Kadir ÖNEM, Haluk SÖYLEMEZ, Fatih OĞUZ, Bülent ALTINOLUK

Minimally painful retrieval of ureteral stents using by ureteroscope

Amaç: Üreteral stentlerin geriye çekiminde sistoskopik teknik standart yöntemdir. Biz bu çalışmada, üreteroskop kullanarak minimal ağrılı üreteral stent çekimi yöntemini araştırdık. Yöntemler: Üreteral stenti bulunan 60 hasta çalışmaya alındı. 30 hasta sistoskopik gurup, 30 hasta üreteroskopik grup olacak şekilde hastalar rastgele iki gruba ayrıldı. Bütün stentler lokal anestezi altında, birinci grupta sistoskop kullanılarak, ikinci grupta ise üreteroskop kullanılarak çekildi. Hastalar stentli kalma zamanları, stentin bulunduğu taraf, stent takılma nedeni, operasyon süresi, operasyon sırasındaki ağrı, operasyon sonrası ağrı, irritatif işeme semptomları ve hematüri yönünden değerlendirilerek sonuçlar kaydedildi. Bulgular: Stentler 60 hastada da başarıyla çekildi. Cinsiyet, hasta yaşı, stent tarafı, operasyon süresi, stentin kalış süresi açısından her iki grup arasında istatistiksel olarak anlamlı bir fark yoktu (p>0.05). Ortalama operasyon sırasındaki ağrı sistoskopik grupta anlamlı şekilde diğer gruptan yüksek olarak tespit edildi (p

Üreteral stentin üreteroskop kullanılarak minimal ağrıyla çıkarılması

Aim: The standard method for retrieving the ureteral stents is the cystoscopic technique. We describe a minimally painful method for retrieving ureteral stents by using an ureteroscope. Methods: A total of 60 patients with ureteral stents were enrolled in this study. The patients were randomized into a cystoscopic (30 cases) and an ureteroscopic (30 cases) group. All stents were retrieved by a cystoscope in the first group and by an ureteroscope in the second group, under topical anesthesia. Patients in each group were assessed for stented time, stent side and reason of stent placement, operative time, peroperative pain, postoperative pain, irritative voiding symptoms and hematuria. Results: Stents were successfully retrieved in 60 patients. There were no statistical differences in the two groups regarding patient’s gender and age or stent side, operative time and stented time (p>0.05). Mean operative pain score was significantly higher in the cystoscopic group than in the ureteroscopic group (p

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