Efficacy of DJ Stenting versus Silodosin after Ureteroscopic Lithotripsy for Lower Ureteric Stones: A Prospective Randomized Clinical Trial | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 60, Volume 94, Issue 1, January 2024, Page 406-412 PDF (538.46 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2024.337740 | ||||
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| Abstract | ||||
| Background: A Double J (DJ) stent utilizing following ureteroscopy facilitates the residual fragments passage and provides pain alleviation produced by mucosal swelling & obstruction, despite several complaints of stent related pain postoperatively. Objective: The current work aimed to compare DJ stenting and Silodosin following ureteroscopy lithotripsy for lower ureteric stones. Patients and methods: This prospective randomized open label parallel clinical trial was carried out on 70 cases diagnosed with lower ureteric stone 5-18 mm in size and scheduled for ureteroscopic lithotripsy. Cases were randomly allocated into 2 equal groups; group A had a 5 Fr DJ stent to be removed after 3 weeks and group B who get 1 silodosin capsule 8 mg at night preoperatively and for 3 weeks postoperatively. All cases underwent plain X-ray of the kidneys, ureters, and bladder (KUB), ultrasonography, and non-contrast CT of abdomen and pelvis before operation. Results: Group B had a significantly shorter operative time than group A (21.7 ± 4.65 min vs. 38.6 ± 4.82 min, P Conclusion: Compared to the DJ Stent group, operative time is significantly shorter in cases received silodosin after ureteroscopic laser lithotripsy. | ||||
| Keywords | ||||
| DJ Stenting; Silodosin; Ureteroscopic Lithotripsy; Lower Ureteric Stones | ||||
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