Department of Urology, Città della Salute e della Scienza, San Giovanni Battista Molinette University Hospital, Corso Bramante 88, 10126, Turin, Italy.
Department of Nuclear Medicine, Città della Salute e della Scienza, San Giovanni Battista Molinette University Hospital, Corso Bramante 88, 10126, Turin, Italy.
World J Urol. 2019 Jan;37(1):201-207. doi: 10.1007/s00345-018-2376-6. Epub 2018 Jun 19.
To evaluate in details the actual extent of double-J stent-related symptoms after semirigid (URS) and flexible (RIRS) ureteroscopy using a validated questionnaire.
We asked to complete the Ureteric Stent Symptoms Questionnaire (USSQ) to all stone patients undergoing URS or RIRS with stent placement from 2010 to 2015. Stent-related symptoms' prevalence, severity, and impact on daily life were analyzed using descriptive statistics and five-order Likert scales. Subgroups analyses were performed.
232 patients completed the USSQ. Stents had a deep impact on urinary symptoms (daily frequency ≥ 1 per hour 59.1%, ≥ 1 nocturnal micturition 90.1%, urgency 86.6%, burning 82.3%) that represented a problem for 88.4% of patients. 83.2% complained of pain, mostly in the kidney (67.9%) or in the bladder area (31.3%), particularly during physical activity (72.9%) and micturition (77.0%). Pain interfered with everyday life in 92.2%. General health, working, and sexual activity were also affected. 62.0% of patients would be dissatisfied (51.6% unhappy or terrible) if further ureteral stenting was proposed in future. Younger patients and females were more affected. Limitations include observational design and lack of baseline evaluation.
Ureteral stents are responsible for significant urinary symptoms and pain after semirigid and flexible ureteroscopy. They also considerably affect general health, working and sexual activity. Urologists should consider it carefully before stenting, inform patients about stent-related symptoms, and minimize stent indwelling time.
使用经过验证的问卷详细评估半刚性（URS）和软性（RIRS）输尿管镜检查后双 J 支架相关症状的实际程度。
我们要求 2010 年至 2015 年间接受 URS 或 RIRS 并放置支架的所有结石患者填写输尿管支架症状问卷（USSQ）。使用描述性统计和五阶李克特量表分析支架相关症状的患病率、严重程度和对日常生活的影响。进行了亚组分析。
232 名患者完成了 USSQ。支架对尿路症状有严重影响（每天 1 次以上/小时 59.1%，1 次以上夜间排尿 90.1%，尿急 86.6%，烧灼感 82.3%），88.4%的患者存在问题。83.2%的患者抱怨疼痛，主要在肾脏（67.9%）或膀胱区域（31.3%），尤其是在体力活动（72.9%）和排尿时（77.0%）。92.2%的患者疼痛会干扰日常生活。一般健康、工作和性生活也受到影响。如果未来需要进一步输尿管支架置入，62.0%的患者会不满意（51.6%的患者表示不愉快或糟糕）。年轻患者和女性受影响更大。局限性包括观察性设计和缺乏基线评估。
半刚性和软性输尿管镜检查后，输尿管支架会引起明显的尿路症状和疼痛，还会显著影响一般健康、工作和性生活。在支架置入前，泌尿科医生应仔细考虑，告知患者支架相关症状，并尽量减少支架留置时间。
