Department of Urology and Andrology, Kansai Medical University General Medical Center, Osaka, Japan.
Department of Urology and Andrology, Kansai Medical University, Osaka, Japan.
Investig Clin Urol. 2017 Nov;58(6):440-446. doi: 10.4111/icu.2017.58.6.440. Epub 2017 Oct 23.
To evaluate urination-related quality of life (QoL) in patients with an indwelling ureteral stent immediately after ureteroscopic lithotripsy (URSL) for upper urinary calculi. We compared the effects of loop-tail and pigtail ureteral stents on urination-related QoL.
Of 135 patients who underwent URSL between May 2014 and March 2015 at our hospital, we retrospectively analyzed the records of 70 patients (42 men, 28 women; median age, 63 years) in whom the stent tail was positioned inside the bladder without crossing the midline and who completed the core lower urinary tract symptoms score (CLSS) questionnaire pre- and postoperatively.
There were significant differences in incomplete emptying (p=0.048) and bladder pain (p=0.041) between patients with loop-tail versus pigtail ureteral stents after URSL. In the multivariate analysis, stent type had a stronger association with incomplete emptying (p=0.022) and bladder pain (p=0.018) than age, sex, body mass index, stent side, operation time, diameter of ureteral access sheath, and stent type.
Patients with loop-tail ureteral stents had better urination-related QoL in the immediate post-URSL stage than patients with pigtail stents.
评估输尿管镜碎石术（URSL）治疗上尿路结石后留置输尿管支架管患者的排尿相关生活质量（QoL）。我们比较了 Loop-tail 型和 Pigtail 型输尿管支架管对排尿相关 QoL 的影响。
回顾性分析 2014 年 5 月至 2015 年 3 月在我院行 URSL 的 135 例患者的资料，纳入术中支架尾端位于膀胱内且未跨越中线并完成术前和术后核心下尿路症状评分（CLSS）问卷的 70 例患者（42 例男性，28 例女性；中位年龄 63 岁）。
URSL 后，Loop-tail 型与 Pigtail 型输尿管支架管患者在不完全排空感（p=0.048）和膀胱疼痛（p=0.041）方面存在显著差异。多因素分析显示，与年龄、性别、体质量指数、支架侧别、手术时间、输尿管通道鞘直径和支架类型相比，支架类型与不完全排空感（p=0.022）和膀胱疼痛（p=0.018）的相关性更强。
与 Pigtail 支架管相比，URSL 后即刻，Loop-tail 型输尿管支架管患者的排尿相关 QoL 更好。
