Academic Journal
A Short Double-J Ureteral Stent Indwelling Time Is Safe and Effective Following Minimally Invasive Pyeloplasty: Long-term Results from a Prospective Randomized Controlled Trial
| Title: | A Short Double-J Ureteral Stent Indwelling Time Is Safe and Effective Following Minimally Invasive Pyeloplasty: Long-term Results from a Prospective Randomized Controlled Trial |
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| Authors: | Frédéric D. Birkhäuser, Thomas von Rütte, Felix Moltzahn, Philipp Huber, Pascal Zehnder |
| Source: | European Urology Open Science, Vol 74, Iss , Pp 28-33 (2025) |
| Publisher Information: | Elsevier, 2025. |
| Publication Year: | 2025 |
| Collection: | LCC:Diseases of the genitourinary system. Urology LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
| Subject Terms: | Ureteropelvic junction obstruction, Pyeloplasty, Minimally invasive, Double-J ureteral stenting, Diseases of the genitourinary system. Urology, RC870-923, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
| More Details: | Background and objective: During laparoscopic pyeloplasty, double-J ureteral stents are routinely placed to protect the anastomosis from urinary leakage. However, no consensus exists on the optimal double-J ureteral stent indwelling time. This study aims to evaluate the impact of a short compared to a long double-J ureteral stent indwelling time on long-term functional outcomes ans complications following minimally invasive pyeloplasty. Methods: A prospective randomized single-surgeon series compared 2- versus 6-wk indwelling time. Renal scintigraphy was performed preoperatively, and at 6 and 24 mo postoperatively. Diuretic renography was performed 3 mo postoperatively. From year 2 to 5, patients were followed mainly with interviews. Key findings and limitations: The median follow-up was 66 (range 29–104) mo. Preoperatively, all 82 patients were symptomatic and renal scintigraphy revealed an obstruction. Diuretic renography documented regular morphology and kinetics in all patients at 3 mo. Six months postoperatively, renal scintigraphy detected unobstructed drainage in 84% of patients in group A (2 wk) and in 95% of patients in group B (6 wk; p = 0.237). At 2 yr, the rate of unobstructed drainage increased to 97% in group A and 96% in group B (p = 0.962). In patients with scintigraphically delayed tracer transportation, additional diuretic renography proved regular morphology and contrast media kinetics. No stent-related complications and urinary leakage were observed. All patients were asymptomatic at the last follow-up. Conclusions and clinical implications: Our long-term data demonstrate that 2 wk of double-J ureteral stenting following pyeloplasty provides similar functional outcome to 6 wk of stenting. Furthermore, no stent-related complications occurred. This finding may safely be applied to all pyeloplasty patients. Patient summary: Without comprising overall functional success or increasing the rate of complications, patients following minimally invasive pyeloplasty benefit from a short double-J stent indwelling time. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2666-1683 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2666168325000539; https://doaj.org/toc/2666-1683 |
| DOI: | 10.1016/j.euros.2025.01.014 |
| Access URL: | https://doaj.org/article/fdd2045951274726a27a82f09a9d7d64 |
| Accession Number: | edsdoj.fdd2045951274726a27a82f09a9d7d64 |
| Database: | Directory of Open Access Journals |
| ISSN: | 26661683 |
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| DOI: | 10.1016/j.euros.2025.01.014 |
| Published in: | European Urology Open Science |
| Language: | English |