BJU Int. 2021 Jul 10. doi: 10.1111/bju.15540. Online ahead of print.
ABSTRACT
INTRODUCTION AND OBJECTIVE: To minimize stent-related symptoms (SRS), a modified complete intra-ureteral stent with extraction suture was designed. The objective was to compare SRS of the conventional DJ stent and the complete intraureteral stent using the validated Ureteral Stent Symptom Questionnaire (USSQ).
MATERIALS AND METHODS: We randomized 124 patients after uncomplicated ureteroscopic lithotripsy into complete intraureteral stent (CIUS) and conventional DJ stent (CUS) placement group. The USSQ scores were evaluated on postoperative day 1, day 7 (just before stent removal) and 4 weeks after stent removal (control values). Pain scores after stent removal were also recorded using visual analogue scale (VAS). Sub-domain analysis of all stent related symptoms and stent related complications were also compared.
RESULTS: No significant intergroup differences were found in the domain scores of urinary symptoms (P = 0.74), pain (P = 0.32), general health (P = 0.27), work (P = 0.24), or additional problems (P = 0.29). However, statistically significant difference was noted on VAS scores (P = 0.015). Analysis of sub-domains of USSQ item scores revealed the CIUS group had significantly better scores for ”urge incontinence” (1.21 vs. 1.00; p = <0.001), ”discomfort on voiding” (2.07 vs. 1.50; p = <0.001), ”difficulties with respect to light physical activity” (1.131 vs. 1.00; p = <0.001), ”fatigue” (1.84 vs. 1.57; p = 0.002), “feeling comfortable” (3.68 vs. 3.16; p = 0.003), ”need for extra help” (1.96 vs. 1.00; p = <0.001), and ”change in duration of work”(4.27 vs. 1.86; p = <0.001). However, the patients in the CIUS group were sexually inactive for the time till stent was indwelling (mean: 7.34 days). There was no difference in the complication rate between the 2 groups.
CONCLUSION: The use of complete intra ureteral stent placement with strings after URS decreases SRS.
PMID:34245667 | DOI:10.1111/bju.15540
