A randomized trial investigating clinical outcomes and stent-related symptoms after placement of a complete intra-ureteric stent on a string versus conventional stent placement

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dc.authorid0000-0002-6308-1763
dc.authorid0000-0003-0906-4417
dc.contributor.authorShah, Milap
dc.contributor.authorPillai, Sunil
dc.contributor.authorChawla, Arun
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.contributor.authordel Pilar Laguna Pes, Maria
dc.contributor.authorJayadeva Reddy, Suraj
dc.contributor.authorTaori, Ravi
dc.contributor.authorHegde, Padmaraj
dc.contributor.authorMummalaneni, Sitaram
dc.date.accessioned2022-12-14T12:30:43Z
dc.date.available2022-12-14T12:30:43Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractObjective: To compare stent-related symptoms (SRS) associated with conventional ureteric JJ stent (CUS) placement and SRS associated with placement of a modified complete intra-ureteric stent (CIUS) with extraction suture, designed to minimize SRS, using the validated Ureteral Stent Symptom Questionnaire (USSQ). Materials and Methods: We randomized 124 patients who had undergone uncomplicated ureteroscopic lithotripsy into a CIUS and a CUS placement group. USSQ scores were evaluated on postoperative days 1 and 7 (just before stent removal) and 4 weeks after stent removal (control values). Pain scores on a visual analogue scale (VAS) after stent removal were also recorded. Subdomain analysis of all SRS and stent-related complications were also compared. Results: No significant intergroup differences were found in the domain scores for 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, a statistically significant difference was noted in VAS scores (P = 0.015). Analysis of subdomains of USSQ item scores showed 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 during which the stent was indwelling (mean: 7.34 days). There was no difference in complication rates between the two groups. Conclusion: The use of a CIUS with strings after Ureteroscopy decreases SRS.
dc.identifier.citationShah, M., Pillai, S., Chawla, A., de la Rosette, J. J. M. C. H., del Pilar Laguna Pes, M., Jayadeva Reddy, S. ... Mummalaneni, S. (2022). A randomized trial investigating clinical outcomes and stent-related symptoms after placement of a complete intra-ureteric stent on a string versus conventional stent placement. BJU International, 129(3), 373-379. https://doi.org/10.1111/bju.15540
dc.identifier.doi10.1111/bju.15540
dc.identifier.endpage379
dc.identifier.issn1464-4096
dc.identifier.issn1464-410X
dc.identifier.issue3
dc.identifier.pmid34245667
dc.identifier.scopus2-s2.0-85112663972
dc.identifier.scopusqualityQ1
dc.identifier.startpage373
dc.identifier.urihttps://doi.org/10.1111/bju.15540
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10120
dc.identifier.volume129
dc.identifier.wos000682886600001en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorde la Rosette, Jean J. M. C. H.
dc.institutionauthordel Pilar Laguna Pes, Maria
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofBJU Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectIntra-Ureteric Stent On String
dc.subjectConventional Stent
dc.subjectStent-Related Symptoms
dc.subjectQuality of Life
dc.titleA randomized trial investigating clinical outcomes and stent-related symptoms after placement of a complete intra-ureteric stent on a string versus conventional stent placement
dc.typeArticle

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