Comparison of ureteral stent diameters on ureteral stent-related symptoms: A systematic review and meta-analysis

Diatmika, Anak Agung Ngurah Oka; Djojodimedjo, Tarmono; Kloping, Yudhistira Pradnyan; Hidayatullah, Furqan; Soebadi, Mohammad Ayodhia

doi:10.5152/tud.2022.21255

Cited by 9 publications

(5 citation statements)

References 34 publications

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“…This dynamic parameter is particularly reinforced under the weight of the episodes of nephrolithiasis that patients will almost certainly experience, and of course the outcome of the placement, the length of time the pigtail remains in place, the type and size range used, and so on. 8,11,19 Initially, it would seem that patients with nephrolithiasis have similar levels of anxiety to the general population. 6 However, there is evidence that even stent sizes determine higher levels of anxiety among patients with nephrolithiasis who did or did not have a stent placed.…”

Section: Resultsmentioning

confidence: 99%

“…Although this estimate has more to do with the thresholds set, the patients' anxiety status is obviously relevant to the management of their disease; however, it is not independent of the disease outcome and immediate management. This dynamic parameter is particularly reinforced under the weight of the episodes of nephrolithiasis that patients will almost certainly experience, and of course the outcome of the placement, the length of time the pigtail remains in place, the type and size range used, and so on 8,11,19 …”

Section: Discussionmentioning

confidence: 99%

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Investigation of quality of life and anxiety level of patients who have undergone pigtail placement

Rikos,

Titomichelaki,

Katsalaki

et al. 2024

Int J of Uro Nursing

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Worldwide, nephrolithiasis is a disease with an increased frequency of presence and symptoms. This study aimed to investigate the quality of life (QoL) and the factors influencing it in patients who have undergone pigtail catheter placement. Α cross‐sectional study was implemented in 85 patients from the Urology Clinic/University General Hospital of Crete, Greece, recruited during November 2022 and January 2023. Patients' demographic and medical history profile were recorded and their QoL and state anxiety status assessed using the SF‐36 and State–Trait Anxiety Inventory (STAI‐S) scales based on multiple logistic regression analysis. The majority of patients were female (55.3%) and the mean age of all was 53.7 years (±11.5). QoL was moderate to high while 30.6% and 35.3% of patients presented high quality of Physical and Mental Components, respectively. For Anxiety, moderate mean scores were found while 62.4% presented high anxiety. Patients with low/moderate State Anxiety compared with their counterparts had better QoL in the SF‐36 subscales (p < 0.05). In the Physical Component, higher odds of high QoL appear to be found in females versus males (odds ratio, OR = 8.68, p = 0.008), in higher income categories (OR = 5.74, p < 0.001) and in patients with low/moderate anxiety (OR = 12.87, p < 0.001), while in the Mental Component higher odds were found for higher income categories (OR = 2.19, p = 0.018) and patients with low/moderate anxiety (OR = 7.20, p = 0.001). Better QoL in patients with nephrolithiasis and pigtail is associated with female gender, higher living standards and lower state anxiety, allowing more effective interventions by health professionals to alleviate patients' symptoms and empower them.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Investigation of quality of life and anxiety level of patients who have undergone pigtail placement

Rikos,

Titomichelaki,

Katsalaki

et al. 2024

Int J of Uro Nursing

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“…10,11 A systematic review and meta-analysis by Diatmika et al, including 6 studies recommended the use of smaller ureteral stents for reducing stent-related patient symptoms and discomfort without any significant differences in the incidence of stent migration, analgesic use and stone free rate. 12 It may be hypothesized that the USSQ score can be influenced by different parameters like the stent material, placement technique, patient characteristics, and use of analgesics, in addition to the stent size. [13][14][15][16] However, stent size seems to be the most effective way for improving patient comfort with smaller stent sizes leading to lesser discomfort.…”

Section: Discussionmentioning

confidence: 99%

Comparison of stent-related symptoms, passive ureter dilatation and stone clearance rate using 4.5 French versus 6 French double J stenting of unfavourable ureter: a prospective randomized controlled trial in a tertiary care centre

Nagabhairava,

Javali,

et al. 2024

Int J Res Med Sci

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Background: Retrograde intrarenal surgery (RIRS) is the standard of care for renal stones of less than 1.5 cm and less than 1000 Hounsfield units (HU). Most virgin ureters do not allow the flexible ureteroscope in the first setting. Placement of a D-J stent in the ureter dilates the ureter. Therefore, our study aimed to compare stone clearance rates and symptom complex of passive ureteral dilation following 4.5 French/Fr versus 6 French/Fr double J (DJ) stent placement. Methods: After obtaining ethics approval and written informed consent, 100 patients satisfying the inclusion and exclusion criteria were included and data recorded. patients were randomized into group A (4.5 Fr) and group B (6 Fr). Stent was placed. After 4 weeks, symptoms were assessed by the ureteral stent symptom questionnaire (USSQ). Following retrograde intrarenal surgery (RIRS) successful passage of ureteric access sheath (UAS) and stone clearance rates were assessed. Results: The surgical success rate, stone clearance rate was similar in the two groups (p value: more than 0.05). The USSQ score was significantly lower in group A (p value: 0.001). Conclusions: Stent of smaller diameter (4.5 Fr) is associated with less patient discomfort with similar surgical completion rates and stone clearance.

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“…Many studies revealed that the stent diameter is not associated with its function and success; a smaller diameter does not increase stent-associated complications [ 22 , 23 , 24 ]. Two meta-analyses showed that the incidence of ureteral stent-related symptoms is inversely proportional to the stent diameter [ 25 , 26 ]; on the other hand, the diameter seems not to affect the incidence of stent migration, analgesic use and stone-free rate [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

Comprehensive overview of ureteral stents based on clinical aspects, material and design

2023

Cent european J Urol

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Ureteral stents are useful devices in urological surgery. The main objective of a ureteric stent is to allow passage of urine and reduce early or late complications related to obstruction in the urinary tract. Despite their widespread use, there is a general lack of knowledge and awareness in stent composition and indication of application. We represented a synthesis of our extensive research over materials, coatings and shapes available on the market and then analyzed the main characteristics and peculiarities of ureteral stents. We have also focused our attention over the side effects and complication that must be considered when placing a ureteral stent. Encrustation, microbial colonization, stent-related symptoms and patient’s history must always be evaluated when there is the need for a ureteral stent. The perfect stent should have many characteristics including easy insertion and removal, easy manipulation, resistance to encrustation and migration, lack of complications, biocompatibility, radio-opacity, biodurability, affordability (cost-effectiveness), tolerability and optimal flow characteristics. Nevertheless, further research and studies need to be done to provide more information about stent composition and efficacy in vivo. In this narrative review, we covered the basic information and main characteristics of ureteral stents, in order to help clinicians choose the appropriate device needed for a given situation.

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Comparison of ureteral stent diameters on ureteral stent-related symptoms: A systematic review and meta-analysis

Cited by 9 publications

References 34 publications

Investigation of quality of life and anxiety level of patients who have undergone pigtail placement

Investigation of quality of life and anxiety level of patients who have undergone pigtail placement

Comparison of stent-related symptoms, passive ureter dilatation and stone clearance rate using 4.5 French versus 6 French double J stenting of unfavourable ureter: a prospective randomized controlled trial in a tertiary care centre

Comprehensive overview of ureteral stents based on clinical aspects, material and design

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