Purpose: To investigate the efficacy and safety of retrograde double J stent(RDJS) placement in the management of complicated obstructive uropathy caused by urolithiasis.

Materials and Methods:

    Total of 27 patients (10 males, 17 females) with average age of 48.74 years (range: 15-88) who underwent RDJS or percutaneous nephrostomy between 2017-2021 due to complicated obstruction caused by urolithiasis stones were included. All cases had at least one or more abnormal septic parameters. Seventeen patients (62.96%) had upper ureter stone, 7 patients (25.92%) had lower ureter stones and 4 patients (14.81%) had upper and lower ureter stones. Average stone diameters was 11.54 mm (range: 5-27). All cases were primary, except two patients with solitary kidneys referred to us after failed of ureteroscopy. The average operative time was 15 minutes (range:10-30) 

Results:

   Twenty-two patients (81.48%) underwent successful RDJS placement, 2 patients had RDJS placement then PCN was also placed, and 2 patients underwent PCN placement. Three patients needed ICU after intervention two of them were in ICU before intervention. All septic parameters were normalized within short period postoperatively. The two patients with failed previous ureterorenoscopy, RDJS placement was done successfully.

Conclusion:

   Retrograde DJS placement is feasible option in the management of complicated cases of obstructive uropathy caused by urolthiasis. Short hospitalization period, low rate of complication and better quality of life are the most prominent advantages of RDJS placement. In the hand of experience surgeons   RDJS should be offer as the first choice of decompression for obstructive uropathy caused by urolithiasis.

عنوان المؤتمر

31 turkish national urology congress

دولة المؤتمر

تركيا

تاريخ المؤتمر

27 أكتوبر، 2022 - 30 أكتوبر، 2022

راعي المؤتمر

my self