{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T09:49:02Z","timestamp":1779356942062,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,8,21]],"date-time":"2016-08-21T00:00:00Z","timestamp":1471737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare treatment\u2010related outcomes of ureteral stenting with an external versus double J stent in patients with orthotopic reservoirs after radical cystectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing radical cystectomy and orthotopic neobladder were randomized into two groups; group I patients received external stents, whereas group II received double J stents. In both groups, preoperative parameters were recorded, and patients were assessed regarding urinary tract infection, urinary leakage, upper tract deterioration, readmission and hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 48 and 45 patients were randomized in the external stent group and double J group, respectively. Both groups were comparable in terms of age, sex, associated comorbidity and oncological status. Early urinary leak was observed in two patients (4.2%) in the external stent group, and in two patients (4.4%) in the double J group (<jats:italic>P<\/jats:italic> = 0.95). None of our patients developed ureteral strictures in the external stent group, and one patient did in the double J group (<jats:italic>P<\/jats:italic> = 0.3). Positive urine culture (58.3%, 51.1%) as well as febrile urinary tract infections (2.1%, 6.7%) were comparable between both groups, respectively (<jats:italic>P<\/jats:italic> = 0.43, 0.28). Wound complications (12.5%, 8.9%) and stent\u2010related complications (2.1%, 0%) were comparable between both groups, respectively (<jats:italic>P<\/jats:italic> = 0.57, 0.33). The mean hospital stay was 17.5 days (range 14\u201332 days) and 14.6 days (range 10\u201342 days) in both groups, respectively (<jats:italic>P<\/jats:italic> = 0.001), with comparable re\u2010admission rates (<jats:italic>P<\/jats:italic> = 0.95).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incorporation of double J stents in orthotopic urinary diversion is a safe alternative to the routinely used external stenting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.13173","type":"journal-article","created":{"date-parts":[[2016,8,22]],"date-time":"2016-08-22T01:32:52Z","timestamp":1471829572000},"page":"861-865","source":"Crossref","is-referenced-by-count":10,"title":["External stent versus double J drainage in patients with radical cystectomy and orthotopic urinary diversion: A randomized controlled trial"],"prefix":"10.1111","volume":"23","author":[{"given":"Yasser","family":"Osman","sequence":"first","affiliation":[{"name":"Urology and Nephrology Center Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed M","family":"Harraz","sequence":"additional","affiliation":[{"name":"Urology and Nephrology Center Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamer S","family":"Barakat","sequence":"additional","affiliation":[{"name":"Urology and Nephrology Center Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samer","family":"El\u2010Halwagy","sequence":"additional","affiliation":[{"name":"Urology and Nephrology Center Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Mosbah","sequence":"additional","affiliation":[{"name":"Urology and Nephrology Center Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Abol\u2010Enein","sequence":"additional","affiliation":[{"name":"Urology and Nephrology Center Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atallah A","family":"Shaaban","sequence":"additional","affiliation":[{"name":"Urology and Nephrology Center Mansoura University Mansoura 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