ArticleFrontiers in medicine2026
Percutaneous nephrostomy vs. double-J stenting for emergency decompression in recurrent ipsilateral stone-related infectious obstruction.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Purpose: To compare percutaneous nephrostomy (PCN) and double-J (DJ) stenting as emergency decompression modalities in patients with recurrent ipsilateral stone-related infectious obstruction with systemic inflammatory response who subsequently underwent retrograde intrarenal surgery (RIRS) after infection control. Methods: This retrospective cohort study enrolled 69 patients (PCN, Results: Baseline demographic and clinical characteristics were comparable between the groups. The drainage procedure time was longer in the PCN group than in the DJ group (42.53 ± 11.34 vs. 32.69 ± 10.72 min; MD, 9.84 min; 95% CI, 4.54 to 15.14; Conclusion: In this retrospective cohort of patients with recurrent ipsilateral stone-related infectious obstruction who achieved infection control and subsequently underwent RIRS, PCN was associated with a shorter time to the first recorded body temperature below 37.3 °C, a shorter length of stay during the decompression admission, a shorter recorded RIRS operative time, and a shorter postoperative hospital stay than DJ stenting, while stone-free rates were comparable. Because of the retrospective and non-randomized design, these findings should be interpreted as associations rather than causal effects.
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