Author(s)

Ismaeel Aghaways¹, Sarwar N. Mahmood¹, Rawa H. Ghareeb^2*, Farhad K. Qadir³, Fahmi H. Kakamad⁴

¹Department of Surgery, Faculty of Medical Sciences, School of Medicine, University of Sulaymaniyah, Sulaymaniyah, Iraq.
²Department of Urology, Sulaymaniyah Surgical Teaching Hospital, Sulaymaniyah, Iraq.
³Kalar hospital, Sulaymaniyah, Iraq.
⁴Department of Cardiothoracic Surgery, Sulaymaniyah Surgical Teaching Hospital, Sulaymaniyah, Iraq.

Objective: The objective is to assess the benefits and adverse effects of routine ureteral stenting after uncomplicated ureteroscopic lithotripsy. Material and Methods: Sixty patients with ureteric calculi amenable to ureteroscopic lithotripsy were randomized to an unstented (30 patients) or a stented (30 patients) treatment group, standard ureteroscopic lithotripsy done using 8 French semirigid ureteroscope, and pneumatic lithotripter used to fragment the stones. They were followed up for postoperative flank pain, lower urinary tract symptoms (LUTS) and hematuria. Results: There was no significant difference in the mean age (stenting 37.8 year and 33.5 year unstenting) of patients, gender and stone size in both groups. No significant difference in the mean flank pain within 3 days postoperative, while at day 14 postoperative flank pain for stenting group was significant (P = 0.03). Dysuria and urgency were high for stenting group (P = 0.002 and 0.011). Hematuria within 3 and 14 days was higher in the stenting group. Conclusion: After uncomplicated ureteroscopy, stents can be safely omitted. Unstented patients have significantly fewer LUTS, haematuria and flank pain.

Ureteroscopy, Ureteral Stenting, Stone, Postoperative Complications

Aghaways, I. , Mahmood, S. , Ghareeb, R. , Qadir, F. and Kakamad, F. (2016) Ureteral Stenting Following Uncomplicated Ureteroscopy for Ureteric Stones: A Randomized Controlled Trial. Open Journal of Urology, 6, 7-12. doi: 10.4236/oju.2016.62002.