To compare stent-related symptoms (SRS) in patients with double J (DJ) undergoing substitution with a pigtail suture stent (PSS) after ureteroscopy (URS), through the Ureteral Stent Symptom Questionnaire (USSQ).
Patients with DJ undergoing URS for stone treatment were enrolled in this prospective multicenter longitudinal study. The USSQ was submitted thrice: 2 weeks after DJ, 2 weeks after PSS and 4 weeks after PSS removal (baseline).
to compare Urinary Symptom Index Score and the rate of patients with pain 2 weeks after DJ and PSS. Secondary endpoints: to compare other USSQ scores and single answers 2 weeks after DJ and PSS, and DJ and PSS USSQ scores with baseline.
93 patients were enrolled. 2 weeks Urinary Symptom Index Score (p < 0.001) and the percentage of patients complaining of pain (60.2% vs 88.2%, p < 0.001) were significantly in favour of PSS compared to DJ. 2 weeks scores were significantly improved with PSS compared to DJ: Pain Index (p < 0.001), VAS (p < 0.001), General Health Index (p < 0.001) and Work Performance Index (p < 0.001). All urinary symptoms were significantly decreased with PSS, including renal pain during micturition and pain interfering with life. Pain Index Score (p = 0.622) and VAS (p = 0.169) were comparable to baseline with PSS, while differed with DJ.
Patients undergoing DJ substitution with PSS after URS report a significant decrease of SRS. Urologists may consider positioning PSS after URS in pre-stented patients to reduce the impact of SRS.
World journal of urology. 2024 Mar 22*** epublish ***
Andrea Bosio, Stefania Ferretti, Eugenio Alessandria, Federico Vitiello, Eugenia Vercelli, Davide Campobasso, Luca Micai, Claudia Gozzo, Glauco Bertello, Giulio Gaetano Guarino, Claudia Alice, Alessandro Bisconti, Fabrizio Fop, Paolo Gontero
Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy. ., Department of Urology, AOU University Hospital, Parma, Italy., Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy., Department of Nephrology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.