Urological Research最新文献_第8页

Association of vitamin D receptor gene polymorphism and calcium urolithiasis in the Chinese Han population. 中国汉族人群维生素D受体基因多态性与钙性尿石症的关系

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-11-25 DOI: 10.1007/s00240-011-0438-y

Shuai Wang, Xiao Wang, Jian Wu, Yiwei Lin, Hong Chen, Xiangyi Zheng, Cheng Zhou, Liping Xie

{"title":"Association of vitamin D receptor gene polymorphism and calcium urolithiasis in the Chinese Han population.","authors":"Shuai Wang, Xiao Wang, Jian Wu, Yiwei Lin, Hong Chen, Xiangyi Zheng, Cheng Zhou, Liping Xie","doi":"10.1007/s00240-011-0438-y","DOIUrl":"https://doi.org/10.1007/s00240-011-0438-y","url":null,"abstract":"To investigate the effect of the vitamin D receptor (VDR) Fok I Bsm I Dde I Apa I Taq I polymorphism on the clinical presentation of calcium urolithiasis, 464 patients with urolithiasis and 450 age- and sex-matched healthy controls were recruited from The First Affiliated Hospital of Zhejiang University between January 2010 and March 2011. Five SNPs of VDR polymorphism were detected using polymerase chain reaction-based restriction analysis. The frequency of VDR Apa I genotypes between the patients and the healthy controls was significantly different (P = 0.006). Apa I a allele was found to be associated with increased risk of stone recurrence (P = 0.028). We also found Fok I Dde I Apa I showed a significant difference between male and female in the patients group (P < 0.05). Haplotype analysis of the five VDR polymorphisms showed a significant association with urolithiasis (global-P value = 0.0001). Genetic polymorphisms of VDR are important in the clinical presentation of patients with calcium urolithiasis in the Han population of southern China.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0438-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30280937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

Feasibility and efficacy of extracorporeal shock-wave lithotripsy using a new modified lateral position for the treatment of renal stones in obese patients. 新型改良侧卧位体外冲击波碎石术治疗肥胖患者肾结石的可行性及疗效。

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-08-17 DOI: 10.1007/s00240-011-0416-4

Anastasios Karatzas, Stavros Gravas, Vassilios Tzortzis, Evangelos Aravantinos, Ioannis Zachos, Nikolaos Kalogeras, Michael Melekos

{"title":"Feasibility and efficacy of extracorporeal shock-wave lithotripsy using a new modified lateral position for the treatment of renal stones in obese patients.","authors":"Anastasios Karatzas, Stavros Gravas, Vassilios Tzortzis, Evangelos Aravantinos, Ioannis Zachos, Nikolaos Kalogeras, Michael Melekos","doi":"10.1007/s00240-011-0416-4","DOIUrl":"https://doi.org/10.1007/s00240-011-0416-4","url":null,"abstract":"The aim of our study was to evaluate the efficacy and safety of ESWL using a modified lateral position in obese patients with renal stones. Nineteen obese patients with renal stones were enrolled (group A). The mean stone diameter was 1.3 cm (0.7-1.9 cm). The mean BMI was 35.1 kg/m² (31-41 kg/m²). Patients were placed in the lateral position, with the energy source facing their body posteriorly and the site where the stone was located in direct contact with the water cushion. Success rate (defined as the percentage of patients who were stone-free or with insignificant fragments after 3 months), mean number of ESWL sessions, mean duration of ESWL session and complications were recorded. The results were compared with those of 17 obese patients (Group B) with similar baseline characteristics treated in the standard supine position. All ESWLs were performed using the Dornier lithotripter SII. Both success rate (68.4 vs. 64.7% for groups A and B, respectively) and mean number of sessions (2.2 vs. 2.6) did not differ significantly between the two groups (p = 0.5). Interestingly, the time required to complete ESWL was significantly shorter for group A patients (56 min) compared to group B (73 min) (p = 0.001). No severe complications (including hematoma, pyelonephritis) were recorded. Our data indicate that ESWL in the modified lateral position for renal calculi in obese patients seems to be feasible and safe. In addition, it is faster than in the supine position since it overcomes technical difficulties. Further studies with a large number of patients are required to support our findings.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0416-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30082186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

