DOI: 10.36347/sjams.2021.v09i10.027

Pages: 1637-1641

Background: In Bangladesh there is no complete data which would reflect the idea about the fate of double J stent used in pyelolithotomy and ureterolithotomy. Methods: This was a prospective observational study, conducted at the Department of Surgery, Comilla Medical College Hospital, Comilla, during the 6-month period of June 2013 to November 2013. Fifty patients diagnosed with Nephrolithiasis & ureterolithiasis admitted at the respective hospital were selected as the study sample. Proper informed consent was taken before the data collection from the concerns. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Result: Among the 50 patients studied, >50% of the patients were distributed among the age group of 31-40 years and next was 21-30 years. 35 patients of the series were male (70%) and 15 were female (30%). In this series, male to female ratio was 2.33:1. Among the 50 stented patients, stone was located in kidney in 30 pts (60%), in upper ureter in 10 pts (20%), in mid and lower ureter in 4(8%) and 6(12%) patients respectively. In this study, the commonest indications of D J stenting were after pyelolithotomy, following ureteroscopy for obstructive uropathy due to ureteric stone. In this study, irritative voiding symptoms like dysuria, frequency/urgency occurred in 20% and 24% respectively, and haematuria in 10% of patients. Stent encrustation in 1 (2%), stent migration in 3 (6%), stent fracture in 1 (2%), urinary infection in 2(4%) and stent colic in 1(2%) were the complications noted. Conclusion: Ureteral stents are a convenient means of drainage for the upper urinary tract. However, their use is not devoid of side effects. Stent placement results in considerable morbidity in the form of irritative lower urinary tract symptoms. The side effects associated with ureteral stents must be kept in mind when deciding on stent placement and dwell time. ............