{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T21:16:22Z","timestamp":1781385382430,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,7,17]],"date-time":"2006-07-17T00:00:00Z","timestamp":1153094400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:p><jats:bold>Background:\u2002<\/jats:bold> Stents were used routinely after ureteroscopy to prevent postoperative ureteral obstruction. However, because of the recognized complications of stents, non\u2010stenting is the new trend after uncomplicated ureteroscopy. The wall of the bilharzial ureter is characteristically thick and may be calcified. The aim of this study is to see if the non\u2010stenting trend could be applied to ureteroscopic manipulation of stones in bilharzial ureters.<\/jats:p><jats:p><jats:bold>Patients and Methods:\u2002<\/jats:bold> In this prospective study, 56 patients, with evidence of bilharzial lesions in the urinary tract, undergoing ureteroscopy for distal ureteral stones were included. After successful uncomplicated stone fragmentation and extraction, patients were randomized into two groups. Group A includes 28 patients in whom double J 6\u2010Fr polyurethane stents were placed for 3\u2003weeks. Group B includes 28 non\u2010stented patients. Postoperative fever, loin pain, lower urinary tract symptoms and change in the degree of hydronephrosis were reported.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> There was no significant difference in the mean age of patients and stone size in both groups. The mean operative time was 43\u2003\u00b1\u200314\u2003min in group A and 38\u2003\u00b1\u200311 in group B. There was no significant difference in the mean loin pain score, in the first postoperative 48\u2003h, in both groups (4.4\u2003\u00b1\u20030.8 in group A and 4.9\u2003\u00b1\u20030.5 in group B). Patients in group A had, significantly, more flank pain with voiding (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01), voiding pain (<jats:italic>P<\/jats:italic>\u2003=\u20030.04), frequency (<jats:italic>P<\/jats:italic>\u2003=\u20030.01) and urgency (<jats:italic>P<\/jats:italic>\u2003=\u20030.04). Radiologic follow\u2010up was available for 24 patients in group A and 23 patients in group B at the 3\u2010month visit. Hydronephrosis had improved in all patients, in both groups, with no evidence of ureteral stricture.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> Routine placement of stents after uncomplicated ureteroscopy for distal ureteral stones is unnecessary in bilharzial ureters. Moreover, it might be unadvisable because lower urinary tract symptoms and voiding loin pain are more in patients with ureteral stents and hydronephrosis is equally improved in stented and non\u2010stented patients.<\/jats:p>","DOI":"10.1111\/j.1442-2042.2006.01434.x","type":"journal-article","created":{"date-parts":[[2006,7,17]],"date-time":"2006-07-17T14:05:22Z","timestamp":1153145122000},"page":"886-890","source":"Crossref","is-referenced-by-count":18,"title":["Stenting versus non\u2010stenting after non\u2010complicated ureteroscopic manipulation of stones in bilharzial ureters"],"prefix":"10.1111","volume":"13","author":[{"given":"ALAYMAN","family":"HUSSEIN","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EHAB","family":"RIFAAT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AHMED","family":"ZAKI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MAMDOUH","family":"ABOL\u2010NASR","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,7,17]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)64173-9"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(98)00462-2"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)42282-8"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38146-6"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000065563"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2004.04.004"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65068-9"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)62058-5"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2000.14.479"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/089277903772036172"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65646-7"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65747-3"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(78)90143-7"},{"key":"e_1_2_6_15_2","first-page":"921","volume-title":"Emmett\u2019s Clinical Urography","author":"Hartman GW","year":"1977"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37527-4"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-50-590-105"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.157.3.3933048"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)66320-3"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65066-5"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000053763.30693.ef"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.4776a.x"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-0143(03)00091-0"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1988.tb09156.x"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000048980.33855.90"},{"key":"e_1_2_6_26_2","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/S0022-5347(17)38433-1","article-title":"Comparison of symptom characteristics of indwelling ureteral catheters","volume":"145","author":"Proyr JL","year":"1991","journal-title":"J. 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