The incidence and clinical features of acute kidney injury secondary to ureteral calculi. 输尿管结石继发急性肾损伤的发生率及临床特点。

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-08-19 DOI: 10.1007/s00240-011-0414-6

Si-Jun Wang, Xiao-Nan Mu, Long-Yang Zhang, Qing-Yong Liu, Xun-Bo Jin

{"title":"The incidence and clinical features of acute kidney injury secondary to ureteral calculi.","authors":"Si-Jun Wang, Xiao-Nan Mu, Long-Yang Zhang, Qing-Yong Liu, Xun-Bo Jin","doi":"10.1007/s00240-011-0414-6","DOIUrl":"https://doi.org/10.1007/s00240-011-0414-6","url":null,"abstract":"The aim of this study is to evaluate the incidence and clinical features of acute kidney injury (AKI) secondary to ureteral calculi. Between February 2002 and December 2009, the prevalence of AKI was 0.72% in our series of 2,073 cases of ureteral stones. The AKI patients received ureteroscopy or percutaneous nephrostomy as the primary treatment. The most popular symptom was significant decrease in urine output (75%, 12/16). Five cases (33.3%) were caused by bilateral ureteral stones, and 76.19% of the stones were located in the upper ureter, the mean size of single stone was 1.35 ± 0.38 cm. The serum creatinine before treatment was 514.34 ± 267.04 μmol/L and the blood urea nitrogen before treatment was 21.31 ± 10.24 mmol/L. 46.67% of the patients had a functional or anatomical solitary kidney unit. Our study suggests that risk factors for developing AKI in ureteral stone patients are bigger sized stones, ureteral stones in patients with only one functioning kidney or pre-existing kidney disease, and bilateral ureteral stones. Early effective drainage in these cases could decrease the risk developing AKI secondary to ureteral calculi.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0414-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30086376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

Bladder stone due to accidentally intravesically inserted intrauterine device. 膀胱结石因意外插入宫内节育器所致。

Urological Research Pub Date : 2012-08-01 Epub Date: 2012-05-10 DOI: 10.1007/s00240-012-0481-3

Ji Yun Chae, Jin Wook Kim, Cheol Yong Yoon, Hong Seok Park, Du Geon Moon, Mi Mi Oh

引用次数: 2

Initial experience with a newly developed antirefluxive ureter stent. 新开发的抗反流输尿管支架的初步经验。

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-08-18 DOI: 10.1007/s00240-011-0415-5

Manuel Ritter, Patrick Krombach, Thomas Knoll, Maurice Stephan Michel, Axel Haecker

{"title":"Initial experience with a newly developed antirefluxive ureter stent.","authors":"Manuel Ritter, Patrick Krombach, Thomas Knoll, Maurice Stephan Michel, Axel Haecker","doi":"10.1007/s00240-011-0415-5","DOIUrl":"https://doi.org/10.1007/s00240-011-0415-5","url":null,"abstract":"The objective of this study was to assess the functional efficacy of newly developed antirefluxive ureter stents (DJ), by performing immediate post-stenting cystograms on patients with acute ureteral obstruction requiring a DJ stent, and assessing stent-related symptoms by means of ureteral stent symptoms questionnaire (USSQ). Patients with acute hydronephrosis requiring internal drainage were randomized to receive either an antirefluxive DJ or a conventional DJ (7 Fr., 26 cm, polyurethane, Urovision(®), Germany). Mean stone size was 6.64 ± 3.33 and 6.5 ± 3.54 mm. Immediately after correct placement of the DJ, 200 ml of diluted contrast media was introduced into the bladder under fluoroscopic control to detect vesicoureteral reflux (VUR). Patients completed German versions of the USSQ on days 2 and 7 following stent placement, and 1 week after stent removal. The results were analyzed. 13 conventional and 16 antirefluxive stents were placed in 29 patients. Reflux was documented in eight conventionally stented patients (62.5%). Two of the 16 patients with antirefluxive stents (22%) presented reflux. 1 week after stent implantation, the mean pain value was 1.1 in the antirefluxive group and 3 in the standard group (p < 0.062). Flank pain during micturition occurred after 2 days in seven patients (58%) with standard stents and in three patients (33%) with antirefluxive stents (p < 0.23). 1 week after stent insertion, flank pain had dropped to 40% in the standard group and 11% in the antirefluxive group (p < 0.3). Our initial experience showed that the antirefluxive system might be effective in terms of reflux prevention and reduction of stent related symptoms especially during sexual intercourse.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0415-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29940440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

