Efficacy of DJ Stenting versus Silodosin after Ureteroscopic Lithotripsy for Lower Ureteric Stones: A Prospective Randomized Clinical Trial

Background: A Double J (DJ) stent utilizing following ureteroscopy facilitates the residual fragments passage and provides pain alleviation produced by mucosal swelling & obstruction, despite several complaints of stent related pain postoperatively.
Objective: The current work aimed to compare DJ stenting and Silodosin following ureteroscopy lithotripsy for lower ureteric stones.
Patients and methods:  This prospective randomized open label parallel clinical trial was carried out on 70 cases diagnosed with lower ureteric stone 5-18 mm in size and scheduled for ureteroscopic lithotripsy. Cases were randomly allocated into 2 equal groups; group A had a 5 Fr DJ stent to be removed after 3 weeks and group B who get 1 silodosin capsule 8 mg at night preoperatively and for 3 weeks postoperatively. All cases underwent plain X-ray of the kidneys, ureters, and bladder (KUB), ultrasonography, and non-contrast CT of abdomen and pelvis before operation.
Results: Group B had a significantly shorter operative time than group A (21.7 ± 4.65 min vs. 38.6 ± 4.82 min, P Conclusion: Compared to the DJ Stent group, operative time is significantly shorter in cases received silodosin after ureteroscopic laser lithotripsy.