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The male/female ratio, RUS failure rate or PCN conversion rate, three-year survival rate, and median survival time among the 284 patients including 63 (22.2%) patients with bilateral MUO were 191/93 (67.3%/32.7%), 14.1%, 14.4%, and 8.8 months, respectively (Table 1). Gastric (37.0%), colorectal (24.6%), and gynecologic (22.5%) cancers were the most frequent cancers causing MUO. The mean number of stent changes and indwelling stent duration were 2.5 ± 2.6 times and 8.6 ± 4.0 months, respectively. The remaining baseline demographics and intraoperative RGP findings are described in Table 1.

Between the Stent group and PCN groups, the stent duration and median overall survival rates were significantly different in terms of baseline characteristics such as the presence of bilateral hydronephrosis and pre-RUS serum creatinine level (p < 0.05, Table 2). The irreversibility rates of ureteral kinking on first RGP and the presence of bladder invasion on first cystoscopy were also significantly different (p < 0.05). However, the overall survival curve showed statistically insignificant differences between the Stent group (9.6 months) and PCN group (5.7 months) (p = 0.079, Fig 2).

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