Andrea Bosio1, Eugenio Alessandria2, Ettore Dalmasso2, Dario Peretti2, Simone Agosti2, Alessandro Bisconti2, Paolo Destefanis2, Roberto Passera3, Paolo Gontero2. 1. Department of Urology, Città della Salute e della Scienza, San Giovanni Battista Molinette University Hospital, Corso Bramante 88, 10126, Turin, Italy. andrea.bosio@unito.it. 2. Department of Urology, Città della Salute e della Scienza, San Giovanni Battista Molinette University Hospital, Corso Bramante 88, 10126, Turin, Italy. 3. Department of Nuclear Medicine, Città della Salute e della Scienza, San Giovanni Battista Molinette University Hospital, Corso Bramante 88, 10126, Turin, Italy.
Abstract
PURPOSE: To evaluate in details the actual extent of double-J stent-related symptoms after semirigid (URS) and flexible (RIRS) ureteroscopy using a validated questionnaire. METHODS: We asked to complete the Ureteric Stent Symptoms Questionnaire (USSQ) to all stone patients undergoing URS or RIRS with stent placement from 2010 to 2015. Stent-related symptoms' prevalence, severity, and impact on daily life were analyzed using descriptive statistics and five-order Likert scales. Subgroups analyses were performed. RESULTS: 232 patients completed the USSQ. Stents had a deep impact on urinary symptoms (daily frequency ≥ 1 per hour 59.1%, ≥ 1 nocturnal micturition 90.1%, urgency 86.6%, burning 82.3%) that represented a problem for 88.4% of patients. 83.2% complained of pain, mostly in the kidney (67.9%) or in the bladder area (31.3%), particularly during physical activity (72.9%) and micturition (77.0%). Pain interfered with everyday life in 92.2%. General health, working, and sexual activity were also affected. 62.0% of patients would be dissatisfied (51.6% unhappy or terrible) if further ureteral stenting was proposed in future. Younger patients and females were more affected. Limitations include observational design and lack of baseline evaluation. CONCLUSIONS: Ureteral stents are responsible for significant urinary symptoms and pain after semirigid and flexible ureteroscopy. They also considerably affect general health, working and sexual activity. Urologists should consider it carefully before stenting, inform patients about stent-related symptoms, and minimize stent indwelling time.
PURPOSE: To evaluate in details the actual extent of double-J stent-related symptoms after semirigid (URS) and flexible (RIRS) ureteroscopy using a validated questionnaire. METHODS: We asked to complete the Ureteric Stent Symptoms Questionnaire (USSQ) to all stone patients undergoing URS or RIRS with stent placement from 2010 to 2015. Stent-related symptoms' prevalence, severity, and impact on daily life were analyzed using descriptive statistics and five-order Likert scales. Subgroups analyses were performed. RESULTS: 232 patients completed the USSQ. Stents had a deep impact on urinary symptoms (daily frequency ≥ 1 per hour 59.1%, ≥ 1 nocturnal micturition 90.1%, urgency 86.6%, burning 82.3%) that represented a problem for 88.4% of patients. 83.2% complained of pain, mostly in the kidney (67.9%) or in the bladder area (31.3%), particularly during physical activity (72.9%) and micturition (77.0%). Pain interfered with everyday life in 92.2%. General health, working, and sexual activity were also affected. 62.0% of patients would be dissatisfied (51.6% unhappy or terrible) if further ureteral stenting was proposed in future. Younger patients and females were more affected. Limitations include observational design and lack of baseline evaluation. CONCLUSIONS: Ureteral stents are responsible for significant urinary symptoms and pain after semirigid and flexible ureteroscopy. They also considerably affect general health, working and sexual activity. Urologists should consider it carefully before stenting, inform patients about stent-related symptoms, and minimize stent indwelling time.
Authors: Robert R Byrne; Brian K Auge; John Kourambas; Ravi Munver; Fernando Delvecchio; Glenn M Preminger Journal: J Endourol Date: 2002-02 Impact factor: 2.942
Authors: Nikita R Bhatt; Kenneth MacKenzie; Taimur T Shah; Kevin Gallagher; Keiran Clement; William A Cambridge; Meghana Kulkarni; Graeme MacLennan; Rustom P Manecksha; Oliver J Wiseman; Samuel Mcclinton; Daron Smith; Veeru Kasivisvanathan Journal: BJUI Compass Date: 2020-10-08