Category: Clinical Stones: Medical Management
Introduction & Objective :
Ureteral stents are an essential tool in the urologists’ armamentarium. However, they are a source of discomfort to the patients in the form of lower urinary tract symptoms that significantly affect the quality of life of the patient. This study was designed to evaluate whether routine usage of stents is mandatory or a combination of α1 antagonist sildosin and anti-inflammatory corticosteroid can be used as an alternative to stent placement in uncomplicated cases.
60 consecutive symptomatic ureteric stone patients were included. Pateints underwent ureteroscopy and intracorporeal lithotripsy. Post procedure 30 patients underwent stenting that was removed 6 weeks later; the other 30 were given silodosin and deflazacort for 4 weeks without ureteral stent placement. Ureteral Stent Symptom Questionnaire was used to evaluate urinary symptoms and the quality of life.
Results : Non stented patient had statistically significant less pain as compared to the stented group. One non stented patients had to be stented for persistent pain and hydronephrosis at 3 weeks. Statistically significant difference in terms of work performance, general and sexual health, hospital visits and genitourinary sepsis was found in the non stented group.
Ureteral stenting after uncomplicated ureteroscopic stone fragmentatation is no longer absolutely necessary in all cases. Indirect cost savings in the form of patient time lost from work because of stent symptoms and visits for stent removal would also be expected in the non stented group.
Professor of urology
Chandigarh, Chandigarh, India
As a professor of urology at a one of the most premier institute ie. PGIMER, Chandigarh • i published 160 article in international journal of repute ie PUBMED indexed.
Contributed significantly in theGenito-Urinary Carcinoma , stones, reconstructive and laparoscopic and Robotic surgical cases . New surgical techniques developed by me to simplify the surgery, reduce the blood loss in surgery, decrease hospital stay and operative duration.
• Actively involved in regular bed-sides teaching of junior and senior residents as a consultant.
• Regularly coordinating interdepartmental academics meets of radiotherapy and urology case related to management of genitourinary cancers.
• Regularly coordinating interdepartmental academics meets of urology and radiotherapy case related to management of genitourinary cancers, urology and nephrology clinical rounds, urology and radiology rounds..
Developed many new surgical techniques
• Teaching of both the MS (General surgery) and MCh (Urology ) residents by the way of taking teaching rounds, decision making, seminars and bed-side classes in both routine and emergency wards
• Teaching of residents of other disciplines like Radiology, Gynae & Obstetrics
• Teaching of ‘visitor residents’ from other institutions from other places coming to our hospital for training
• Teaching residents regarding publication and presenting in national and international conferences