MP65-01 RANDOMIZED, PROSPECTIVE STUDY TO COMPARE THE EFFICACY AND SAFETY OF COMPLETE INTRA-URETERAL STENT PLACEMENT VERSUS CONVENTIONAL STENT PLACEMENT IN RELIEVING URETERAL STENT RELATED SYMPTOMS Article Swipe
Arun Chawla
,
Milap Shah
,
Padmaraj Hegde
,
Arun Chawla
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1097/ju.0000000000002105.01
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1097/ju.0000000000002105.01
You have accessJournal of UrologyStone Disease: Surgical Therapy V (MP65)1 Sep 2021MP65-01 RANDOMIZED, PROSPECTIVE STUDY TO COMPARE THE EFFICACY AND SAFETY OF COMPLETE INTRA-URETERAL STENT PLACEMENT VERSUS CONVENTIONAL STENT PLACEMENT IN RELIEVING URETERAL STENT RELATED SYMPTOMS Arun Chawla, Milap Shah, Padmaraj Hegde, and Arun Chawla Arun ChawlaArun Chawla More articles by this author , Milap ShahMilap Shah More articles by this author , Padmaraj HegdePadmaraj Hegde More articles by this author , and Arun ChawlaArun Chawla More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002105.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Introduction and objective: To minimize stent-related symptoms (SRS), the distal part of the conventional double J (DJ) stent was replaced and a modified complete intra-ureteral stent with extraction suture was designed. The objective was to compare SRS of conventional DJ stent and complete intraureteral stent using the validated Ureteral Stent Symptom Questionnaire (USSQ). To our knowledge this is the first study comparing these types of stents using the validated questionnaire. METHODS: We randomized 124 patients after uncomplicated ureteroscopic lithotripsy into complete intraureteral (CIU-SP) and conventional DJ stent placement group (C-SP). The USSQ scores were evaluated on postoperative day 1, day 7 (just before stent removal) and 4 weeks after stent removal (control values). Pain scores after stent removal were also recorded using visual analogue scale (VAS). Sub-domain analysis of all stent related symptoms and stent related complications were also compared. RESULTS: No significant intergroup differences were found in the domain scores of urinary symptoms (p=0.74), pain (p=0.32), general health (p=0.27), work (p=0.24), or additional problems (p=0.29). However, statistically significant difference was noted on VAS scores were (p=0.015). Analysis of sub-domains of USSQ item scores revealed the CIU-SP group had significantly better scores for ‘‘urge incontinence,’’ ‘‘discomfort on voiding,’’ ‘‘difficulties with respect to light physical activity,’’ ‘‘fatigue,’’ “feeling comfortable” ‘‘need for extra help,’’ and ‘‘change in duration of work’’. However, the patients in CIU-SP group were sexually inactive for the time till stent was indwelling (mean: 7.34 days). There was no difference in the complication rate between the 2 groups. CONCLUSIONS: Though the search of ideal stent continues, the use of complete intra ureteral stent placement with strings after URS is a feasible option to decrease SRS. Such a modification also eliminates unnecessary decline in QoL from longer dwell time. This also decreases financial burden on the healthcare system as well as the patient. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1119-e1119 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Arun Chawla More articles by this author Milap Shah More articles by this author Padmaraj Hegde More articles by this author Arun Chawla More articles by this author Expand All Advertisement Loading ...
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- Type
- article
- Language
- en
- Landing Page
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- https://www.auajournals.org/doi/pdf/10.1097/JU.0000000000002105.01
- OA Status
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All OpenAlex metadata
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https://openalex.org/W3182997376Canonical identifier for this work in OpenAlex
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https://doi.org/10.1097/ju.0000000000002105.01Digital Object Identifier
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MP65-01 RANDOMIZED, PROSPECTIVE STUDY TO COMPARE THE EFFICACY AND SAFETY OF COMPLETE INTRA-URETERAL STENT PLACEMENT VERSUS CONVENTIONAL STENT PLACEMENT IN RELIEVING URETERAL STENT RELATED SYMPTOMSWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
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2021-08-04Full publication date if available
- Authors
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Arun Chawla, Milap Shah, Padmaraj Hegde, Arun ChawlaList of authors in order
- Landing page
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https://doi.org/10.1097/ju.0000000000002105.01Publisher landing page
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https://www.auajournals.org/doi/pdf/10.1097/JU.0000000000002105.01Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://www.auajournals.org/doi/pdf/10.1097/JU.0000000000002105.01Direct OA link when available
- Concepts
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Medicine, Stent, Surgery, Randomized controlled trial, Ureter, UreteroscopyTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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