Retrograde Ureteric Stent Placement VersusPercutaneous Nephrostomy for Infected UreteralObstruction in Diabetic Patients: A Retrospective Study
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Overview
Retrospective study compares effectiveness of interventions for infected ureteral obstruction in diabetic patients, suggesting one is safer.
Key Points
The aim is to compare the safety and effectiveness of retrograde ureteral stent versus percutaneous nephrostomy in diabetic patients experiencing infected ureteral obstruction.
Retrospective analysis of 202 diabetic patients with infected ureteral obstruction from February 2022 to February 2024.
Outcomes measured included complications, time to return to serum creatinine nadir, WBC count, and blood urea nitrogen.
Logistic regression was used to identify risk factors for postoperative complications.
The incidence of complications (Clavien–Dindo Grade ≥ II) was 34.3% in the PCN group vs. 11.0% in the RUS group (p < 0.001).
Renal function preservation rate was 87.0% in the RUS group versus 73.5% in the PCN group (p = 0.016).
Lower recurrent urinary tract infection rate was observed in the RUS group, 11.0% vs. 21.6% in the PCN group (p = 0.042).