DOI: 10.36347/sjams.2019.v07i04.048

Pages: 1601-1605

Extracorporeal shockwave lithotripsy (ESWL) is one of the most frequently performed pro¬cedures in patients with urolithiasis. For large ureteric stones, ESWL is often preceded by a double J stent insertion. However, fear of complications, including sepsis and stent related symptoms, is often expressed. The following study assessed the impact of stent insertion on the results of ESWL in patients with upper ureteric stones and complications. Medical records of 492 patients with upper ureteric stone size upto 1.5cm were analysed from January 2017 to December 2018 into stented (groupA) and non-stented group (group B). Stone free rate, rate of complications (minor and major complications) and irritative LUTS (Lower urinary tract symptoms) were recorded and analysed. The success rate of the stented group was not significantly different in both groups (p> 0.775), however, there was high incidence of LUTS in the stented population. We did not find any advantage of double J stenting in patients receiving ESWL for upper ureteric stones. In view of the greater likelihood of having stent related symptoms, this approach should be reserved for selected cases.