Urolithiasis is the most common urological disorder and the management is primarily surgical. Ureterorenoscopy(URS) and intracorporeal lithotripsy(ICL) is by far the most common procedure done for ureteral stones. Most of the patients are put on a double J (DJ) stent following the procedure. DJ stent has its own complications and stent related symptoms. This randomized control trial was aimed to assess the outcome of patients with stone less than 1 cm who undergo URS and ICL with and without a postoperative DJ stent. 100 cases were included in the study and randomized into 2 groups based on presence and absence of postoperative DJ stent. Subjects were assessed for abdominal pain, irritative lower urinary tract symptoms and total leucocyte count after 2 weeks. There was no significant difference in pain and total leucocyte count among the two groups but irritative lower urinary tract symptoms were significantly lower for the group without a DJ stent. So DJ stent may be judiciously avoided in selected patients after an uncomplicated ureterorenoscopy.
Keywords : Stent, Lithotripsy, Ureterorenoscopy.