20. NATIONAL CONGRESS OF UROLOGY - 20. ULUSAL ÜROLOJİ KONGRESİ

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Research Title: 
Temporary Placement of Ureteral Catheter After Ureterorenoscopic Stone Therapy: Prospective Randomize Study To Evaluate Post-Operative Pain
Authors: 
Kaan Bal
Authors: 
Ugur Belct
Authors: 
Mahmoud Mustafa
Authors: 
Oauz Ergin
Authors: 
Cengiz Girgin
Authors: 
Cetin Dincel
Country: 
Turkey
Date: 
Sat, 2008-11-01
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Temporary_Placement_of_Ureteral_Catheter_After_Ureterorenoscopic_Stone_Therapy_Prospective_Randomize_Study_To_Evaluate_Post-Operative_Pain.pdf2.3 MB
Research Abstract: 

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.