[The effects of preoperative insertion of double-J catheter in transurethral lithotripsy (TUL)].
Transurethral lithotripsy (TUL) was performed in the cases in which the ureteral calculi were not destroyed by the extracorporeal shock-wave lithotriptor (Dornier HM-3, EDAP LT 01). Preoperative placement of double-J ureteral catheter (D-J catheter) caused ureteral dilation, allowing smooth insertion of the ureteroscope. We divided the 55 TUL cases into two groups, those with (27) or without (28) a D-J catheter placed preoperatively, and compared requirement of ureteral bougination, difficulty of ureteroscope insertion and duration of operation between the two groups. In all cases with a D-J catheter, ureteral bougination was not necessary, the insertion of ureteroscope was easier and the duration of operation was shorter than the cases without a D-J catheter. Bladder irritable symptoms were seen in some cases with a D-J catheter but did not require removal of the D-J catheter. On the follow-up term after TUL, there was no difference in the incidence of postoperative fever or postoperative ureteral stenosis, between the cases with and those without a D-J catheter.
Kita
Y
Y
Department of Urology, Ijinkai Takeda General Hospital.
Higashi
Y
Y
Kuze
M
M
Ito
H
H
Takeda
T
T
Takeuchi
H
H
Yoshida
O
O
D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000379:methods; D008297:Male; D008875:Middle Aged; D014514:Ureteral Calculi / Q000628:therapy*; D014546:Urinary Catheterization / Q000295:instrumentation / Q000379:methods