, including duration of operation, time to establish passage, level of hemoglobin decline, rate of stone clearance and incidence of complications.
Guided by B-ultrasound, percutaneous passages were successfully established in all patients who then underwent one-stage PCNL. The time required to establish a passage using a PI-DJS was 7.5min, whereas that of the group who received a PI-UC was 11.5min (P < 0.01). There was no significant difference between the two groups in terms of operation duration, postoperative Hb decline rate, stone clearance rate, and perioperative complication incidences (all P > 0.05).
PI-DJS during PCNL allowed for a reliable and stable reflux from the bladder into the renal pelvis to produce an artificial hydronephrosis without the formation of microbubbles, unlike conventional ureteral catheters.</description><identifier>ISSN: 1735-1308</identifier><identifier>EISSN: 1735-546X</identifier><identifier>DOI: 10.22037/uj.v0i0.4957</identifier><identifier>PMID: 32309876</identifier><language>eng</language><publisher>Iran: Urology and Nephrology Research Center</publisher><subject>Adult ; Catheters ; Catheters, Indwelling ; Feasibility Studies ; Female ; Humans ; Kidney Calculi - surgery ; Male ; Middle Aged ; Nephrolithotomy, Percutaneous - adverse effects ; Nephrolithotomy, Percutaneous - instrumentation ; Prosthesis Design ; Stents ; Treatment Outcome ; Urinary Catheters ; Urological surgery</subject><ispartof>Urology journal, 2020-05, Vol.17 (3), p.232-236</ispartof><rights>Copyright Urology and Nephrology Research Center May-Jun 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c283t-ca2c7d8a6ec887de72caf28a6cd82afc1e641ebdc4042dcf634382664e6ec8bb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32309876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bai, Fuding</creatorcontrib><creatorcontrib>Wu, Huifeng</creatorcontrib><creatorcontrib>Zhang, Nan</creatorcontrib><creatorcontrib>Chen, JiMin</creatorcontrib><creatorcontrib>Wen, Jiaming</creatorcontrib><title>The Feasibility, Safety, and Efficacy of the Preemptive Indwelling of Double-J Stents in Percutaneous Nephrolithotomy Surgery: A Randomized Controlled Trial</title><title>Urology journal</title><addtitle>Urol J</addtitle><description>The goal of this study is to compare the feasibility, safety, and efficacy of the preemptive indwelling of double-J stents (PI-DJS) versus the conventional preemptive indwelling of ureteral catheters (PI-UC) in percutaneous nephrolithotomy (PCNL) via a randomized, controlled clinical study.
A total of 75 patients with complex renal calculi underwent PCNL surgery and were randomized, using random number table, to receive either a PI-DJS (37 cases) or a PI-UC (38 cases). All operations were performed by the same experienced surgeon. Several outcomes were measured, including duration of operation, time to establish passage, level of hemoglobin decline, rate of stone clearance and incidence of complications.
Guided by B-ultrasound, percutaneous passages were successfully established in all patients who then underwent one-stage PCNL. The time required to establish a passage using a PI-DJS was 7.5min, whereas that of the group who received a PI-UC was 11.5min (P < 0.01). There was no significant difference between the two groups in terms of operation duration, postoperative Hb decline rate, stone clearance rate, and perioperative complication incidences (all P > 0.05).
