[The use of the double-J catheter as urinary obstruction prophylaxis in lithiasis].
Our experience in the use of the double-J catheter in the prevention and treatment of urinary obstruction in stone disease is presented. This retrospective study spans the period January, 1985 to June 1989. Fifty-five double-J catheters were placed in 51 patients (catheter replacement was required in 4). Catheter placement was done antegradely in 17, retrogradely in 34 and intraoperatively in 4 cases. The indications were for treatment post-ESWL in 45 patients, stone remnants following percutaneous nephrolithotomy in 1, post-ureteroscopy in 2, and after open surgery in 2 patients. Complications were observed in 24% of the cases, hematuria being the most common complication. The foregoing agrees with the 20-40% complication rate reported in the literature. Thus, we can conclude that the double-J catheter is well-tolerated and is a simple yet useful endourologic tool in the prevention and treatment of urinary obstruction in stone disease.
Marchal Escalona
C
C
Servicio de Urología, Hospital Regional Carlos Haya, Málaga, España.
Chicharro Molero
J A
JA
del Rosal Samaniego
J M
JM
Pinzón Bohórquez
J
J
Ramos Tito
J
J
Burgos Rodríguez
R
R
D004867:Equipment Design; D005069:Evaluation Studies as Topic; D006801:Humans; D012189:Retrospective Studies; D014513:Ureter; D014517:Ureteral Obstruction / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D014545:Urinary Calculi / Q000150:complications* / Q000628:therapy; D014546:Urinary Catheterization / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods / Q000706:statistics & numerical data
Uso del catéter doble J como profilaxis de la obstrucción urinaria en patología litiásica.