Flexible Ureteroscopy, Renal Stones
Conditions
Brief summary
Retrograde intrarenal surgery is widely used for the treatment of upper urinary tract stones. Traditionally, ureteral stents are placed postoperatively to prevent complications such as pain and stone obstruction. On the other hand, it leads to patient discomfort and additional procedures or readmission .This study aims to evaluate whether routine postoperative DJ stenting can be safely omitted following RIRS in appropriately selected patients, without increasing postoperative complications or the need for additional interventions.
Interventions
PROCEDUREflexible ureteroscopy using flexible and navigable suction sheath
This study evaluates the safety of omitting routine postoperative DJ stenting after RIRS in uncomplicated cases, while reserving stenting for patients with predefined risk factors such as ureteric injury or significant residual stones. This selective approach aims to reduce stent-related discomfort and unnecessary procedures without increasing postoperative complications.
Sponsors
Ain Shams University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients above the age of 18 years of either sex who presented to the Urology clinic in our university hospitals with upper urinary tract stones with size up to 2.5 cm.
Exclusion criteria
* Previous open renal surgery * patients with previous renal trauma * Patients with renal anomalies * Patients with untreated or active Urinary tract infection * patients with Solitary kidney * patients with renal insufficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Need for readmission for increased body temperature | one month |
Countries
Egypt
Outcome results
None listed