Comparing Ureteral Catheterization's Impact on Flank Pain Post Ureteroscopic Stone Management

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Ghulam Mustafa Pathan
Iqbal Shahzad
Mumtaz Manzoor
Khadim Hussain Awan
Muhammad Ali Yousuf
Rashid Khan


Background: Urolithiasis, or kidney stone disease, is a prevalent condition that poses significant challenges in urological practice. The management of ureteral stones, particularly through ureteroscopy, is a common intervention. The use of short-term ureteral catheterization as a postoperative pain management strategy following ureteroscopic stone removal has been a subject of debate, with limited evidence on its efficacy and necessity.

Objective: This study aimed to evaluate the effectiveness of short-term ureteral catheterization in reducing postoperative flank pain compared to non-catheterization in patients undergoing uncomplicated ureterolithotripsy for the management of distal ureteral stones.

Methods: A prospective, randomized, controlled trial was conducted at Liaquat National Hospital, Karachi, from January to July 2013, involving 60 patients aged 15-70 years with distal ureteral stones less than 1.0 cm. Patients were randomized into two groups: Group A received short-term ureteral catheterization, and Group B did not. The primary outcome measured was the reduction in mean pain score by at least 4 points from the baseline at every 6-hour interval for the first 24 hours post-procedure. Statistical analysis was performed using SPSS version 25, applying chi-square tests, independent sample t-tests, and Mann-Whitney tests, with a p-value of less than 0.05 considered significant.

Results: Both groups demonstrated a significant reduction in pain scores at 12, 18, and 24 hours post-operation. However, there was no significant difference in pain reduction between the catheterized (Group A) and non-catheterized (Group B) groups, with p-values of 0.55 for efficacy in pain reduction. The mean age, stone size, and postoperative hospital stay did not significantly differ between the groups, indicating that short-term ureteral catheterization did not offer additional benefits in managing postoperative pain or recovery.

Conclusion: Short-term ureteral catheterization following uncomplicated ureterolithotripsy does not significantly improve pain management compared to non-catheterization. This suggests that routine catheterization may be unnecessary, potentially leading to a paradigm shift in postoperative care for patients undergoing ureteroscopic stone removal. Future studies with larger sample sizes and long-term follow-up are needed to further validate these findings.

Article Details

How to Cite
Pathan, G. M., Shahzad, I., Manzoor, M., Awan, K. H., Yousuf, M. A., & Khan, R. (2024). Comparing Ureteral Catheterization’s Impact on Flank Pain Post Ureteroscopic Stone Management. Journal of Health and Rehabilitation Research, 4(1), 1219–1224.
Author Biographies

Ghulam Mustafa Pathan, Liaquat National Hospital Karachi Pakistan.

Assistant Professor and Consultant Urologist, Liaquat National Hospital, Karachi, Pakistan.

Iqbal Shahzad, Liaquat National Hospital Karachi Pakistan.

Assistant Professor and Consultant Urologist, Liaquat National Hospital, Karachi, Pakistan.

Mumtaz Manzoor, Chiniot General Hospital Korangi Karachi Pakistan.

Consultant General Surgeon, Chiniot General Hospital Korangi, Karachi, Pakistan.

Khadim Hussain Awan, Bantva Memon Hospital Karachi Pakistan.

Consultant Urologist, Bantva Memon Hospital, Karachi, Pakistan.

Muhammad Ali Yousuf, Usman Memorial Hospital Hussainabad Pakistan.

Usman Memorial Hospital, Hussainabad, Pakistan.

Rashid Khan, Liaquat National Hospital Karachi Pakistan.

MBBS FCPS, Liaquat National Hospital, Karachi, Pakistan.


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