Complicaciones mediatas y tardías con tratamiento de catéter doble J en pacientes con litiasis renal en el Hospital Teodoro Maldonado Carbo en el año 2019 a 2021.

Abstract

Renal lithiasis is a chronic disease characterized by the formation of stones in the urinary tract. It is one of the most common conditions that not only specialists but also general practitioners have to face, especially in emergency services. The Double-J Catheter is a small caliber foldable catheter with convexity at both ends (which prevents its displacement), which is placed through a retrograde transurethral endoscopic technique. It is indicated in the presence of infection, renal failure, ureteral injury or severe edema. The objective of the study is to identify the immediate and late complications of Double-J treatment in patients with renal lithiasis at Teodoro Maldonado Carbo Hospital from 2019 to 2021. Materials and methods: an observational, retrospective, cross-sectional and descriptive study was conducted whose population was male and female patients admitted to the Urology area at Teodoro Maldonado Carbo Hospital from 2019 to 2021. Results: After applying inclusion and exclusion criteria, out of a total of 137 patients undergoing Double-J catheter placement for obstructive uropathy resulting from renal lithiasis, we found that 32 (23.3%) of the patients suffered some type of complication, of which 87.5% (28) were immediate and 12.5% (4) were late complications. Conclusions: The most frequent complications associated with the use of Double-J catheter are the appearance of infections, hematuria, dysuria, and catheter calcification. Infection has the highest prevalence in both complications, while calcification appears predominantly as a late complication. It is also concluded that immediate complications appear more frequently than late complications.