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Insertion of double J stent as a therapeutic test in management of adults presenting with loin pain and equivocal ureteropelvic junction obstruction
Purpose To evaluate temporary double J ureteric stenting (TDJS) as a test to diagnose ureteropelvic junction obstruction (UPJO) in equivocal cases. Materials and methods One hundred and nine consecutive adult patients with loin pain and ipsilateral equivocal UPJO (EqUPJO) on radioisotope diuretic re...
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| Published in: | World journal of urology 2010-06, Vol.28 (3), p.373-378 |
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| container_end_page | 378 |
| container_issue | 3 |
| container_start_page | 373 |
| container_title | World journal of urology |
| container_volume | 28 |
| creator | Osman, Tarek Fawaz, Khaled Abdelmaksoud, Alaa Eltahawy, Ihab Safa, Wael El Zayat, Tarek El Sadek, Dahlia El Halaby, Rafik |
| description | Purpose
To evaluate temporary double J ureteric stenting (TDJS) as a test to diagnose ureteropelvic junction obstruction (UPJO) in equivocal cases.
Materials and methods
One hundred and nine consecutive adult patients with loin pain and ipsilateral equivocal UPJO (EqUPJO) on radioisotope diuretic renogram (RDR) were enrolled in the present study. All patients underwent TDJS for 3 weeks. According to the response (relief of pain) to TDJS, which was assessed by visual analogue pain score (VAPS), patient preference and further management, patients were classified into five groups: Group Ia non-responders who elected conservative treatment for their condition, Group Ib non-responders who elected intervention, Group IIa responders who elected conservative treatment and Group IIb responders who elected intervention. Last group patients were randomized to either early (Group IIb
1
) or delayed intervention 3 months later (Group IIb
2
). Intervention was in the form of pyeloplasty (24 patients) and endopyelotomy (38 patients). All patients were followed up by measuring VAPS and RDR.
Results
After at least 6 months from management decision, 97 patients were available for evaluation. The VAPS dropped by 21.25% (
P
|
| doi_str_mv | 10.1007/s00345-009-0464-3 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733557278</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733557278</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-d3a0aa3622f31bd821a041b7651f176082d7e0bab23bb94a9416633817886d823</originalsourceid><addsrcrecordid>eNp1kctu1TAQhi0EoofCA7BBFhJiFRhfYjtLVNFSVIkNrK1J4pzmKMdJfWnFe_DAOOSISkhsbGv8zT-Xn5DXDD4wAP0xAghZVwBNBVLJSjwhOyaFqIzm6inZgeayko0RZ-RFjAcAphXUz8kZa5QBpWBHfl376EIaZ0_ngfZzbidHv9KYnE8UI0Wabl3AxeU0djS5mOjo6RE97t1xZUoW9nlKkS7BxRIZ_Z4-jOmWTnMhFywH-p66uzzezx1ONAeXXJgXN90XyUP23Va-jSnkP--X5NmAU3SvTvc5-XH5-fvFl-rm29X1xaebqpMAqeoFAqJQnA-Ctb3hDEGyVquaDeukhvfaQYstF23bSGwkU0oIw7QxquDinLzfdJcw3-Uymz2OsXPThN7NOVotRF1rrk0h3_5DHuYcfGnOcg68KctUBWIb1IU5xuAGu4TxiOGnZWBXw-xmmC2G2dUwK0rOm5Nwbo-uf8w4OVSAdycAY9neENB3Y_zLcW5qKdgqxDculi-_d-Gxw_9X_w1OaK8d</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>220290666</pqid></control><display><type>article</type><title>Insertion of double J stent as a therapeutic test in management of adults presenting with loin pain and equivocal ureteropelvic junction obstruction</title><source>Springer Nature</source><creator>Osman, Tarek ; Fawaz, Khaled ; Abdelmaksoud, Alaa ; Eltahawy, Ihab ; Safa, Wael ; El Zayat, Tarek ; El Sadek, Dahlia ; El Halaby, Rafik</creator><creatorcontrib>Osman, Tarek ; Fawaz, Khaled ; Abdelmaksoud, Alaa ; Eltahawy, Ihab ; Safa, Wael ; El Zayat, Tarek ; El Sadek, Dahlia ; El Halaby, Rafik</creatorcontrib><description>Purpose
To evaluate temporary double J ureteric stenting (TDJS) as a test to diagnose ureteropelvic junction obstruction (UPJO) in equivocal cases.
