{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T08:28:42Z","timestamp":1775809722431,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T00:00:00Z","timestamp":1620691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the efficacy and safety of ureteral stent placement (USP) as a preoperative procedure for gynecological cancer surgeries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single\u2010institution retrospective cohort study of 259 patients with gynecological cancer who underwent laparotomy. In 126 patients (USP+ group), a ureteral stent was inserted into the bilateral ureters after the induction of general anesthesia. The remaining 133 patients (USP\u2212 group) did not undergo USP. We compared operation time, blood loss, and frequency of laparotomy\u2010related perioperative urinary complications between the groups. The stent was removed 5\u20137\u2009days postoperatively. Patients were evaluated for signs of hydronephrosis at discharge. The Fisher's exact test was used to investigate the significance of differences in patient characteristics, and multivariate analysis was performed using a Cox proportional hazards model. A <jats:italic>p<\/jats:italic>\u2010value of &lt;0.05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in age and body mass index between the groups. Two patients in the USP\u2212 group experienced intraoperative ureteral injury. Total operation time and blood loss were significantly increased in the USP+ group. The risk of bladder tamponade and postoperative hydronephrosis was influenced by USP. USP was unaffected by a history of abdominal surgery, stage of tumor progression, lymphadenectomy type, or hysterectomy type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of bladder tamponade and hydronephrosis postoperatively was significantly higher in patients with USP than in those without USP.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14829","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T23:35:13Z","timestamp":1620776113000},"page":"2752-2757","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluating the efficacy and safety of ureteral stent placement as a preoperative procedure for gynecological cancer surgeries: A retrospective cohort study"],"prefix":"10.1111","volume":"47","author":[{"given":"Masayo","family":"Okawa","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Tottori University School of Medicine  Yonago Tottori Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tottori University School of Medicine  Yonago Tottori Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tottori University School of Medicine  Yonago Tottori Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daiken","family":"Osaku","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tottori University School of Medicine  Yonago Tottori Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tottori University School of Medicine  Yonago Tottori Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuro","family":"Oishi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tottori University School of Medicine  Yonago Tottori Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tasuku","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tottori University School of Medicine  Yonago Tottori Prefecture Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01757.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.03.015"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.06.034"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2007.00686.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-013-2853-5"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-016-1452-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.02.025"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.09.041"},{"key":"e_1_2_8_10_1","first-page":"93","article-title":"Success and failure with double J ureteral stent. 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