Original Articles
A Prospective Randomised Study to Compare the Postoperative Morbidity and Complications of Tubeless PCNL with DJ Stent versus External Ureteric Catheterization | |
Mikir Patel, Ishan Shah | |
Introduction:In Tubeless PCNL, a Double J Stent can be used for internal drainage with a favorable outcome in selected patients with the advantage of decreased postoperative pain, analgesia requirement, and hospitalization days and on the other way in Tubeless PCNL with External Ureteric Catheterization can be done which is minimally invasive with reduced hospital stay & costs, less requirement of analgesia, less patient discomfort with early recovery to work, no stent related symptoms in follow up and no post operative procedure for removal afterwards.Materials& Methods: To evaluate and compare the effect of both stenting techniques, we have done prospective randomised study by comparing the postoperative comfort, complications and outcome of the patients who will undergo Tubeless PCNL with a Double J Stent versus Tubeless PCNL with External Ureteric catheterizationfrom October 2016 to April 2018 and analysed the data of 100 patients who fulfil eligibility criteria.Observations: Patients experienced stent related symptoms post-operatively before removing the external Ureteric catheter but Stent related symptoms were significantly lower and significant compared to patient with stent postoperatively.Conclusion:External Ureteric Catheter is associated with significantly less post-operative stent related symptoms & complications. Patient with External Ureteric Catheter will not require further cystoscopic procedure for stent removal, so it is patient friendly and cost effective. |
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