<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852019000600003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo postoperatorio de catéter doble J en ureteroscopias, síntomas y complicaciones]]></article-title>
<article-title xml:lang="en"><![CDATA[Double-J catheter management after ureteroscopy: symptoms and complications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muruato-Araiza]]></surname>
<given-names><![CDATA[Jesús Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyna-Blanco]]></surname>
<given-names><![CDATA[Irving]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jimenez-García]]></surname>
<given-names><![CDATA[Aldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Salas]]></surname>
<given-names><![CDATA[Alan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopez-Maguey]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernandez-Mendez]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortes-Raygoza]]></surname>
<given-names><![CDATA[Pascual]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega-Gomez]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calvo-Vázquez]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro-Ruesga]]></surname>
<given-names><![CDATA[Iñigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santamaria-Orozco]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandez-Noyola]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cantellano-Orozco]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Arroyo]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Montor]]></surname>
<given-names><![CDATA[Jorge Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco-Gahbler]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González División Urología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>79</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852019000600003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852019000600003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852019000600003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes:  Actualmente el 70% de los pacientes operados de ureteroscopia reciben colocación de catéter doble J debido a que se cree que disminuye la obstrucción secundaria a edema ureteral o a fragmentos de lito, pero la colocación no es inocua, ya que conlleva una gran variedad de efectos secundarios como frecuencia, urgencia, hematuria, disuria y tenesmo, así como un impacto económico. Nuestro objetivo es evaluar el manejo actual del catéter doble J en pacientes posoperados de ureteroscopia y los síntomas posquirúrgicos asociados.  Materiales y métodos:  Estudio retrospectivo de ureteroscopias realizadas en el Hospital Dr. Manuel Gea González durante el 2017 en pacientes mayores a 18 años. Se analizaron las frecuencias en readmisiones al servicio de urgencias durante la primera semana posoperatoria y los síntomas asociados al uso de catéter doble J, así como complicaciones posoperatorias.  Resultados:  Se registraron 105 ureteroscopias. El sexo masculino fue el predominante en hasta 55%; las ureteroscopias semirrígidas fueron las más prevalentes con un 71%. Se colocó preoperatoriamente catéter doble J en 69 pacientes y posoperatoriamente se colocaron en 41 pacientes. Durante el seguimiento los pacientes con colocación de catéter JJ refirieron síntomas asociados a la colocación del catéter, lo cual ameritó visita a urgencias, encontrando únicamente asociación significativa para polaquiuria (p=0.001). Se obtuvo un total de 95 pacientes libre de litiasis, de los cuales a 61 (64.2%) se les colocó catéter doble J y 2 quedaron con litiasis residual y sin catéter.  Conclusiones:  De los 61 pacientes que se les colocó catéter doble J, 57 (82%) presentaron al menos un síntoma relacionado con el catéter; el 64.2% fueron ureteroscopias no complicadas a las cuales se les colocaron catéter doble J, por lo que creemos necesario realizar un estudio prospectivo y aleatorizado con un mayor número de pacientes para confirmar los resultados previamente reportados y establecer de manera más clara y objetiva las indicaciones para el uso del catéter doble J en nuestro hospital.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Currently, a double-J catheter is placed in 70% of patients that undergo ureteroscopy because it is believed to decrease obstruction secondary to ureteral edema or stone fragments. However, catheter placement is not innocuous, given that it can result in a variety of side effects, such as urinary frequency, urgency, hematuria, dysuria, and tenesmus, as well as increase costs. The aim of the present study was to evaluate current double-J catheter management in patients after ureteroscopy and the associated postoperative symptoms.  Materials and methods:  A retrospective study analyzing ureteroscopies performed at the Hospital Dr Manuel Gea Gonzalez throughout 2017 on patients above 18 years of age was conducted. Urology service re-admission frequency during the first postoperative week, the symptoms associated with double-J catheter use, and postoperative complications were evaluated.  Results:  A total of 105 ureteroscopies were registered. Male sex was predominant (55%) and semirigid ureteroscopies were the most prevalent procedures (71%). A double-J catheter was preoperatively placed in 69 patients and postoperatively placed in 41 patients. During follow-up, the patients with double-J catheter placement presented with associated symptoms warranting an emergency room visit. Pollakiuria was the only significant association found (p=0.001). Ninety-five patients were stone-free, 61 (64.2%) of whom had double-J catheter placement. Two patients with no catheter presented with residual stones.  Conclusions:  Of the 61 patients with double-J catheter, 57 (82%) presented with at least one symptom related to catheter placement. A total of 64.2% patients with a double-J catheter had uncomplicated ureteroscopy. Therefore, we believe it is necessary to conduct a randomized, prospective study with a larger number of patients to confirm the previously reported results and more clearly and objectively establish the indications for double-J catheter use at our hospital.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Lithiasis]]></kwd>
<kwd lng="en"><![CDATA[Double-J catheter]]></kwd>
<kwd lng="en"><![CDATA[Ureteroscopy]]></kwd>
<kwd lng="es"><![CDATA[litiasis]]></kwd>
<kwd lng="es"><![CDATA[catéter doble J]]></kwd>
<kwd lng="es"><![CDATA[ureteroscopia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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