Objective: To compare stone clearance rates, complications, and post-operative outcomes in patients undergoing ureteroscopy with and without JJ stenting.
Methodology: This retrospective cross-sectional study was conducted from November 2021 to May 2022 at Department of Urology, Peoples’ University of Medical and Health Sciences hospital Nawab Shah. We equally divided 100 patients into two groups: with JJ stent and without JJ stent. Stone size, location, and procedural outcomes were evaluated. Logistic regression was performed to identify predictors of stone clearance.
Result: The stented group demonstrated a higher stone clearance rate (84%) compared to the non-stented group (74%, p=0.048). Proximal stones were more effectively cleared in the stented group (73% vs. 48%, p=0.022). Complications such as hematuria (10% vs. 6%, p=0.041) and urinary tract infections (12% vs. 8%, p=0.032) were more frequent in the stented group, but no severe adverse events occurred. Logistic regression revealed JJ stenting as an independent predictor of stone clearance (OR: 2.12, p=0.0238).
Conclusion: JJ stenting enhanced stone clearance, particularly for larger and proximal stones, but was associated with increased mild complications. Future studies should explore long-term effects and patient-reported outcomes.
Key words: Ureteroscopy, JJ Stent, stone clearance, ureteral stones, pneumatic lithoclast.
|
