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A modified triangular Double-J stent for retrograde intrarenal surgery improvement of free-stone rate, and quality of life: a randomized controlled, multiple centers, perspective trial

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Abstract

Purpose

The goal of this study is to evaluate the efficacy and safety of modified triangular double-J (DJ) stent in 1–2 cm renal or ureter calculi after retrograde intrarenal surgery (RIRS) via a randomized, controlled clinical study.

Methods

A total of 196 patients with 1–2 cm renal or ureter calculi who were performed RIRS and received 7Fr modified triangular DJ stents (100 cases) or 6Fr normal DJ stents (96 cases). All operations were performed by experienced surgeons. The clinical characteristics and outcomes were analyzed.

Results

There were no significant differences between two groups in terms of age, gender, BMI, location, hydronephrosis, urea WBC, urea RBC, BUN, Cr, laser emission time, operation time, Hb loss, postoperative BUN, postoperative Cr. Patients who received modified triangular DJ stents were shown to have higher stone-free rate (p = 0.038), but lower general health (p = 0.004).

Conclusion

The modified triangular 7Fr DJ stents were more efficient for patients underwent RIRS than 6Fr normal DJ stents.

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Data availability

All data generated or analyzed during this study were included in this. Further enquiries can be directed to the corresponding author.

References

  1. Romero V, Akpinar H, Assimos DG (2010) Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol 12(2–3):e86

    PubMed  PubMed Central  Google Scholar 

  2. Scales CD Jr, Smith AC, Hanley JM, Saigal CS, Project UDiA (2012) Prevalence of kidney stones in the United States. Eur Urol 62(1):160–165

    Article  PubMed  PubMed Central  Google Scholar 

  3. Fuchs AM, Fuchs GJ (1990) Retrograde intrarenal surgery for calculus disease: new minimally invasive treatment approach. J Endourol 4(4):337–345

    Article  Google Scholar 

  4. Wignall GR, Canales BK, Denstedt JD, Monga M (2008) Minimally invasive approaches to upper urinary tract urolithiasis. Urol Clin North Am 35(3):441–454

    Article  PubMed  Google Scholar 

  5. Agha R, Abdall-Razak A, Crossley E, Dowlut N, Iosifidis C, Mathew G et al (2019) STROCSS 2019 guideline: strengthening the reporting of cohort studies in surgery. Int J Surg 72:156–165

    Article  PubMed  Google Scholar 

  6. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M et al (2016) EAU guidelines on interventional treatment for urolithiasis. Eur Urol 69(3):475–482

    Article  PubMed  Google Scholar 

  7. Tefekli A, Karadag MA, Tepeler K, Sari E, Berberoglu Y, Baykal M et al (2008) Classification of percutaneous nephrolithotomy complications using the modified clavien grading system: looking for a standard. Eur Urol 53(1):184–190

    Article  PubMed  Google Scholar 

  8. Pietropaolo A, Reeves T, Aboumarzouk O, Kallidonis P, Ozsoy M, Skolarikos A et al (2020) Endourologic management (PCNL, URS, SWL) of stones in solitary kidney: a systematic review from European association of urologists young academic urologists and uro-technology groups. J Endourol 34(1):7–17

    Article  PubMed  Google Scholar 

  9. Williams KG, Blacker AJ, Kumar P (2018) Ureteric stents: the past, present and future. J Clin Urol 11(4):280–284

    Article  Google Scholar 

  10. Chung SY, Stein RJ, Landsittel D, Davies BJ, Cuellar DC, Hrebinko RL et al (2004) 15-year experience with the management of extrinsic ureteral obstruction with indwelling ureteral stents. J Urol 172(2):592–595

    Article  PubMed  Google Scholar 

  11. Yossepowitch O, Lifshitz DA, Dekel Y, Gross M, Keidar DM, Neuman M et al (2001) Predicting the success of retrograde stenting for managing ureteral obstruction. J Urol 166(5):1746–1749

    Article  CAS  PubMed  Google Scholar 

  12. Towers RJ (1988) Design and use of externally-draining ureteral stent. Urology 32(6):532–534

    Article  CAS  PubMed  Google Scholar 

  13. Koleski FC, Turk TM, Jahoda A, Albala DM (2000) Grooved ureteral stent: preliminary evaluation. J Endourol 14(2):181–183

    Article  CAS  PubMed  Google Scholar 

  14. Wang R, Hu Y, Xie H, Xie L, Yang Y, Liu C (2021) Novel use of a modified triangular prismatic double-j stent for 2- to 3-cm renal stones after one-stage retrograde intrarenal surgery. Urol Int 105(7–8):594–599

    Article  PubMed  Google Scholar 

  15. Chew BH, Brotherhood HL, Sur RL, Wang AQ, Knudsen BE, Yong C et al (2016) Natural history, complications and re-intervention rates of asymptomatic residual stone fragments after ureteroscopy: a report from the EDGE research consortium. J Urol 195(4 part1):982–986

