Opportunities for Unsalted Management of the Postoperative Period in Patients with Uncomplicated Ureterolithiasis

Authors

  • Oleh Nikitin Bogomolets National Medical University
  • Yurii Roshchyn Donetsk National Medical University of the Ministry of Health of Ukraine
  • Ihor Komisarenko Bogomolets National Medical University
  • Oleksandr Fukszon Donetsk National Medical University of of the Ministry of Health of Ukraine
  • Sviatoslav Smikhun Donetsk National Medical University of the Ministry of Health of Ukraine

DOI:

https://doi.org/10.30841/2307-5090.4.2020.225585

Keywords:

non-drainage management of patients, ureterolithiasis, postoperative period, risk factors, uncomplicated ureteral stone

Abstract

When performing surgeries for ureteral stones, ureteral stenting is traditionally performed to avoid obstruction of the ureter in the postoperative period due to edema or stone fragments. Modern technical advances allow ureteroscopy to be performed relatively atraumatically and to avoid routine ureteral stenting, which makes it possible to exclude exacerbations of pyelonephritis caused by reflux, reduce stent costs, improve the quality of life in the postoperative period, and avoid cystoscopy for dentition.

The objective: studying the possibility of non-drainage management of the postoperative period, identifying risk factors for postoperative complications in patients with uncomplicated ureteral stones.

Materials and methods. The analysis of the results of treatment of 198 patients with uncomplicated ureterolithiasis, in whom it was decided to refuse stenting after ureteroscopy, was carried out.

Results. The analysis of the condition of patients in the postoperative period was carried out. To identify the factors influencing the decision on non-drainage management of the patient in the postoperative period, as well as factors that could be predictors of postoperative complications, we analyzed various indicators.

Conclusions. In the case of uncomplicated ureterolithiasis, in most cases (in 68.2 % of patients) in the postoperative period, there is no need to drain the upper urinary tract using a stent. At the same time, in a number of cases – namely in 31.8 % of patients – upon refusal to install a stent, complications arose that significantly influenced the duration and cost of treatment, in some cases requiring an increase in the volume of therapy, additional procedures – installation stent and puncture nephrostomy.

Author Biographies

Oleh Nikitin, Bogomolets National Medical University

Oleh D. Nikitin,

Department of Urology

Yurii Roshchyn, Donetsk National Medical University of the Ministry of Health of Ukraine

Yurii V. Roshchyn,

Department of Urology

Ihor Komisarenko, Bogomolets National Medical University

Ihor M. Komisarenko,

Department of Urology

Oleksandr Fukszon, Donetsk National Medical University of of the Ministry of Health of Ukraine

Oleksandr S. Fukszon,

Department of Urology

Sviatoslav Smikhun, Donetsk National Medical University of the Ministry of Health of Ukraine

Sviatoslav I. Smikhun,

Department of Urology

References

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Published

2021-03-15

Issue

Section

For practicing physicians