DOI: https://doi.org/10.22141/1997-2938.1.36.2018.133006

Features of using ureteral stents after retroperitoneoscopic ureterolithotomy in the treatment of ureteral stones

Yu.V. Roshchin, Yu.P. Sernyak, A.S. Fukszon, I.M. Komisarenko, S.P. Forostina

Abstract


We analyzed the results of treatment of 53 patients who underwent laparoscopic ureterolithotomy for ureteral stones. In 18 (34 %) cases, the stent was not used after the surgery (group 1), and in 35 (66.0 %) patients, the stent (group 2) was placed. Drainage of the ureter by stent placement is absolutely justified procedure in the presence of significant changes in the ureteral wall. In our opinion, the following changes are important: swelling of all layers, the presence of ulcers of the mucous membrane, perifocal inflammation in the tissues surrounding the ureter, with the formation of an inflammatory cortex. On the other hand, stenting of the ureter after retroperitoneoscopic ureterolithotomy is not a routine procedure, and in the absence of the above-mentioned changes, it can be refused without any complications.

Keywords


ureteral stone; laparoscopic ureterolithotomy; stenting

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