Materials and methods
One hundred and nine consecutive adult patients with loin pain and ipsilateral equivocal UPJO (EqUPJO) on radioisotope diuretic renogram (RDR) were enrolled in the present study. All patients underwent TDJS for 3 weeks. According to the response (relief of pain) to TDJS, which was assessed by visual analogue pain score (VAPS), patient preference and further management, patients were classified into five groups: Group Ia non-responders who elected conservative treatment for their condition, Group Ib non-responders who elected intervention, Group IIa responders who elected conservative treatment and Group IIb responders who elected intervention. Last group patients were randomized to either early (Group IIb
1
) or delayed intervention 3 months later (Group IIb
2
). Intervention was in the form of pyeloplasty (24 patients) and endopyelotomy (38 patients). All patients were followed up by measuring VAPS and RDR.
Results
After at least 6 months from management decision, 97 patients were available for evaluation. The VAPS dropped by 21.25% (
P
< 0.001), 32% (
P
= 0.004), 2% (
P
= 0.6), 54% (
P
< 0.001) and 65% (
P
< 0.001) in groups Ia, Ib, IIa, IIb1, and IIb2, respectively. On the other hand the
T
1/2
of RDR dropped significantly only in groups Ib, IIb1, and IIb2 by a mean of 6.5 min (
P
= 0.005), 8.02 min (
P
< 0.001), and 7.3 min (
P
< 0.001), respectively.
Conclusion
TDJS in cases of EqUPJO with loin pain is helpful in defining cases suitable for intervention versus conservative treatment.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-009-0464-3</identifier><identifier>PMID: 19680660</identifier><identifier>CODEN: WJURDJ</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cohort Studies ; Female ; Follow-Up Studies ; Humans ; Kidney Pelvis - diagnostic imaging ; Kidney Pelvis - surgery ; Kidneys ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Nephrology. Urinary tract diseases ; Oncology ; Original Article ; Pain - etiology ; Pain - physiopathology ; Pain Measurement ; Probability ; Prosthesis Design ; Radioisotope Renography ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Statistics, Nonparametric ; Stents ; Treatment Outcome ; Ureteral Obstruction - complications ; Ureteral Obstruction - diagnostic imaging ; Ureteral Obstruction - surgery ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland ; Urologic Surgical Procedures - methods ; Urology ; Young Adult</subject><ispartof>World journal of urology, 2010-06, Vol.28 (3), p.373-378</ispartof><rights>Springer-Verlag 2009</rights><rights>2015 INIST-CNRS</rights><rights>Springer-Verlag 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-d3a0aa3622f31bd821a041b7651f176082d7e0bab23bb94a9416633817886d823</citedby><cites>FETCH-LOGICAL-c400t-d3a0aa3622f31bd821a041b7651f176082d7e0bab23bb94a9416633817886d823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22854313$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19680660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Osman, Tarek</creatorcontrib><creatorcontrib>Fawaz, Khaled</creatorcontrib><creatorcontrib>Abdelmaksoud, Alaa</creatorcontrib><creatorcontrib>Eltahawy, Ihab</creatorcontrib><creatorcontrib>Safa, Wael</creatorcontrib><creatorcontrib>El Zayat, Tarek</creatorcontrib><creatorcontrib>El Sadek, Dahlia</creatorcontrib><creatorcontrib>El Halaby, Rafik</creatorcontrib><title>Insertion of double J stent as a therapeutic test in management of adults presenting with loin pain and equivocal ureteropelvic junction obstruction</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
To evaluate temporary double J ureteric stenting (TDJS) as a test to diagnose ureteropelvic junction obstruction (UPJO) in equivocal cases.
