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Migration of double-J ureteral stent in patients with ureteroileal anastomosis stricture undergoing radical cystectomy and orthotopic neobladder: Analysis risk factors of stent migration
- Title
- Migration of double-J ureteral stent in patients with ureteroileal anastomosis stricture undergoing radical cystectomy and orthotopic neobladder: Analysis risk factors of stent migration
- Authors
- Oh; Chang Hoon; Cho; Soo Buem; Lee; Hyo Jeong; Kwon; Hyeyoung; Hwang; Yeok Gu
- Ewha Authors
- 조수범; 황역구; 오창훈; 이효정
- SCOPUS Author ID
- 조수범
; 오창훈
; 이효정![scopus](/images/layout/icon2.png)
- Issue Date
- 2024
- Journal Title
- Medicine (United States)
- ISSN
- 0025-7974
- Citation
- Medicine (United States) vol. 103, no. 16, pp. E37765
- Keywords
- "Double-J ureteral Stent, Migration"; orthotopic neobladder; radical cystectomy
- Publisher
- Lippincott Williams and Wilkins
- Indexed
- SCIE; SCOPUS
![scopus](/images/layout/scopus2.gif)
- Document Type
- Article
- Abstract
- The objective was to evaluate the incidence and degree of double-J ureteral stent (DJUS) migration. Additionally, we aimed to investigate the risk factors associated with stent migration in the orthotopic neobladder group. In this retrospective study, 61 consecutive patients were included; 35 patients (45 DJUS placements) underwent radical cystectomy with orthotopic neobladder and 26 patients (35 DJUS placements) underwent urinary bladder without cystectomy between July 2021 and March 2023. All the patients were treated with a DJUS for ureteric strictures. The technical success rate was 100% in each group. The DJUS migration was significantly higher in the orthotopic neobladder group, with 22 of 45 cases (48.9%), compared to the urinary bladder group, which had 4 of 35 cases (11.4%) (P ≤.001). Among the patients in the orthotopic neobladder group who experienced DJUS migration, stent dysfunction occurred in 18 cases (81.8%), which was statistically significant (P = .003). Multivariate logistic regression analysis revealed that only the size of the DJUS was significantly and positively associated with migration (odds ratio:10.214, P = .010). DJUS migration can easily occur in patients undergoing radical cystectomy and orthotopic neobladder, and smaller stent sizes are associated with a higher incidence of migration. © 2024 Lippincott Williams and Wilkins. All rights reserved.
- DOI
- 10.1097/MD.0000000000037765
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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