B M Zeeshan Hameed1,2, Milap J Shah1, Nithesh Naik3, Mohan Amaresh1, Padmaraj Hegde1, Rahil Hussein Beary4, Suraj Jayadeva1, Bhaskar K Somani5. 1. Department of Urology, Kasturba Medical College and Hospital, Manipal Academy of Higher Education, Manipal, India. 2. Chief of Innovation Centre, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India. 3. Faculty of Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India. 4. Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India. 5. Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK.
Abstract
BACKGROUND: Forgotten ureteral stents (FUS) and stent-related symptoms (SRS) lead to increased postprocedural emergency department visits and add to the psychological and financial burden of the patients. PURPOSE: To review the usage and benefits of ureteral stent tracking and symptom monitoring through a single smartphone-based application (App) platform with 2-way clinician-patient communication. This study also compared the features with other smartphone apps used for stent tracking. MATERIALS AND METHODS: 100 patients were included in this single-center prospective study conducted between September 2019 and December 2019. Patients who had metallic or long-term indwelling stents, noncomprehensible patients, and those not willing to share their data were excluded from the study. RESULTS: Of 100 patients, 92 downloaded the Urostentz application, and 72 (78.2%) patients answered the pictorial symptom questionnaire. Symptom score analysis suggested that 62 patients (86.1%) had stent-related symptoms of which 3 required readmission and underwent early stent removal. The mean stent duration was 17.2 + 3.5 days (range: 11-23 days), with 69% of patients having their stent removed on the scheduled date and 25% of patients requesting a change of their appointment via the App. CONCLUSION: In this study, there was no case of FUS encountered. The "Urostentz" App is a freely available patient safety stent tracking application that provides a secure and simplified interface, which can significantly reduce the incidence of FUS and provide digital remote assistance in the management of stent-related symptoms.
BACKGROUND: Forgotten ureteral stents (FUS) and stent-related symptoms (SRS) lead to increased postprocedural emergency department visits and add to the psychological and financial burden of the patients. PURPOSE: To review the usage and benefits of ureteral stent tracking and symptom monitoring through a single smartphone-based application (App) platform with 2-way clinician-patient communication. This study also compared the features with other smartphone apps used for stent tracking. MATERIALS AND METHODS: 100 patients were included in this single-center prospective study conducted between September 2019 and December 2019. Patients who had metallic or long-term indwelling stents, noncomprehensible patients, and those not willing to share their data were excluded from the study. RESULTS: Of 100 patients, 92 downloaded the Urostentz application, and 72 (78.2%) patients answered the pictorial symptom questionnaire. Symptom score analysis suggested that 62 patients (86.1%) had stent-related symptoms of which 3 required readmission and underwent early stent removal. The mean stent duration was 17.2 + 3.5 days (range: 11-23 days), with 69% of patients having their stent removed on the scheduled date and 25% of patients requesting a change of their appointment via the App. CONCLUSION: In this study, there was no case of FUS encountered. The "Urostentz" App is a freely available patient safety stent tracking application that provides a secure and simplified interface, which can significantly reduce the incidence of FUS and provide digital remote assistance in the management of stent-related symptoms.
Authors: Roger L Sur; George E Haleblian; David A Cantor; W Patrick Springhart; David M Albala; Glenn M Preminger Journal: J Endourol Date: 2008-03 Impact factor: 2.942