Ureteroscopic treatment of urological calculi under sacral block anesthesia. 骶管阻滞麻醉下输尿管镜治疗泌尿系结石。

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-08-13 DOI: 10.1007/s00240-011-0417-3

Hongjian Zhu, Xuren Xiao, Xianglong Chen, Guohui Feng, Qingjiang Zhang, Hua Wang, Xiaoming Zhang

{"title":"Ureteroscopic treatment of urological calculi under sacral block anesthesia.","authors":"Hongjian Zhu, Xuren Xiao, Xianglong Chen, Guohui Feng, Qingjiang Zhang, Hua Wang, Xiaoming Zhang","doi":"10.1007/s00240-011-0417-3","DOIUrl":"https://doi.org/10.1007/s00240-011-0417-3","url":null,"abstract":"We evaluated the effectiveness and safety of ureteroscopic pneumatic lithotripsy (URS-PL) for the treatment of urological calculi under sacral block anesthesia. URS-PL was performed with a semirigid ureteroscope under sacral block anesthesia in 90 patients between January 2006 and April 2010. Calculi were located in the middle ureter in 20 patients, the distal ureter in 48 patients, the bladder in 20 patients, and the urethra in 2 patients. We carried out URS-PL in all patients under sacral block anesthesia with 20 ml 2% lidocaine. An objective pain score scale was used to assess patient pain and anxiety. Adverse events were recorded. The results showed the overall stone-free rate was 97.8%, the rate being 100% for calculi in the bladder, urethral and distal ureter, 90.0% for calculi in the midureter. The mean operative time was 25.2 min (range 10-60 min). We had perfect pain control in the majority of the patients. Patients' acceptance was very high. Only two patient required conversion to epidural block anesthesia. No anesthetic-related side effects occurred in all patients. These finding suggest that sacral block anesthesia is a safe and efficacious mend during URS-PL in urological calculi, especially those patients in the distal ureter and calculi <1 cm.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0417-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29933826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Ureteroscopic retrograde intrarenal surgery after previous open renal stone surgery: initial experience. 输尿管镜逆行肾内手术后既往开放肾结石手术:初步经验。

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-11-05 DOI: 10.1007/s00240-011-0435-1

Mahmoud M Osman, Wael M Gamal, Mohamed M Gadelmoula, Ahmed S Safwat, Mohamed A Elgammal

