MP89-18 FAST TRACK STENT STUDY - IMPACT OF URETER STENTING AFTER URETERORENOSCOPIC STONE EXTRACTION ON QUALITY OF LIFE - A PROSPECTIVE- RANDOMIZED EVALUATION

You have accessJournal of UrologyStone Disease: Surgical Therapy VI1 Apr 2018MP89-18 FAST TRACK STENT STUDY - IMPACT OF URETER STENTING AFTER URETERORENOSCOPIC STONE EXTRACTION ON QUALITY OF LIFE - A PROSPECTIVE- RANDOMIZED EVALUATION Peter Bach, Alina Reicherz, Verena Maas, Patrizia Wenzel, Nicolas von Landenberg, Lisa Dahlkamp, Jueri Palisaar, Joachim Noldus, and Christian von Bodman Peter BachPeter Bach More articles by this author , Alina ReicherzAlina Reicherz More articles by this author , Verena MaasVerena Maas More articles by this author , Patrizia WenzelPatrizia Wenzel More articles by this author , Nicolas von LandenbergNicolas von Landenberg More articles by this author , Lisa DahlkampLisa Dahlkamp More articles by this author , Jueri PalisaarJueri Palisaar More articles by this author , Joachim NoldusJoachim Noldus More articles by this author , and Christian von BodmanChristian von Bodman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2958AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To prospectively compare tubeless procedures (no stent) versus short-term (UC) and long-term (DJ) ureteral stenting following ureterorenoscopic stone extraction (URS) in pre-stented randomized patients. METHODS In a single academic center between 8/2014 and 8/2015 142 patients with ureter stones, initially treated with a DJ insertion, were prospectively randomized to an external ureter catheter (UC) for 6 hours versus DJ for 5 days following secondary flexible or rigid URS (FAST1). Subsequently in the same manner between 8/2016 and 11/2017 145 patients were prospectively randomized to a tubeless procedure (no stent) versus an external UC for 6 hours (FAST2). Exclusion criteria were acute urinary tract infection, a solitary kidney or a maximum stone diameter of more than 25mm. Study endpoints were ureter-stent related symptoms, quality of life and pain assessed by a validated questionnaire (USSQ) and visual analog scale (VAS) prior and 4 - 6 weeks after surgery. RESULTS Flexible (41%) and rigid (59%) URS was performed by 9 surgeons and resulted in a 90% stone free rate (n=287). Mean operation time was 21 minutes (range 7-63 min). Groups (DJ, no stent, UC) did not differ in mean age (50 years), mean BMI (29.1) and stone size (5.8 mm). The no stent population stated lowest values concerning urinary (17.2 +/-0.6; p=0.18) and pain index (7.95+/-0.9; p=0.96) which were not significant when compared to UC population (FAST2) but highly significant when compared to DJ population (FAST1; p<0.0001). Concerning quality of life (USSQ) no stent patients revealed best scores (1.63+/-0.1) with a significant difference to UC population (p=0.0029) and DJ population (5.6+/-0.9; p<0.0001). Revision rates between the three groups did not differ (p=0.71). CONCLUSIONS Patients without ureter stenting following URS have a better quality of life and are more satisfied with the treatment. DJ insertion following URS in prestented patients should be avoided whenever possible. If an uretercatheter is needed short term UC should be considered the primary choice. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1212 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Peter Bach More articles by this author Alina Reicherz More articles by this author Verena Maas More articles by this author Patrizia Wenzel More articles by this author Nicolas von Landenberg More articles by this author Lisa Dahlkamp More articles by this author Jueri Palisaar More articles by this author Joachim Noldus More articles by this author Christian von Bodman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...