TY - JOUR

T1 - Ultrasound-guided ureteral stent removal in women

AU - Gadzhiev, Nariman

AU - Brovkin, Sergei

AU - Grigoryev, Vladislav

AU - Dmitriev, Vladimir

AU - Korol, Valeriy

AU - Shkarupa, Dmitry

AU - Pisarev, Aleksei

AU - Tagirov, Nair

AU - Malkhasyan, Vigen

AU - Semeniakin, Igor

AU - Khromov-Borisov, Nikita

AU - Petrov, Sergei

N1 - Publisher Copyright: © 2016 by the American Institute of Ultrasound in Medicine | J Ultrasound Med.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Objectives-The purpose of this study was to develop a fast, comfortable, and safe method of ureteral stent removal in women. Methods-From February 2014 to July 2015, a retrospective multicenter controlled study including 82 female outpatients was conducted. The control group was composed of 46 patients who underwent stent removal using a 22F cystoscope. The experimental group was composed of 36 patients who underwent stent removal under ultrasound guidance with a 15F spiral-ending device. Exclusion criteria were pelvic organ prolapse quantification stage II or higher and complicated stents (with migration or encrustation). Results-All studied patients had successful ureteral stent removal. No complications were seen in both groups. Differences between mean visual analog pain scale scores and stent removal durations were statistically significant in favor of the experimental group (P = .0077 and .0075, respectively). Conclusions-The proposed method for ureteral stent removal in women under ultrasound guidance was shown to be faster and to have lower visual analog pain scale scores, in comparison with removal by a cystoscope, which makes it an attractive option for outpatient urologic praxis in uncomplicated cases, and because it is free of the risk of ionizing radiation and more comfortable, it can be used in pregnant patients.

AB - Objectives-The purpose of this study was to develop a fast, comfortable, and safe method of ureteral stent removal in women. Methods-From February 2014 to July 2015, a retrospective multicenter controlled study including 82 female outpatients was conducted. The control group was composed of 46 patients who underwent stent removal using a 22F cystoscope. The experimental group was composed of 36 patients who underwent stent removal under ultrasound guidance with a 15F spiral-ending device. Exclusion criteria were pelvic organ prolapse quantification stage II or higher and complicated stents (with migration or encrustation). Results-All studied patients had successful ureteral stent removal. No complications were seen in both groups. Differences between mean visual analog pain scale scores and stent removal durations were statistically significant in favor of the experimental group (P = .0077 and .0075, respectively). Conclusions-The proposed method for ureteral stent removal in women under ultrasound guidance was shown to be faster and to have lower visual analog pain scale scores, in comparison with removal by a cystoscope, which makes it an attractive option for outpatient urologic praxis in uncomplicated cases, and because it is free of the risk of ionizing radiation and more comfortable, it can be used in pregnant patients.

KW - Device

KW - Genitourinary ultrasound

KW - Removal

KW - Ultrasound

KW - Ureteral stent

UR - http://www.scopus.com/inward/record.url?scp=84989336975&partnerID=8YFLogxK

U2 - 10.7863/ultra.15.11028

DO - 10.7863/ultra.15.11028

M3 - Article

C2 - 27562976

AN - SCOPUS:84989336975

VL - 35

SP - 2159

EP - 2163

JO - Journal of Ultrasound in Medicine

JF - Journal of Ultrasound in Medicine

SN - 0278-4297

IS - 10

ER -