Features of prolonged upper urinary tract drainage in the general concept of postoperative management of patients with complicated urethral stones

R.V. Stetsishin, Y.V. Roshchin

Abstract


In 2008–2015 1034 patients underwent contact ureteroscopy lithotripsy and (or) lithoextraction for the stones of various areas of the ureter. We used semi-rigid ureteroscope 8F/9.8F by R.Wolf and videosystem with endocameras by R. Wolf and Olympus for performing ureteroscopy. We studied 231 patients with complicated ureteral stones. 24 (10.4 %) patients failed due to displacement of a stone in the overlying kidney and ureter sections unavailable for ureteroscopy and contact ultrasonic lithotripsy; 17 (7.4 %) patients had intraoperative complications, in spite of the removal of a stone from the ureter. 19 (8.2%) patients had postoperative complications after removal of a stone from the ureter. 32 (13.9%) patients had combined intraoperative and postoperative complications. A significant relationship between the terms of the upper urinary tract drainage and deterioration. The prolonged use of ureteral stent was found to relate directly with the terms of use and has a significant impact on patient’s well-being in many cases, the patient’s quality of life, gives rise to a number of pathological symptoms: aching pain in the lumbar region, discomfort during urination, frequent urination more than 10 times, urgency, urinary incontinence, which results in the quality of life index decline by 10-point scale from 7.02 ± 0.55 to 4.35 ± 0.28 points.

Keywords


ureterolithiasis; ureteroscopy; contact ureterolithotripsy; complications; the upper urinary tract drainage; stents

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DOI: https://doi.org/10.22141/1997-2938.1.32.2017.98506

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