Materials and methods
One hundred and nine consecutive adult patients with loin pain and ipsilateral equivocal UPJO (EqUPJO) on radioisotope diuretic renogram (RDR) were enrolled in the present study. All patients underwent TDJS for 3 weeks. According to the response (relief of pain) to TDJS, which was assessed by visual analogue pain score (VAPS), patient preference and further management, patients were classified into five groups: Group Ia non-responders who elected conservative treatment for their condition, Group Ib non-responders who elected intervention, Group IIa responders who elected conservative treatment and Group IIb responders who elected intervention. Last group patients were randomized to either early (Group IIb
1
) or delayed intervention 3 months later (Group IIb
2
). Intervention was in the form of pyeloplasty (24 patients) and endopyelotomy (38 patients). All patients were followed up by measuring VAPS and RDR.
Results
After at least 6 months from management decision, 97 patients were available for evaluation. The VAPS dropped by 21.25% (
P
< 0.001), 32% (
P
= 0.004), 2% (
P
= 0.6), 54% (
P
< 0.001) and 65% (
P
< 0.001) in groups Ia, Ib, IIa, IIb1, and IIb2, respectively. On the other hand the
T
1/2
of RDR dropped significantly only in groups Ib, IIb1, and IIb2 by a mean of 6.5 min (
P
= 0.005), 8.02 min (
P
< 0.001), and 7.3 min (
P
< 0.001), respectively.
Conclusion
TDJS in cases of EqUPJO with loin pain is helpful in defining cases suitable for intervention versus conservative treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Kidney Pelvis - diagnostic imaging</subject><subject>Kidney Pelvis - surgery</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain - etiology</subject><subject>Pain - physiopathology</subject><subject>Pain Measurement</subject><subject>Probability</subject><subject>Prosthesis Design</subject><subject>Radioisotope Renography</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Statistics, Nonparametric</subject><subject>Stents</subject><subject>Treatment Outcome</subject><subject>Ureteral Obstruction - complications</subject><subject>Ureteral Obstruction - diagnostic imaging</subject><subject>Ureteral Obstruction - surgery</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>Urologic Surgical Procedures - methods</subject><subject>Urology</subject><subject>Young Adult</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp1kctu1TAQhi0EoofCA7BBFhJiFRhfYjtLVNFSVIkNrK1J4pzmKMdJfWnFe_DAOOSISkhsbGv8zT-Xn5DXDD4wAP0xAghZVwBNBVLJSjwhOyaFqIzm6inZgeayko0RZ-RFjAcAphXUz8kZa5QBpWBHfl376EIaZ0_ngfZzbidHv9KYnE8UI0Wabl3AxeU0djS5mOjo6RE97t1xZUoW9nlKkS7BxRIZ_Z4-jOmWTnMhFywH-p66uzzezx1ONAeXXJgXN90XyUP23Va-jSnkP--X5NmAU3SvTvc5-XH5-fvFl-rm29X1xaebqpMAqeoFAqJQnA-Ctb3hDEGyVquaDeukhvfaQYstF23bSGwkU0oIw7QxquDinLzfdJcw3-Uymz2OsXPThN7NOVotRF1rrk0h3_5DHuYcfGnOcg68KctUBWIb1IU5xuAGu4TxiOGnZWBXw-xmmC2G2dUwK0rOm5Nwbo-uf8w4OVSAdycAY9neENB3Y_zLcW5qKdgqxDculi-_d-Gxw_9X_w1OaK8d</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Osman, Tarek</creator><creator>Fawaz, Khaled</creator><creator>Abdelmaksoud, Alaa</creator><creator>Eltahawy, Ihab</creator><creator>Safa, Wael</creator><creator>El Zayat, Tarek</creator><creator>El Sadek, Dahlia</creator><creator>El Halaby, Rafik</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100601</creationdate><title>Insertion of double J stent as a therapeutic test in management of adults presenting with loin pain and equivocal ureteropelvic junction obstruction</title><author>Osman, Tarek ; Fawaz, Khaled ; Abdelmaksoud, Alaa ; Eltahawy, Ihab ; Safa, Wael ; El Zayat, Tarek ; El Sadek, Dahlia ; El Halaby, Rafik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-d3a0aa3622f31bd821a041b7651f176082d7e0bab23bb94a9416633817886d823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Kidney Pelvis - diagnostic imaging</topic><topic>Kidney Pelvis - surgery</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain - etiology</topic><topic>Pain - physiopathology</topic><topic>Pain Measurement</topic><topic>Probability</topic><topic>Prosthesis Design</topic><topic>Radioisotope Renography</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Statistics, Nonparametric</topic><topic>Stents</topic><topic>Treatment Outcome</topic><topic>Ureteral Obstruction - complications</topic><topic>Ureteral Obstruction - diagnostic imaging</topic><topic>Ureteral Obstruction - surgery</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urologic Surgical Procedures - methods</topic><topic>Urology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osman, Tarek</creatorcontrib><creatorcontrib>Fawaz, Khaled</creatorcontrib><creatorcontrib>Abdelmaksoud, Alaa</creatorcontrib><creatorcontrib>Eltahawy, Ihab</creatorcontrib><creatorcontrib>Safa, Wael</creatorcontrib><creatorcontrib>El Zayat, Tarek</creatorcontrib><creatorcontrib>El Sadek, Dahlia</creatorcontrib><creatorcontrib>El Halaby, Rafik</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osman, Tarek</au><au>Fawaz, Khaled</au><au>Abdelmaksoud, Alaa</au><au>Eltahawy, Ihab</au><au>Safa, Wael</au><au>El Zayat, Tarek</au><au>El Sadek, Dahlia</au><au>El Halaby, Rafik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Insertion of double J stent as a therapeutic test in management of adults presenting with loin pain and equivocal ureteropelvic junction obstruction</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>28</volume><issue>3</issue><spage>373</spage><epage>378</epage><pages>373-378</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><coden>WJURDJ</coden><abstract>Purpose
To evaluate temporary double J ureteric stenting (TDJS) as a test to diagnose ureteropelvic junction obstruction (UPJO) in equivocal cases.
Materials and methods
One hundred and nine consecutive adult patients with loin pain and ipsilateral equivocal UPJO (EqUPJO) on radioisotope diuretic renogram (RDR) were enrolled in the present study. All patients underwent TDJS for 3 weeks. According to the response (relief of pain) to TDJS, which was assessed by visual analogue pain score (VAPS), patient preference and further management, patients were classified into five groups: Group Ia non-responders who elected conservative treatment for their condition, Group Ib non-responders who elected intervention, Group IIa responders who elected conservative treatment and Group IIb responders who elected intervention. Last group patients were randomized to either early (Group IIb
1
) or delayed intervention 3 months later (Group IIb
2
). Intervention was in the form of pyeloplasty (24 patients) and endopyelotomy (38 patients). All patients were followed up by measuring VAPS and RDR.
Results
After at least 6 months from management decision, 97 patients were available for evaluation. The VAPS dropped by 21.25% (
P
< 0.001), 32% (
P
= 0.004), 2% (
P
= 0.6), 54% (
P
< 0.001) and 65% (
P
< 0.001) in groups Ia, Ib, IIa, IIb1, and IIb2, respectively. On the other hand the
T
1/2
of RDR dropped significantly only in groups Ib, IIb1, and IIb2 by a mean of 6.5 min (
P
= 0.005), 8.02 min (
P
< 0.001), and 7.3 min (
P
< 0.001), respectively.
Conclusion
TDJS in cases of EqUPJO with loin pain is helpful in defining cases suitable for intervention versus conservative treatment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19680660</pmid><doi>10.1007/s00345-009-0464-3</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0724-4983 |
| ispartof | World journal of urology, 2010-06, Vol.28 (3), p.373-378 |
| issn | 0724-4983 1433-8726 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_733557278 |
| source | Springer Nature |
| subjects | Adolescent Adult Biological and medical sciences Cohort Studies Female Follow-Up Studies Humans Kidney Pelvis - diagnostic imaging Kidney Pelvis - surgery Kidneys Male Medical sciences Medicine Medicine & Public Health Middle Aged Nephrology Nephrology. Urinary tract diseases Oncology Original Article Pain - etiology Pain - physiopathology Pain Measurement Probability Prosthesis Design Radioisotope Renography Retrospective Studies Risk Assessment Severity of Illness Index Statistics, Nonparametric Stents Treatment Outcome Ureteral Obstruction - complications Ureteral Obstruction - diagnostic imaging Ureteral Obstruction - surgery Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urologic Surgical Procedures - methods Urology Young Adult |
| title | Insertion of double J stent as a therapeutic test in management of adults presenting with loin pain and equivocal ureteropelvic junction obstruction |
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