dc.contributor.author | Shah, Milap | |
dc.contributor.author | Pillai, Sunil | |
dc.contributor.author | Chawla, Arun | |
dc.contributor.author | de la Rosette, Jean J. M. C. H. | |
dc.contributor.author | del Pilar Laguna Pes, Maria | |
dc.contributor.author | Jayadeva Reddy, Suraj | |
dc.contributor.author | Taori, Ravi | |
dc.contributor.author | Hegde, Padmaraj | |
dc.contributor.author | Mummalaneni, Sitaram | |
dc.date.accessioned | 2022-12-14T12:30:43Z | |
dc.date.available | 2022-12-14T12:30:43Z | |
dc.date.issued | 2022 | en_US |
dc.identifier.citation | Shah, 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 | en_US |
dc.identifier.issn | 1464-4096 | |
dc.identifier.issn | 1464-410X | |
dc.identifier.uri | https://doi.org/10.1111/bju.15540 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12511/10120 | |
dc.description.abstract | Objective: 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. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Wiley | en_US |
dc.rights | info:eu-repo/semantics/embargoedAccess | en_US |
dc.subject | Intra-Ureteric Stent On String | en_US |
dc.subject | Conventional Stent | en_US |
dc.subject | Stent-Related Symptoms | en_US |
dc.subject | Quality of Life | en_US |
dc.title | 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 | en_US |
dc.type | article | en_US |
dc.relation.ispartof | BJU International | en_US |
dc.department | İstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı | en_US |
dc.authorid | 0000-0002-6308-1763 | en_US |
dc.authorid | 0000-0003-0906-4417 | en_US |
dc.identifier.volume | 129 | en_US |
dc.identifier.issue | 3 | en_US |
dc.identifier.startpage | 373 | en_US |
dc.identifier.endpage | 379 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.doi | 10.1111/bju.15540 | en_US |
dc.institutionauthor | de la Rosette, Jean J. M. C. H. | |
dc.institutionauthor | del Pilar Laguna Pes, Maria | |
dc.identifier.wosquality | Q1 | en_US |
dc.identifier.wos | 000682886600001 | en_US |
dc.identifier.scopus | 2-s2.0-85112663972 | en_US |
dc.identifier.pmid | 34245667 | en_US |
dc.identifier.scopusquality | Q1 | en_US |