Foley catheter after ureteroscopy: Effects on pain and symptoms

What is it about?

A randomized clinical trial assessed the effects of inserting a Foley catheter after ureteroscopy and JJ stent placement. Involving 112 patients, the study found no significant differences in biochemical parameters or voiding symptoms but noted lower pain scores in the Foley catheter group. The decision to use a Foley catheter should consider its potential to reduce pain while maintaining similar clinical outcomes.

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Why is it important?

This research is significant because it investigates the effects of inserting a Foley catheter after ureteroscopy (URS) and JJ stent placement on various patient outcomes. Understanding the impact of this practice is crucial for improving patient care and optimizing postoperative management in urological procedures. The study's findings contribute to evidence-based decision-making regarding the use of Foley catheters following URS and JJ stent placement, potentially influencing clinical practice and patient comfort. Moreover, it addresses the lack of evidence-based support for this common practice in urology, highlighting the importance of critically evaluating routine procedures to enhance patient outcomes. Key Takeaways: 1. Minimal Impact on Symptoms: The study found that placing a Foley catheter following URS and JJ stent placement did not significantly affect postoperative biochemical parameters or voiding symptoms, suggesting that this practice may not be necessary for all patients. 2. Pain Management: While visual analogue scale scores were similar between groups, patients with Foley catheters showed lower Total Body Pain scores on the Ureteric Stent Symptom Questionnaire (USSQ), indicating a potential benefit in pain management. 3. Clinical Decision-Making: The research concludes that the decision to place a Foley catheter after URS and JJ stent placement should be based on the surgeon's preference, considering the potential positive effect on pain scores without significant impacts on other outcomes or complications.