Foley catheter after ureteroscopy and JJ stent placement: a randomised prospective European Association of Urology Section of Urolithiasis-Young Academic Urologists (EULIS-YAU) endourology study.

IF 3.7 2区 医学 Q1 UROLOGY & NEPHROLOGY BJU International Pub Date : 2024-08-11 DOI:10.1111/bju.16504
Tarik Emre Sener, Gunal Ozgur, Mehmet Cetin, Amelia Pietropaolo, Lazaros Tzelves, Francesco Esperto, Bhaskar Somani, Yiloren Tanidir
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Abstract

Objectives: To evaluate the effects of inserting a Foley catheter after ureteroscopy (URS) and JJ stent placement on pain scores, voiding patterns, biochemical parameters and postoperative complications.

Patients and methods: A randomised clinical trial (1:1) with adult patients following unilateral URS + JJ stent placement was planned. In Group A, no Foley catheter was placed, in Group B, a Foley catheter was placed following URS + JJ stent placement. The primary objective was to evaluate effect of placing a Foley catheter on International Prostate Symptom Score (IPSS), Ureteric Stent Symptom Questionnaire (USSQ) score and postoperative biochemical parameters. The secondary objective was to evaluate postoperative complications.

Results: A total of 112 patients were included (56/group). A ureteric access sheath was used in each patient. Patients had similar demographic and surgical parameters. The pre- and postoperative biochemical analyses including white blood cell count, C-reactive protein, procalcitonin and creatinine levels were similar between the two groups. The IPSS were similar between the two groups. All the subdomains of the USSQ were similar between two groups except Total Body Pain score, which was lower in Group B. The visual analogue scale scores were similar. Complications were all Clavien-Dindo Grade I and II, and the complication rate was 5.4% and 8.9% in Group A and B, respectively.

Conclusion: Placing a Foley catheter following URS + JJ stent placement did not show significant effects on postoperative biochemical parameters and voiding symptoms. However, a Foley catheter lowered the Total Body Pain score on the USSQ without having significant effects on VAS scores. The practice of placing a Foley catheter following URS and JJ stent placement should be based on surgeon's preference keeping in mind the potential positive effect on pain scores.

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输尿管镜检查和 JJ 支架置入后的 Foley 导管:欧洲泌尿外科协会泌尿系结石病分会-年轻泌尿外科医师(EULIS-YAU)内尿路学随机前瞻性研究。
目的评估输尿管镜检查(URS)和 JJ 支架置入术后插入 Foley 导管对疼痛评分、排尿模式、生化指标和术后并发症的影响:计划对单侧输尿管镜检查+JJ支架置入术后的成年患者进行随机临床试验(1:1)。A 组不放置 Foley 导管,B 组在放置 URS + JJ 支架后放置 Foley 导管。主要目的是评估置入 Foley 导管对国际前列腺症状评分(IPSS)、输尿管支架症状问卷(USSQ)评分和术后生化指标的影响。次要目标是评估术后并发症:结果:共纳入 112 名患者(56 人/组)。每位患者都使用了输尿管入路鞘。患者的人口统计学和手术参数相似。两组患者术前和术后的生化分析(包括白细胞计数、C反应蛋白、降钙素原和肌酐水平)相似。两组的 IPSS 也相似。两组的 USSQ 所有子域均相似,但 B 组的全身疼痛评分较低。并发症均为 Clavien-Dindo I 级和 II 级,A 组和 B 组的并发症发生率分别为 5.4% 和 8.9%:结论:在 URS + JJ 支架置入术后放置 Foley 导管对术后生化指标和排尿症状没有明显影响。然而,Foley 导管降低了 USSQ 的全身疼痛评分,但对 VAS 评分没有明显影响。尿路造影术和 JJ 支架置入术后放置 Foley 导管的做法应根据外科医生的偏好而定,同时考虑到对疼痛评分的潜在积极影响。
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来源期刊
BJU International
BJU International 医学-泌尿学与肾脏学
CiteScore
9.10
自引率
4.40%
发文量
262
审稿时长
1 months
期刊介绍: BJUI is one of the most highly respected medical journals in the world, with a truly international range of published papers and appeal. Every issue gives invaluable practical information in the form of original articles, reviews, comments, surgical education articles, and translational science articles in the field of urology. BJUI employs topical sections, and is in full colour, making it easier to browse or search for something specific.
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