The efficacy and safety of ureteral stent after Electrocision of bladder tumor involving the ureteral mouth

Objective To investigate the efficacy and safety of ureteral stent placement after electrocision of bladder tumor involving the ureteral mouth. Methods From June 2014 to June 2016, 95 cases of bladder tumor resection involving the ureteral mouth were received in our hospital were selected. According to whether the ureteral stent was placed after operation, they were divided into two groups. 49 cases in the observation group were placed ureteral stent after operation, and 46 cases in the control group. No ureteral stent was placed after operation. The general data of operation, changes of hemoglobin level before and after operation, VAS score, complication incidence and satisfaction of each group were observed and compared between the two groups. Results There was no significant difference in the operation time, postoperative hospital stay and hemoglobin before and after surgery between the two groups (P>0.05). There was no significant difference in VAS score between the two groups on the first day after operation (P>0.05), the VAS score of the observation group on the 7th day after operation (0.94 ± 0.24)points and on the 14th day after operation (0.53±0.12)points was significantly lower than that of the control group [(1.89±0.41) points, (1.42±0.44) points], the difference between the two groups was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that of the control group (8.16% vs. 23.91%), and the difference between the two groups was statistically significant (P<0.05). The satisfaction rate of the patients in the observation group was significantly higher than that of the control group (93.88% vs. 76.09%), and the difference between the two groups was statistically significant (P<0.05). Conclusions Bladder tumor involving the ureteral orifice surgical resection of the ureteral stent can reduce the degree of pain, reduce the incidence of complications such as ureteral stricture and postoperative recurrence, and no risk of retrograde transplanting the upper urinary tract after operation Promote the application. Key words: Cystectomy; Urinary Catheterization