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PD42-02 PERCUTANEOUS NEPHROSTOMY VS URETERAL STENT FOR HYDRONEPHROSIS SECONDARY TO URETERIC CALCULI: IMPACT ON SPONTANEOUS STONE PASSAGE AND HEALTH-RELATED QUALITY OF LIFE – A PROSPECTIVE STUDY

2019; Lippincott Williams & Wilkins; Volume: 201; Issue: Supplement 4 Linguagem: Inglês

10.1097/01.ju.0000556558.69964.ab

1527-3792

Nuno Morais, Jose Pedro Pereira, Paulo Mota, Emanuel Carvalho‐Dias, João Torres, Agostinho Cordeiro, Sara Anacleto, Carlos R. Oliveira, Estêvão Lima,

Kidney Stones and Urolithiasis Treatments

You have accessJournal of UrologyStone Disease: Surgical Therapy IV (PD42)1 Apr 2019PD42-02 PERCUTANEOUS NEPHROSTOMY VS URETERAL STENT FOR HYDRONEPHROSIS SECONDARY TO URETERIC CALCULI: IMPACT ON SPONTANEOUS STONE PASSAGE AND HEALTH-RELATED QUALITY OF LIFE – A PROSPECTIVE STUDY Nuno Morais*, Jose Pedro Pereira, Paulo Mota, Emanuel Dias, João Torres, Agostinho Cordeiro, Sara Anacleto, Carlos Oliveira, and Estêvão Lima Nuno Morais*Nuno Morais* More articles by this author , Jose Pedro PereiraJose Pedro Pereira More articles by this author , Paulo MotaPaulo Mota More articles by this author , Emanuel DiasEmanuel Dias More articles by this author , João TorresJoão Torres More articles by this author , Agostinho CordeiroAgostinho Cordeiro More articles by this author , Sara AnacletoSara Anacleto More articles by this author , Carlos OliveiraCarlos Oliveira More articles by this author , and Estêvão LimaEstêvão Lima More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556558.69964.abAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Ureteral calculi can be associated with urinary drainage blockage, requiring urinary diversion with percutaneous nephrostomy (PCN) or retrograde ureteral stent (RUS). Currently no evidence exists to support the superiority of one method over the other. This study proposes to compare both approaches regarding the probability of spontaneous stone passage (SSP) and its effect on patient's quality of life (QoL). METHODS: A prospective trial was carried out from July to October of 2017. 50 patients were selected with hydronephrosis secondary to ureteral stones requiring emergent urinary diversion and distributed in 2 groups according to diversion technique: PCN or RUS. The rate of SSP was evaluated with follow-up CT scan and the QoL assessed with questionaires. RESULTS: A PCN group (18 patients) and a RUS group (32 patients) were set. Stone size was higher in PCN (median 92mm2) than RUS (median 47mm2) (p=.012) Table 1. The rate of SSP was 25% in RUS group and 38.9% in PCN. On the univariable analysis no statistical effect was found however, when adjusted for stone size, location, previous ureteral manipulation and expulsive therapy, PCN showed a significant higher chance of SSP than RUS (OR=6,667) Table 2. Besides, it was found that 30.2% (n=13) of stones had an upward displacement associated with retrograde endoscopy. A significant decrease between pre and post intervention QoL was found with RUS (p<,001), but not found with PCN (p=.206). Patients in RUS group experienced more urinary symptoms, mostly haematuria (68.7% vs 16.7% in PCN group<.001) and dysuria (78.3% vs 16.7% in PCN group, p<.001). CONCLUSIONS: PCN was associated to a higher rate of spontaneous stone passage when adjusted for stone size and location. Moreover, PCN was better tolerated and associated with fewer urinary symptoms when compared with RUS. Source of Funding: None Braga, Portugal© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e750-e750 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nuno Morais* More articles by this author Jose Pedro Pereira More articles by this author Paulo Mota More articles by this author Emanuel Dias More articles by this author João Torres More articles by this author Agostinho Cordeiro More articles by this author Sara Anacleto More articles by this author Carlos Oliveira More articles by this author Estêvão Lima More articles by this author Expand All Advertisement PDF downloadLoading ...