title: Comparison of efficacy and tolerance of short-duration open-ended ureteral catheter drainage and tamsulosin administration to indwelling double J stents following ureteroscopic removal of stones.
abstract: OBJECTIVE
  To evaluate the efficacy of short-duration, open-ended ureteral catheter drainage as a replacement to indwelling stent, and to study the effect of tamsulosin on stent-induced pain and storage symptoms following uncomplicated ureteroscopic removal of stones.
  
  
  METHODS
  Prospective randomised study.
  
  
  METHODS
  School of Medical Sciences and Research, Sharda University, Greater Noida, India.
  
  
  METHODS
  Patients who underwent ureteroscopic removal of stones for lower ureteral stones between November 2011 and January 2014 were randomly assigned into three groups. Patients in group 1 (n=33) were stented with 5-French double J stent for 2 weeks. Patients in group 2 (n=35) were administered tablet tamsulosin 0.4 mg once daily for 2 weeks in addition to stenting, and those in group 3 (n=31) underwent 5-French open-ended ureteral catheter drainage for 48 hours.
  
  
  METHODS
  All patients were evaluated for flank pain using visual analogue scale scores at days 1, 2, 7, and 14, and for storage (irritative) bladder symptoms using International Prostate Symptom Score on days 7 and 14, and for quality-of-life score (using International Prostate Symptom Score) on day 14.
  
  
  RESULTS
  Of the 99 patients, visual analogue scale scores were significantly lower for groups 2 and 3 (P<0.0001). The International Prostate Symptom Scores for all parameters were lower in patients from groups 2 and 3 compared with group 1 both on days 7 and 14 (P<0.0001). Analgesic requirements were similar in all three groups.
  
  
  CONCLUSIONS
  Open-ended ureteral catheter drainage is equally effective and better tolerated than routine stenting following uncomplicated ureteroscopic removal of stones. Tamsulosin reduces storage symptoms and improves quality of life after ureteral stenting.
authors.affiliation: School of Medical Sciences & Research, Sharda University, Greater Noida (U.P.) 201306, India.
authors.forename: Vikram S
authors.initials: VS
authors.lastname: Chauhan
authors.affiliation: School of Medical Sciences & Research, Sharda University, Greater Noida (U.P.) 201306, India.
authors.forename: Rajeev
authors.initials: R
authors.lastname: Bansal
authors.affiliation: Kokila Dhirubhai Ambani Hospital & Medical Research Institute, Andheri West, Mumbai 400053, India.
authors.forename: Mayuri
authors.initials: M
authors.lastname: Ahuja
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010147:Pain Measurement; D011446:Prospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D013449:Sulfonamides / Q000008:administration & dosage*; D000077409:Tamsulosin; D013997:Time Factors; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000175:diagnosis / Q000628:therapy*; D018666:Ureteroscopy / Q000379:methods*; D014546:Urinary Catheterization / Q000379:methods*
chemical_list: D013449:Sulfonamides; D000077409:Tamsulosin
keywords: Adrenergic alpha-antagonists; Stents; Urinary catheters