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Published on: January 7, 2019
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Ureteral stent related symptoms: A comparative study.
Themistoklis Ch Bellos1, Ioannis S Manolitsis2, Stamatios N Katsimperis3
12nd Department of Urology, Sismanoglio General Hospital of Athens. bellos.themistoklis@gmail.com.
Summary
The physical characteristics of double-j ureteral stents did not significantly impact patient symptoms like pain or urinary issues. Stent width and length showed no clear correlation with symptom severity in this study.
Area of Science:
- Urology
- Medical Devices
- Patient Outcomes
Background:
- Ureteral stents are crucial in treating obstructive urological conditions.
- Common stent-related symptoms include hematuria, fever, discomfort, and lower urinary tract symptoms.
Purpose of the Study:
- To investigate the relationship between double-j ureteral stent dimensions (width and length) and patient-reported symptoms.
- To correlate stent characteristics with patient factors such as height, weight, and body mass index (BMI).
Main Methods:
- A prospective study involving 200 patients undergoing ureteral stent insertion.
- Patients were divided into four groups based on stent size: 4.8 Fr./26 cm, 4.8 Fr./28 cm, 6 Fr/26 cm, and 6 Fr/28 cm.
- Ureteric Stent Symptoms Questionnaire (USSQ) assessed symptoms at weeks 1 and 4, and post-removal.
Main Results:
- No significant differences in urine symptoms, pain severity, general health, or work quality were found between stent groups.
- Pain location showed statistical significance, with varying percentages of renal back and kidney front pain reported across groups.
- Sexual activity was significantly impacted in one group (6 Fr/26 cm) prior to stent insertion, but not significantly affected at week 4 across groups.
Conclusions:
- The study found no definitive link between the physical features of double-j ureteral stents and patient-reported symptoms.
- Further empirical data is needed to establish optimal stent characteristics for minimizing patient discomfort.
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