{"title":"Ureteroscopic retrograde intrarenal surgery after previous open renal stone surgery: initial experience.","authors":"Mahmoud M Osman, Wael M Gamal, Mohamed M Gadelmoula, Ahmed S Safwat, Mohamed A Elgammal","doi":"10.1007/s00240-011-0435-1","DOIUrl":"https://doi.org/10.1007/s00240-011-0435-1","url":null,"abstract":"The management of renal calculi following previous open surgery represents a challenge for urologists. The aim of this study is to evaluate the outcomes and safety of ureteroscopic laser retrograde intrarenal surgery (RIRS) for renal calculi following prior open renal surgery. The charts of 53 patients who underwent RIRS for renal calculi following prior open surgery for urolithiasis were reviewed. Both flexible and semi-rigid ureteroscopes were utilized together with holmium: YAG laser for stone disintegration. Intravenous urography, computed tomography (CT) and ultrasound were used to evaluate the patient, perioperatively. Stone size ranged from 5 to 32 mm (mean 14.3 mm). The mean operative time was 86 min (20-130). The overall stone-free rate was 92.4%. The overall stone-free rates after one and two-procedures were 79.2% (42 cases) and 92.4% (49 cases), respectively. Four patients (7.5%) had larger residual fragments, 2 (3.8%) of them underwent SWL, and 2 (3.8%) cases were followed up conservatively. Major complications were reported in two patients (3.8%). Stone analysis revealed calcium oxalate in 39 patients, uric acid in 5, calcium phosphate in 4, struvite in 3, and cystine in 2 cases. Ureteroscopic retrograde intrarenal surgery for renal calculi following prior open renal surgery was a minimally invasive, safe procedure with a high success rate. It is a viable alternative for PNL in managing recurrent renal calculi efficiently.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0435-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40132319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Tamsulosin and doxazosin as adjunctive therapy following shock-wave lithotripsy of renal calculi: randomized controlled trial. 坦索罗辛和多沙唑嗪作为肾结石冲击波碎石后的辅助治疗:随机对照试验。

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-08-12 DOI: 10.1007/s00240-011-0410-x

Osama M Zaytoun, Rachid Yakoubi, Abdel Rahman M Zahran, Khaled Fouda, Essam Marzouk, Salah Gaafar, Khaled Fareed

{"title":"Tamsulosin and doxazosin as adjunctive therapy following shock-wave lithotripsy of renal calculi: randomized controlled trial.","authors":"Osama M Zaytoun, Rachid Yakoubi, Abdel Rahman M Zahran, Khaled Fouda, Essam Marzouk, Salah Gaafar, Khaled Fareed","doi":"10.1007/s00240-011-0410-x","DOIUrl":"https://doi.org/10.1007/s00240-011-0410-x","url":null,"abstract":"Alpha-blockers have been established as medical expulsive therapy for urolithiasis. We aimed to assess the effect of tamsulosin and doxazosin as adjunctive therapy following SWL for renal calculi. We prospectively included 150 patients who underwent up to four SWL sessions for renal stones from June 2008 to 2009. Patients were randomized into three groups of 50 patients each, group A (phloroglucinol 240 mg daily), group B (tamsulosin 0.4 mg once daily plus phloroglucinol), and group C (doxazosin 4 mg plus phloroglucinol). The treatment continued up to maximum 12 weeks. Patients were evaluated for stone expulsion, colic attacks, amount of analgesics and side-effects of alpha-blockers. There were no significant differences between the groups regarding stone expulsion rates (84; 92 and 90%, respectively). The mean expulsion time of tamsulosin was significantly shorter than both control group (p = 0.002) and doxazosin (p = 0.026). Both number of colic episodes and analgesic dosage were significantly lower with tamsulosin as compared to control and doxazosin. Steinstrasse was encountered in 10 (6.7%) patients with no significant difference between the groups. 16 patients on tamsulosin and 21 on doxazosin experienced adverse effects related to postural hypotension. Moreover, 2 (4%) patients in the tamsulosin group reported ejaculatory complaints. In conclusion, adjunction of tamsulosin or doxazosin after SWL for renal calculi decreases the time for stone expulsion, amount of the analgesics and number colic episodes. There was no benefit regarding the overall stone expulsion rate. The side-effects of these agents are common and should be weighted against the benefits of their usage.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0410-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30073235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 27

Distension of the renal pelvis in kidney stone patients: sensory and biomechanical responses. 肾结石患者的肾盂扩张:感觉和生物力学反应。

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-09-10 DOI: 10.1007/s00240-011-0425-3

