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Updated: Jan 19, 2026

Fabrication of Small Caliber Stent-grafts Using Electrospinning and Balloon Expandable Bare Metal Stents
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Double J stenting evaluation after ureteroscopy for urolithiasis.

T Segalen1, S Lebdai1, P Panayotopoulos1

  • 1Department of urology, Angers university hospital, 4, rue Larrey, 49000 Angers, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|September 12, 2019
PubMed
Summary

Ureteroscopy for kidney stones does not require a double J stent after uncomplicated procedures. Omitting the stent does not increase pain or complications, improving patient quality of life.

Keywords:
Calcul rénalCalcul urétéralMaladie lithiasiqueRenal calculiStent urétéralUreteral calculiUreteral stentUreteroscopyUrolithiasisUrétéroscopie

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Area of Science:

  • Urology
  • Endourology
  • Nephrolithiasis Management

Background:

  • Double J stents are commonly used post-ureteroscopy for urolithiasis to mitigate pain and stenosis.
  • However, these stents can negatively impact patient quality of life.
  • Their necessity after uncomplicated procedures is debatable.

Purpose of the Study:

  • To evaluate and compare postoperative pain and complication rates in patients undergoing ureteroscopy for urolithiasis, with or without a double J stent.
  • To determine if double J stenting is mandatory after uncomplicated ureteroscopic interventions.

Main Methods:

  • A retrospective analysis of 366 ureteroscopy procedures performed between May 2014 and January 2017.
  • Comparison of outcomes between patients who received a double J stent and those who did not.
  • Primary outcome: early postoperative pain assessed on a 1-10 scale on postoperative day one.

Main Results:

  • No significant difference in postoperative pain scores between stented (22%) and non-stented (17.75%) groups (P=0.398).
  • Similar complication rates (29% vs 20.5%, P=0.1181) and rehospitalization rates (0.8% vs 0.9%, P=1) were observed.
  • Higher stone burden was noted in the stented group (18.3 vs 9.4mm, P<0.0001).

Conclusions:

  • Postoperative double J stenting is not associated with increased pain or complications after uncomplicated ureteroscopy.
  • Routine stenting may not be necessary for centimetric stones following ureteroscopy.
  • Consideration should be given to omitting stents in select uncomplicated cases to improve patient quality of life.