    Article  PubMed  Google Scholar 

  16. Joshi H, Stainthorpe A, MacDonagh R, Keeley F, Timoney A (2003) Indwelling ureteral stents: evaluation of symptoms, quality of life and utility. J Urol 169(3):1065–1069

    Article  CAS  PubMed  Google Scholar 

  17. Ramsay J, Crocker R, Ball A, Jones S, Payne S, Levison D et al (1987) Urothelial reaction to ureteric intubation a clinical study. Br J Urol 60(6):504–505

    Article  CAS  PubMed  Google Scholar 

  18. Elwood CN, Lange D, Nadeau R, Seney S, Summers K, Chew BH et al (2010) Novel in vitro model for studying ureteric stent-induced cell injury. BJU Int 105(9):1318–1323

    Article  CAS  PubMed  Google Scholar 

  19. Thomas R (1993) Indwelling ureteral stents: impact of material and shape on patient comfort. J Endourol 7(2):137–140

    Article  CAS  PubMed  Google Scholar 

  20. Mosli HA, Farsi HM, Al-Zimaity MF, Saleh TR, Al-Zamzami MM (1991) Vesicoureteral reflux in patients with double pigtail stents. J Urol 146(4):966–969

    Article  CAS  PubMed  Google Scholar 

  21. Payne SR, Ramsay JW (1988) The effects of double J stents on renal pelvic dynamics in the pig. J Urol 140(3):637–641

    Article  CAS  PubMed  Google Scholar 

  22. Joshi H, Newns N, Stainthorpe A, MacDonagh R, Keeley F, Timoney A (2003) Ureteral stent symptom questionnaire: development and validation of a multidimensional quality of life measure. J Urol 169(3):1060–1064

    Article  CAS  PubMed  Google Scholar 

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Funding

Supported by Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding, code: XMLX202118.

Author information

Author notes

  1. Xue Zeng and Bo Xiao contributed equally to the manuscript.

Authors and Affiliations

  1. Department of Urology, Tsinghua University Affiliated Beijing Tsinghua Changgung Hospital, Tsinghua University Clinical Institute, No.168, Litang Road, Changping District, Beijing, 102218, China

    Xue Zeng, Bo Xiao, Weiguo Hu & Jianxing Li

  2. Department of Urology, The Second Hospital of Tianjin Medical University, Tianjin, 300070, China

    Chunyu Liu, Haijie Xie & Linguo Xie

  3. Department of Urology, Affiliated Hospital of Hebei University, Heibei, 050031, China

    Wenzeng Yang, Feng An & Zhenyu Cui

  4. Department of Urology, The First Affiliated Hospital of Xinxiang Medical University, Henan, 453199, China

    Feng Zhu

  5. Department of Urology, The People’s Hospital of Liuyang, Hunan, 410314, China

    Zhiguo Zhang

  6. Department of Urology, The First Hospital of China Medical University, Liaoning, 110001, China

    Jianbin Bi

  7. Department of Urology, Fujian Medical University 2Nd Affiliated Hospital, Fujian, 350108, China

    Yining Li

Authors
  1. Xue Zeng
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  2. Bo Xiao
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  3. Weiguo Hu
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  4. Chunyu Liu
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  5. Haijie Xie
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  6. Linguo Xie
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  7. Wenzeng Yang
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  8. Feng An
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  9. Zhenyu Cui
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  10. Feng Zhu
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  11. Zhiguo Zhang
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  12. Jianbin Bi
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  13. Yining Li
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  14. Jianxing Li
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Contributions

XZ: contributed to data analysis, manuscript writing. BX: contributed to data analysis, manuscript writing. Weiguo Hu contributed to data analysis, manuscript writing. CL: contributed to data collection. HX: contributed to data collection. LX: contributed to data collection. WY: contributed to data collection. FA: contributed to data collection. ZC: contributed to data collection. FZ: contributed to data collection. ZZ: contributed to data collection. JB: contributed to data collection. YL: contributed to data collection. JL: contributed to project development.

Corresponding author

Correspondence to Jianxing Li.

Ethics declarations

Conflict of interest

All authors declared that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The clinical trial was registered at Beijing Tsinghua Changgung Hospital (Chinese Clinical Trial Registry, Registration number ChiCTR1800014947, approved by Beijing Tsinghua Changgung Hospital Medical Ethic Committee No.17120–0-04).

Consent to participate

All written informed consents were obtained from participants.

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Informed consents of all details of medical cases and images of informed consents were obtained from participants.

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Zeng, X., Xiao, B., Hu, W. et al. A modified triangular Double-J stent for retrograde intrarenal surgery improvement of free-stone rate, and quality of life: a randomized controlled, multiple centers, perspective trial. World J Urol 41, 1653–1658 (2023). https://doi.org/10.1007/s00345-023-04392-1

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  • DOI: https://doi.org/10.1007/s00345-023-04392-1

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