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Is intravesical stent position a predictor of associated morbidity?
PURPOSE: Temporary drainage of the upper urinary tract by use of internal ureteral stents is a common procedure that is often associated with a variety of symptoms. The role of intravesical stent position in associated morbidity is controversial. MATERIALS AND METHODS: The German version of the uret...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Urological Association
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4426509/ https://www.ncbi.nlm.nih.gov/pubmed/25964838 http://dx.doi.org/10.4111/kju.2015.56.5.370 |
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author | Abt, Dominik Mordasini, Livio Warzinek, Elisabeth Schmid, Hans-Peter Haile, Sarah Roberta Engeler, Daniel Stephan Müllhaupt, Gautier |
author_facet | Abt, Dominik Mordasini, Livio Warzinek, Elisabeth Schmid, Hans-Peter Haile, Sarah Roberta Engeler, Daniel Stephan Müllhaupt, Gautier |
author_sort | Abt, Dominik |
collection | PubMed |
description | PURPOSE: Temporary drainage of the upper urinary tract by use of internal ureteral stents is a common procedure that is often associated with a variety of symptoms. The role of intravesical stent position in associated morbidity is controversial. MATERIALS AND METHODS: The German version of the ureteral stent symptom questionnaire (USSQ) was completed by 73 patients with an indwelling ureteral stent the day before stent removal. Intravesical stent position was classified into 3 categories by x-ray before stent removal. The influence of intravesical stent position on USSQ score was analyzed, including subscores and single items. RESULTS: Intravesical stent position showed no significant influence on associated morbidity. The median USSQ total score in all patients was 77.5 (range, 30-147). Patients with ipsilateral stents (69.0; range, 30-122) tended to have lower total scores than did those with tangential (86.5; range, 30-122) or contralateral (77.0; range, 31-147) stents, but the differences were not statistically significant (p=0.35). The USSQ subscores for urinary symptoms (p=0.80), body pain (p=0.80), general health (p=0.16), work performance (p=0.07), additional problems (p=0.81), and all of the USSQ single items of interest in the context of stent length also did not differ significantly between the three groups. CONCLUSIONS: Intravesical stent position did not significantly influence associated morbidity in our study. An appropriate stent length should be chosen to avoid dislocation. However, complex calculations of optimum stent length, time-consuming manipulations, and costly stock holding of various stent sizes to obtain the perfect stent position do not seem worthwhile. |
format | Online Article Text |
id | pubmed-4426509 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Urological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-44265092015-05-11 Is intravesical stent position a predictor of associated morbidity? Abt, Dominik Mordasini, Livio Warzinek, Elisabeth Schmid, Hans-Peter Haile, Sarah Roberta Engeler, Daniel Stephan Müllhaupt, Gautier Korean J Urol Original Article PURPOSE: Temporary drainage of the upper urinary tract by use of internal ureteral stents is a common procedure that is often associated with a variety of symptoms. The role of intravesical stent position in associated morbidity is controversial. MATERIALS AND METHODS: The German version of the ureteral stent symptom questionnaire (USSQ) was completed by 73 patients with an indwelling ureteral stent the day before stent removal. Intravesical stent position was classified into 3 categories by x-ray before stent removal. The influence of intravesical stent position on USSQ score was analyzed, including subscores and single items. RESULTS: Intravesical stent position showed no significant influence on associated morbidity. The median USSQ total score in all patients was 77.5 (range, 30-147). Patients with ipsilateral stents (69.0; range, 30-122) tended to have lower total scores than did those with tangential (86.5; range, 30-122) or contralateral (77.0; range, 31-147) stents, but the differences were not statistically significant (p=0.35). The USSQ subscores for urinary symptoms (p=0.80), body pain (p=0.80), general health (p=0.16), work performance (p=0.07), additional problems (p=0.81), and all of the USSQ single items of interest in the context of stent length also did not differ significantly between the three groups. CONCLUSIONS: Intravesical stent position did not significantly influence associated morbidity in our study. An appropriate stent length should be chosen to avoid dislocation. However, complex calculations of optimum stent length, time-consuming manipulations, and costly stock holding of various stent sizes to obtain the perfect stent position do not seem worthwhile. The Korean Urological Association 2015-05 2015-04-24 /pmc/articles/PMC4426509/ /pubmed/25964838 http://dx.doi.org/10.4111/kju.2015.56.5.370 Text en © The Korean Urological Association, 2015 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Abt, Dominik Mordasini, Livio Warzinek, Elisabeth Schmid, Hans-Peter Haile, Sarah Roberta Engeler, Daniel Stephan Müllhaupt, Gautier Is intravesical stent position a predictor of associated morbidity? |
title | Is intravesical stent position a predictor of associated morbidity? |
title_full | Is intravesical stent position a predictor of associated morbidity? |
title_fullStr | Is intravesical stent position a predictor of associated morbidity? |
title_full_unstemmed | Is intravesical stent position a predictor of associated morbidity? |
title_short | Is intravesical stent position a predictor of associated morbidity? |
title_sort | is intravesical stent position a predictor of associated morbidity? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4426509/ https://www.ncbi.nlm.nih.gov/pubmed/25964838 http://dx.doi.org/10.4111/kju.2015.56.5.370 |
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