Double J Stents: A Nightmare for Some, A Trouble Only When Ignored for Others

Area of Science:

• Urology
• Nephrology
• Surgical Patient Care

Background:

• Ureteroscopic lithotripsy is a common procedure for kidney and ureteral stones.
• Double J (DJ) stents are routinely used post-procedure.
• Patient compliance with stent removal timing is crucial for optimal outcomes.

Purpose of the Study:

• To investigate the impact of patient compliance on the timing of Double J (DJ) stent removal.
• To identify factors associated with non-compliance in patients undergoing ureteroscopic lithotripsy.

Main Methods:

• Retrospective review of 146 patients aged 20-80 undergoing ureteroscopic lithotripsy.
• Analysis of DJ stent retention duration, categorizing compliance based on a 14-35 day window.
• Comparison of demographic and educational factors between compliant and non-compliant groups.

Main Results:

• Mean DJ stent retention was 36.6 days, with 80 out of 146 patients being non-compliant.
• Younger patients showed significantly lower tolerance for stents (p=0.032).
• Higher educational levels correlated significantly with better compliance for stent removal (p=0.036).

Conclusions:

• Patient education and postoperative planning are critical, especially for younger individuals.
• A significant portion of patients are unaware of recommended DJ stent removal timelines.
• Utilizing reminders like SMS or apps can improve compliance and prevent forgotten stent complications.