PI-DJS during PCNL allowed for a reliable and stable reflux from the bladder into the renal pelvis to produce an artificial hydronephrosis without the formation of microbubbles, unlike conventional ureteral catheters.</description><subject>Adult</subject><subject>Catheters</subject><subject>Catheters, Indwelling</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nephrolithotomy, Percutaneous - adverse effects</subject><subject>Nephrolithotomy, Percutaneous - instrumentation</subject><subject>Prosthesis Design</subject><subject>Stents</subject><subject>Treatment Outcome</subject><subject>Urinary Catheters</subject><subject>Urological surgery</subject><issn>1735-1308</issn><issn>1735-546X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkDtv2zAQx4miQfNoxq4FgS4dIociKYruZjhvGGkQO0A2gSJPMQ1JdCnKgfJZ8mFDw-6S5e7-uN89EfqRkhGlhOXn_Wq0IZaM-DjLv6CjNGdZknHx_HUfp4zIQ3TcdStCsijEN3TIKCNjmYsj9L5YAr4C1dnS1jYMZ3iuKth61Rp8WVVWKz1gV-EQwQcP0KyD3QC-bc0r1LVtX7bJC9eXNSR3eB6gDR22LX4Ar_ugWnB9h-9hvfQuDli64JoBz3v_An74gyf4MQ5yjX0Dg6euDZGqY7jwVtXf0UGl6g5O9_4EPV1dLqY3yezv9e10Mks0lSwkWlGdG6kEaClzAznVqqJRayOpqnQKgqdQGs0Jp0ZXgnEmqRActhVlyU7Q713ftXf_euhC0dhOx-t22xeUjSkXjGY8or8-oSvX-zZuV1CZjjMSTR6pn3uqLxswxdrbRvmh-P939gFoFIeN</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Bai, Fuding</creator><creator>Wu, Huifeng</creator><creator>Zhang, Nan</creator><creator>Chen, JiMin</creator><creator>Wen, Jiaming</creator><general>Urology and Nephrology Research Center</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20200501</creationdate><title>The Feasibility, Safety, and Efficacy of the Preemptive Indwelling of Double-J Stents in Percutaneous Nephrolithotomy Surgery: A Randomized Controlled Trial</title><author>Bai, Fuding ; Wu, Huifeng ; Zhang, Nan ; Chen, JiMin ; Wen, Jiaming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c283t-ca2c7d8a6ec887de72caf28a6cd82afc1e641ebdc4042dcf634382664e6ec8bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Catheters</topic><topic>Catheters, Indwelling</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nephrolithotomy, Percutaneous - adverse effects</topic><topic>Nephrolithotomy, Percutaneous - instrumentation</topic><topic>Prosthesis Design</topic><topic>Stents</topic><topic>Treatment Outcome</topic><topic>Urinary Catheters</topic><topic>Urological surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bai, Fuding</creatorcontrib><creatorcontrib>Wu, Huifeng</creatorcontrib><creatorcontrib>Zhang, Nan</creatorcontrib><creatorcontrib>Chen, JiMin</creatorcontrib><creatorcontrib>Wen, Jiaming</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Urology journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bai, Fuding</au><au>Wu, Huifeng</au><au>Zhang, Nan</au><au>Chen, JiMin</au><au>Wen, Jiaming</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Feasibility, Safety, and Efficacy of the Preemptive Indwelling of Double-J Stents in Percutaneous Nephrolithotomy Surgery: A Randomized Controlled Trial</atitle><jtitle>Urology journal</jtitle><addtitle>Urol J</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>17</volume><issue>3</issue><spage>232</spage><epage>236</epage><pages>232-236</pages><issn>1735-1308</issn><eissn>1735-546X</eissn><abstract>The goal of this study is to compare the feasibility, safety, and efficacy of the preemptive indwelling of double-J stents (PI-DJS) versus the conventional preemptive indwelling of ureteral catheters (PI-UC) in percutaneous nephrolithotomy (PCNL) via a randomized, controlled clinical study.
A total of 75 patients with complex renal calculi underwent PCNL surgery and were randomized, using random number table, to receive either a PI-DJS (37 cases) or a PI-UC (38 cases). All operations were performed by the same experienced surgeon. Several outcomes were measured, including duration of operation, time to establish passage, level of hemoglobin decline, rate of stone clearance and incidence of complications.
Guided by B-ultrasound, percutaneous passages were successfully established in all patients who then underwent one-stage PCNL. The time required to establish a passage using a PI-DJS was 7.5min, whereas that of the group who received a PI-UC was 11.5min (P < 0.01). There was no significant difference between the two groups in terms of operation duration, postoperative Hb decline rate, stone clearance rate, and perioperative complication incidences (all P > 0.05).
PI-DJS during PCNL allowed for a reliable and stable reflux from the bladder into the renal pelvis to produce an artificial hydronephrosis without the formation of microbubbles, unlike conventional ureteral catheters.</abstract><cop>Iran</cop><pub>Urology and Nephrology Research Center</pub><pmid>32309876</pmid><doi>10.22037/uj.v0i0.4957</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Catheters Catheters, Indwelling Feasibility Studies Female Humans Kidney Calculi - surgery Male Middle Aged Nephrolithotomy, Percutaneous - adverse effects Nephrolithotomy, Percutaneous - instrumentation Prosthesis Design Stents Treatment Outcome Urinary Catheters Urological surgery |
| title | The Feasibility, Safety, and Efficacy of the Preemptive Indwelling of Double-J Stents in Percutaneous Nephrolithotomy Surgery: A Randomized Controlled Trial |
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