Office-Based Ureteral Stenting Using a Single-Use Flexible Cystoscope Under Local Anesthesia: A Two-Center...

Area of Science:

• Urology
• Minimally Invasive Surgery

Background:

• Ureteral stenting is crucial for managing various urological conditions.
• Traditional methods may require general anesthesia, increasing risks and costs.

Purpose of the Study:

• To assess the feasibility, safety, and patient satisfaction of Double-J (DJ) ureteral stenting.
• To evaluate the use of a flexible cystoscope under local anesthesia (LA) for this procedure.

Main Methods:

• Prospective analysis of 189 DJ stent insertions/replacements using a flexible cystoscope under LA.
• Data collected on technical success, pain (Visual Analog Scale), complications, and patient satisfaction.

Main Results:

• High technical success rate (92.7%) in 189 procedures.
• Low complication rate (5.6% Grade 2), with few interruptions due to pain.
• 89.9% of patients expressed willingness for future procedures under LA.

Conclusions:

• Flexible cystoscopic DJ stenting under LA is a feasible and safe outpatient procedure.
• It demonstrates high success rates and good patient tolerance with minimal complications.