Timing of Ureteral Stent Removal After Ureteroscopy on Stent-Related Symptoms: A Validated Questionnaire Comparison of 3 and 7 Days Stent Duration

Document Type

Journal Article

Publication Date

12-11-2023

Journal

Journal of endourology

DOI

10.1089/end.2023.0189

Keywords

endourology; kidney stones; ureteral stent; ureteroscopy

Abstract

To determine whether urinary symptoms are significantly improved with a shorter duration of stent placement without an increase in complications. A total of 100 patients were prospectively randomized to two groups, either a 3-day ( = 59, Group 1) or 7-day ( = 41, Group 2) stent placement group depending on date of operation. Patients submitted Ureteral Stent Symptom Questionnaires both while stents were and 2 to 3 days after removal. Group 2 reported greater urinary symptoms ( < 0.001) and pain ( < 0.001) with stents compared with Group 1. Urinary symptoms ( < 0.001), pain ( = 0.003), and general health ( = 0.02) were more severe in Group 2 after stent removal as well. The analysis also revealed that urinary symptoms, pain, and general health improved after stent removal compared with stent ( < 0.001). There were no significant differences in work-related functioning between two groups. There was one complication in Group 1 requiring bilateral stent replacement. There were no significant differences in emergency department visits, unplanned clinic visits, or hospitalizations between Groups 1 and 2. Patients with stent removal at 3-day group had better reported urinary, pain, and general health score compared with 7-day group. Patients after stent removal had improved urinary symptoms, pain symptom, and general health compared with ureteral stent . There was no statistically significant difference in complications between the groups.

Department

Urology

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