Abstract:
PURPOSE:To determine factors affecting patients' discomfort during the period self-retaining ureteral stents are in place. PATIENTS AND METHODS:Between April 2001 and May 2003, 58 male and 42 female patients underwent temporary double-pigtail stenting. The indications were endopyelotomy in 39 patients, ureteroscopy in 32, laparoscopic pyeloplasty in 18, and endoureterotomy in 11. The stents were silicone in 56 patients and Percuflex in 44. The median stenting period was 8 weeks (range 4-16 weeks). Patient discomfort was evaluated by a questionnaire conducted by the physician before stent removal. Tested variables were patients' sex, side of the stent, urine culture, stent material, stent length and diameter, and stenting duration. The site of the upper coil (renal pelvis or calix), the site of the lower coil (in the same side or crossing the midline), and the shape of the lower coil (complete circle or not) were also tested. Univariate and multivariate analysis were carried out to determine significant independent variables, with P < 0.05 being significant. RESULTS:Of the total, 59 patients experienced discomfort consisting of dysuria, urgency, urge incontinence, loin pain, suprapubic pain, frequency, nocturia, or gross hematuria or some combination. Significant factors associated with discomfort were a positive urine culture, crossing of the lower end of the stent to the opposite side, caliceal position of the upper coil, and longer stenting duration. CONCLUSION:Proper positioning of the coils of the stent, eradication of infection, and shorter stenting duration are advised to decrease patient discomfort during the period of ureteral stenting.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
El-Nahas AR,El-Assmy AM,Shoma AM,Eraky I,El-Kenawy MR,El-Kappany HAdoi
10.1089/end.2006.20.33subject
Has Abstractpub_date
2006-01-01 00:00:00pages
33-7issue
1eissn
0892-7790issn
1557-900Xjournal_volume
20pub_type
杂志文章abstract::We herein present the first case in the literature of enucleation of an aldosterone-producing adenoma by laparoscopy. The indication for adrenal-sparing surgery was bilateral adrenal adenoma. The operation turned out to be easier than laparoscopic adrenalectomy. The postoperative course was uneventful, and the patient...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.145
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abstract::The lateral repair is an accepted method for the reconstitution of paravaginal defects. Several open or vaginal approaches have been described, but there is still a deficit of reproducible laparoscopic approaches. Thus, only a few clinics perform the laparoscopic approach although it offers several advantages compared...
journal_title:Journal of endourology
pub_type: 杂志文章
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abstract:BACKGROUND AND PURPOSE:New-generation flexible ureteroscopes allow the management of proximal ureteral and intrarenal pathology with high success rates, including complete removal of ureteral and renal calculi. One problem is that the irrigation pressures generated within the collecting system can be significantly elev...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322836631
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abstract:INTRODUCTION AND OBJECTIVES:We evaluated patients who underwent treatment for prostate cancer and then subsequent robotic radical cystectomy (RARC). Our objective was to understand clinical, pathologic, and survival outcomes in these patients. MATERIALS AND METHODS:A total of 333 male patients underwent RARC with stan...
journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2020-12-02 00:00:00
abstract:: Objectives: To evaluate the outcomes of robot-assisted partial nephrectomy (RAPN) in cystic renal tumors. Materials and Methods: We retrospectively analyzed patients who underwent RAPN for either cystic (n = 46) or solid (n = 2...
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pub_type: 杂志文章
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abstract:: Introduction: A number of clinical and radiological predictors of either stone impaction or ureteral stone passage (SP) have been proposed. We aimed at identifying the key predictors of successful SP by using readily available CT-based tools/measurements. ...
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2000.14.33
更新日期:2000-02-01 00:00:00
abstract:PURPOSE:To provide a comprehensive review of the classification of surgical errors as well as general measures to detect and prevent their occurrence. MATERIALS AND METHODS:Search in PubMed, Medline, and Cochrane library with combination of the key words: Endoscopy or surgical procedures, minimally invasive, and medic...
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pub_type: 杂志文章,meta分析
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abstract::Direct extraperitoneal surgery has become the preferred approach to laparoscopic nephrectomy since the introduction of the balloon dilation method. The lateral decubitus position provides good exposure, but the prone position is used at some centers to gain better exposure with the aid of gravity. The open conversion ...
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0201
更新日期:2017-08-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0417
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.1995.9.439
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Proper management of the nonpalpable testicle requires an accurate diagnosis. Laparoscopic orchiopexy (LO) has become the standard for diagnosis and treatment. We classified the location of nonpalpable testicles, reviewed the technique of LO in detail, and report the results of our series, the la...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903767923128
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0800
更新日期:2015-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2018-06-01 00:00:00
abstract::Ureteral stents and nephrostomy tubes have been used extensively in urology. Attendant to their use are their associated morbidities, such as pain, infection, and encrustation. We review the literature on the subject of the encrusted stents and drainage catheters, discuss the risk factors for encrustation, and describ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0382
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0087
更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1089/end.1994.8.401
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0381
更新日期:2015-03-01 00:00:00
abstract::The long-term effects of extracorporeal shockwave lithotripsy (SWL) on children treated for renal calculi are unclear. To study the effects on the immature animal, we evaluated 31 Wistar white rats that underwent right nephrectomy at 30 days of age. At 40 days of age they were divided into three groups: a control grou...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.45
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journal_title:Journal of endourology
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章
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pub_type: 杂志文章
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