Indwelling Ureteral Stents and Sexual Health: A Prospective, Multivariate Analysis

Sighinolfi, Maria Chiara; Micali, Salvatore; Stefani, Stefano De; Mofferdin, A.; Grande, Alexis; Giacometti, M.; Ferrari, N.; Rivalta, M.; Bianchi, Giampaolo

doi:10.1016/j.juro.2007.03.039

Cited by 47 publications

(45 citation statements)

References 19 publications

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“…Kogan, Mojsjuk, Shkodkin, Sajdulaev, and Idashkin (2015) observed that bladder irritability was encountered due to the shape of the JJ catheter rather than the presence of urinary infection. Sighinolfi et al (2007) argued that longer catheterisation times significantly affect sexual function compared to short-term catheterisation. Significant emotional and physical morbidity may be seen in patients due to JJ stents (Joshi et al, 2003a,b (Srivastava, Gupta, Kumar, Kapoor, & Mandhani, 2003).…”

Section: Discussionmentioning

confidence: 99%

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Ureterorenoscopy with stenting and its effect on male sexual function: A controlled randomised prospective study

et al. 2016

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Seventy-two male patients, who were included in this study, underwent ureteroscopic stone surgery (study group). Forty-two healthy males were enrolled as control group. Changes in sexual function were evaluated using International Index of Erectile Function questionnaire in pre-operative, first and third postoperative terms. Overall satisfaction in relation to the age, operation time, presence of stents, body mass index, educational status, previous operations, International Index of Erectile Function score, International Prostate Symptom Score, Quality of Life, income status, Male Sexual Health Questionnaire, stone-free rates and Beck's depression scale were evaluated. Erectile and ejaculatory functions, quality of life and lower urinary tract symptoms were negatively affected due to ureteroscopic stone surgery, while educational status, psychogenic aspect and income status remained stable. In conclusion, ureteroscopic stone surgery with JJ catheterisation seems to have a progressively decreasing negative effect on male sexual function and whenever possible, stenting should be avoided. If JJ stenting is necessary, patients should be informed that they may experience sexual dysfunction at least for 3 months and if stenting proves necessary the indwelling should be kept as short as possible.

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Section: Discussionmentioning

confidence: 99%

“…A recent study focused on the relation between stents and sexual dysfunction(Sighinolfi, Micali, De Stefani, Mofferdin, and Grande (2007). Patients may suffer from symptoms related to JJ stents, such as intolerance to the stent, depression, severe stent-related pain, haematuria or urgency.…”

mentioning

confidence: 99%

Ureterorenoscopy with stenting and its effect on male sexual function: A controlled randomised prospective study

et al. 2016

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“…Despite the usefulness of double-J stent, some of the patients might encounter stent-related morbidities such as urinary tract infection (UTI), lower urinary tract symptoms (LUTS), stent-related body pain, and hematuria. These symptoms represent a prevalent problem with considerable effects on the quality of life, substantial general health, work performance, and sexual matters in both genders [3–5]. The pathophysiology of stent-related symptoms remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms

Shalaby

Ahmed

Maarouf

et al. 2013

Advances in Urology

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Purpose. We evaluated the effectiveness and safety of tamsulosin, solifenacin, and combination of both in reducing double-J stent-related lower urinary symptoms. Materials and Methods. A total of 338 patients with double-J ureteral stenting were randomly divided, postoperatively, into 4 groups. In group I (n = 84), no treatment was given (control group), group II (n = 85) received tamsulosin 0.4 mg daily, group III (n = 84) received solifenacin 10 mg daily, and group IV (n = 85) received a combination of both medications. Before insertion and 2 weeks after, all patients completed the International Prostate Symptom Score (IPSS), quality of life component of the IPSS (IPSS/Qol), Overactive Bladder Questionnaire (OAB-q), and Visual Analogue Pain Scale (VAPS) questionnaire. Results. The demographics and preoperative questionnaires scores of all groups were comparable. There were statistically significant differences in all scores in favour of groups II, III, and IV as compared to control group (P value < 0.005). Group IV showed statistically significant differences in total IPSS, QoL score, and OAB-q score as compared to groups II and III (P value < 0.001). Conclusions. Combined therapy of tamsulosin and solifenacin significantly alleviated lower urinary symptoms associated with double-J stents as compared to either medication alone.

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“…The Ureteral Stent Symptom Questionnaire (USSQ) looks at different facets of life including sexual function which has been shown to be negatively affected by the presence of a stent (Sighinolfi, Micali et al 2007). In fact, ureteroscopes, intracorporeal lithotriptors, and ureteroscopic techniques have improved to the point that the major morbidity of ureteroscopy has become the stent left in situ postoperatively.…”

Section: Problems Arising From Stentsmentioning

confidence: 99%

Biomaterials in Urology - Beyond Drug Eluting and Degradable - A Rational Approach to Ureteral Stent Design

Lange¹,

Elwood²,

Chew³

2011

Biomaterials - Physics and Chemistry

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Indwelling Ureteral Stents and Sexual Health: A Prospective, Multivariate Analysis

Cited by 47 publications

References 19 publications

Ureterorenoscopy with stenting and its effect on male sexual function: A controlled randomised prospective study

Ureterorenoscopy with stenting and its effect on male sexual function: A controlled randomised prospective study

Randomized Controlled Trial to Compare the Safety and Efficacy of Tamsulosin, Solifenacin, and Combination of Both in Treatment of Double-J Stent-Related Lower Urinary Symptoms

Biomaterials in Urology - Beyond Drug Eluting and Degradable - A Rational Approach to Ureteral Stent Design

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