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Temporary_Placement_of_Ureteral_Catheter_After_Ureterorenoscopic_Stone_Therapy_Prospective_Randomize_Study_To_Evaluate_Post-Operative_Pain.pdf | 2.3 MB |
PURPOSE: Prospective randomize study
evaluate the effect of the temporary placement of ureter catheter on success rate
and post operative pain, in patients underwent non-complicated ureterorenoscopic(URS)stone
therapy.
MATERIAL-METHODS: Sixty one patients who underwent URS due to ureter stone
between January 2006 and June 2008 were included. The patients were divided into
two groups; ureter catheter(5F) used after URS for 24 hours in 30 patients and
no ureter catheter was used 31 patients. The patients were evaluated in the first
24 postoperative hours interrns of colicky pain, requirement for analgesics. Visual
scale analogue were used to estimate the degree of pain during colicky pain attack
and the pain in the first 24 hours post-operatively.
Results. The mean ages, stone volume, operations periods, stone free rate
in the first 24 hours postoperatively for patients with and without catheter
were, 46.4/42.9 years, 0.9/0.8 cm, 48/41.5 minutes an %83/%71
respectively( p > 0.05). The mean requirements
for analgesics were 0.6( 0-2) for catheter patients
and 1 times( 1-4) for patients without cathter. The pain score for patients with
catheter during coliky attack and the first 24 hours postoperatively were 2.2 and
3.7(p=0,038) and for patients without catheter were 1,1/2,4 (p= 0,015)
CONCLUSION: the placement of ureter catheter for 24 hours after non
complicated URS did not effect the success rate and operation times. However catheterization
decrease the degree of pain in colicky attack and reduce the pain in the first 24
hour postoperatively. The late effect of these procedure should be investigated
in other randomize prospective studies.