Katja Venborg Pedersen, Donghua Liao, Susanne Sloth Osther, Asbjørn Mohr Drewes, Hans Gregersen, Palle Jörn Sloth Osther

{"title":"Distension of the renal pelvis in kidney stone patients: sensory and biomechanical responses.","authors":"Katja Venborg Pedersen, Donghua Liao, Susanne Sloth Osther, Asbjørn Mohr Drewes, Hans Gregersen, Palle Jörn Sloth Osther","doi":"10.1007/s00240-011-0425-3","DOIUrl":"https://doi.org/10.1007/s00240-011-0425-3","url":null,"abstract":"The pathogenesis of symptoms in urolithiasis is poorly understood. Traditionally increased endoluminal pressure is considered the main mechanism causing pain in the upper urinary tract but clinical data are sparse. The aim of the present study was to develop a new model related to mechanosensation in order to describe the geometric and mechanical properties of the renal pelvis in patients with kidney stone disease. Pressure measurement in the renal pelvis was done during CT-pyelography in 15 patients who underwent percutaneus nephrolithotomy. The sensory intensity was recorded at the thresholds for first sensation and for pain. 3D deformation and strain were calculated in five patients. The deformation of pelvis during distension was not uniform due to the complex geometry. The pelvis deformed to 113 ± 6% and 115 ± 11% in the longitudinal and circumferential directions, respectively. Endoluminal pressure in the renal pelvis corresponded positively to the sensory ratings but the referred pain area was diffuse located and varied in size. The present study provides a method for describing the mechanosensory properties and 3D deformation of the complex renal pelvis geometry. Although there was a relation between pressure and pain score, the non-homogenous spatial strain distribution suggests that the 3D biomechanical properties of the renal pelvis are not reflected by simple estimates of tension based on pressure and volume.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0425-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29989045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

How long should double J stent be kept in after ureteroscopic lithotripsy? 输尿管镜碎石后双J型支架应放置多长时间?

Urological Research Pub Date : 2012-08-01 Epub Date: 2011-09-17 DOI: 10.1007/s00240-011-0426-2

Katsumi Shigemura, Tomihiko Yasufuku, Kunito Yamanaka, Masuo Yamahsita, Soichi Arakawa, Masato Fujisawa

{"title":"How long should double J stent be kept in after ureteroscopic lithotripsy?","authors":"Katsumi Shigemura, Tomihiko Yasufuku, Kunito Yamanaka, Masuo Yamahsita, Soichi Arakawa, Masato Fujisawa","doi":"10.1007/s00240-011-0426-2","DOIUrl":"https://doi.org/10.1007/s00240-011-0426-2","url":null,"abstract":"Ureteroscopic lithotripsy (UL), for renal or ureteral stones, is a standard technique for every urologist. However, the length of time the double J (DJ) stent needs to be kept in postoperatively is still controversial. This study investigated how the duration of DJ stenting after UL affects postoperative adverse events, especially infection and pain. One hundred and twenty-five patients were enrolled in this study and data were analyzed retrospectively. We set the median duration for keeping the DJ stent postoperatively as 14 days from median value in all cases and compared it to a longer duration group (>15 days) and a shorter duration group (<14 days) in terms of febrile complications, urinalysis, and the need to give antibiotics at the time of DJ stent removal. The duration of DJ stenting was from 3 to 61 (median 14) days. Thirteen patients had adverse events related to DJ stent removal (febrile complications, 11 patients; lumbago, 2 patients). Thirty-one patients were given antibiotics at the time of DJ stent removal. Patients with longer durations (>15 days) of DJ stenting had a significantly higher ratio of adverse events such as fever or lumbago (p = 0.041). In conclusion, this study demonstrated that shorter duration (<14 days) DJ stent use after UL may decrease adverse events and require less antibiotic use. Further prospective studies are needed to determine the optimal duration of DJ stent use after UL.","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0426-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30150248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 34