Huadi Yuan, Zhicong Tan, Liyan Gao, Pinghua Hong, Hong He, Zhazha Lin, Hao Zhang, Wenjun Gao, Bohan Wang
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引用次数: 0
Abstract
Objectives: To evaluate the safety and efficacy of same-day versus next-day urinary catheter removal following ureteroscopic holmium laser lithotripsy (with routine double-J stent placement) in a day surgery setting.
Methods: In this comparative study, 191 patients undergoing day-care holmium laser lithotripsy were allocated to next-day (n=94) or same-day (n=97) extubation groups. Outcomes included catheter retention duration, post-removal complications, voiding function, and recovery parameters.
Results: No catheter-related adverse events occurred in either group. No significant differences were observed in first void volume, catheter reinsertion rates, post-catheter removal urination, lower abdominal distension, or urethral pain (p>0.05). The same-day group demonstrated significantly shorter catheter retention time (p<0.001) and earlier postoperative ambulation (p<0.001). Notably, time to spontaneous voiding was prolonged in the same-day group (p=0.009), though all values remained within physiological ranges.
Conclusions: Same-day catheter removal after ureteroscopic holmium laser lithotripsy, even with routine double-J stent placement, safely reduces indwelling time and promotes early mobilization without increasing the risk of urinary retention or exacerbating stent-related discomfort. Theprotocol is feasible for day surgery populations.
期刊介绍:
Concise but fully substantiated international reports of clinically oriented research into science and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.