Urinary stones
Conditions
Interventions
Group A (conventional indwelling ureteral stent group):NA
Group B (completely untubed):No ureteral stent is placed after flexible ureteroscopic lithotripsy
Sponsors
The First Affiliated Hospital of Zhengzhou University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1: Subjects = 18 years old, regardless of gender 2: Unilateral upper ureteral stones or kidney stones with a diameter of less than 2.0cm, or the cumulative maximum diameter of multiple stones is less than 2.0cm, and the diagnosis is clear by CT imaging examination 3: No urinary system tumors or urinary system developmental malformations 4: Understand and sign the informed consent form
Exclusion criteria
Exclusion criteria: 1: Pregnant or lactating women 2: Patients undergoing bilateral surgery 3: Patients with pre-placed ureteral stent or nephrostomy tube 4: Preoperative active infection, severe hydronephrosis, and renal insufficiency 5: CT showed incarcerated stones (ureteral wall thickness >3.5 mm) [19] or intraoperative ureteroscopy with incarcerated stones (the stones were embedded in granulation tissue and the probe could not be pushed; local mucosal pallor necrosis or active bleeding) 6: Patients with isolated kidneys 7: Abnormal blood coagulation and severe cardiovascular and cerebrolung diseases 8: Intraoperative ureteroscopy for ureteral stricture 9: After the completion of intraoperative lithotripsy, the negative pressure sheath microscopy can be used to observe the grade of ureteral injury (PULS) > 1 and the stone residue = 2 mm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative stone clearance rate and ureteral stricture; | — |
Secondary
| Measure | Time frame |
|---|---|
| Ureteral Symptom Scoring Scale (USSQ), Male Ejaculation Scale (MSHQ-EjD), Male Erection Scale (IIEF-5), Female Sexual Function Score Scale (FSFI);Urine routine white blood cells;Operative time, postoperative hospital stay, hospitalization cost, postureteroscopy injury score;Number of emergency department visits after discharge, number of readmission visits, number of secondary interventions,; | — |
Countries
China
Contacts
Public ContactSongchao Li
The First Affiliated Hospital of Zhengzhou University
Outcome results
None listed