633 A MULTI-CENTRE RANDOMIZED CONTROLLED STUDY TO COMPARE THE IMPACT OF DIFFERENT URETERAL STENT LENGTHS ON PATIENTS' QUALITY OF LIFE USING A VALIDATED QUESTIONNAIRE

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality of Life1 Apr 2011633 A MULTI-CENTRE RANDOMIZED CONTROLLED STUDY TO COMPARE THE IMPACT OF DIFFERENT URETERAL STENT LENGTHS ON PATIENTS' QUALITY OF LIFE USING A VALIDATED QUESTIONNAIRE Robert Calvert, Kee Wong, Sudhanshu Chitale, Stuart Irving, Muthuswamy Nagarajan, Chandra Biyani, Anthony Browning, James Young, Anthony Timoney, Francis Keeley, and Neil Burgess Robert CalvertRobert Calvert Liverpool, United Kingdom More articles by this author , Kee WongKee Wong Liverpool, United Kingdom More articles by this author , Sudhanshu ChitaleSudhanshu Chitale Norwich, United Kingdom More articles by this author , Stuart IrvingStuart Irving Norwich, United Kingdom More articles by this author , Muthuswamy NagarajanMuthuswamy Nagarajan Wakefield, United Kingdom More articles by this author , Chandra BiyaniChandra Biyani Wakefield, United Kingdom More articles by this author , Anthony BrowningAnthony Browning Wakefield, United Kingdom More articles by this author , James YoungJames Young Bristol, United Kingdom More articles by this author , Anthony TimoneyAnthony Timoney Bristol, United Kingdom More articles by this author , Francis KeeleyFrancis Keeley Bristol, United Kingdom More articles by this author , and Neil BurgessNeil Burgess Norwich, United Kingdom More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1509AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Insertion of ureteral stent is a common urological procedure in both elective and emergency settings. However, indwelling ureteral stent is often associated with significant pain and urinary symptoms. One suggested factor for this is bladder irritation secondary to a long redundant distal end of ureteral stent. The objective of this study is to compare the impact of multi-length 30cm and single length 24cm ureteral stents on patients' quality of life. METHODS 162 patients with upper urinary tract calculi requiring ureteral stent insertion were randomized into group 1 (6Fr x 24cm, Contour™) or group 2 (6Fr x 22–30cm, Contour VL™). Both stents were different in length but were otherwise identical and manufactured by the same company. Patients were requested to complete the validated Bristol ureteric stent symptom questionnaire (USSQ) at 1 and 4 weeks after stent insertion and 4 weeks after removal. Mean scores for each domain of the USSQ in both groups were compared using 2-tailed unpaired t test. Any adverse events such as stent migration, early removal of stent due to stent-related symptoms and failure of stent insertion were also recorded. RESULTS 153 patients who had successful ureteral stent insertion were requested to complete the USSQ. The response rate was 74% (62 and 51 patients in group 1 and 2 respectively). There were no significant difference in both groups in terms of age (p=0.47) or sex (p=0.22). At 1 and 4 weeks with the stent in situ, comparison of the mean domain scores demonstrated no significant difference in urinary symptoms (p=0.42 and p=0.19), pain (p=0.84 and p=0.39) and general health (p=0.48 and p=0.98). This is also similar for work performance (p=0.87 and p=0.78), sexual dysfunction (p=0.71 and p=0.41) and number of days patients stayed in bed (p=0.11 and 0.65) or reduced their routine activities (p=0.10and p=0.63). There were 3 (2%) patients who had stent removed earlier due to severe stent-related symptoms (all from group 1) and 5 (3%) patients with failed stent insertion. There was no ureteral stent migration noted in this study. CONCLUSIONS Based on this study, there is no difference in the impact on quality of life in patients who had either a multi-length or 24cm ContourTM ureteral stent. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e256 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Robert Calvert Liverpool, United Kingdom More articles by this author Kee Wong Liverpool, United Kingdom More articles by this author Sudhanshu Chitale Norwich, United Kingdom More articles by this author Stuart Irving Norwich, United Kingdom More articles by this author Muthuswamy Nagarajan Wakefield, United Kingdom More articles by this author Chandra Biyani Wakefield, United Kingdom More articles by this author Anthony Browning Wakefield, United Kingdom More articles by this author James Young Bristol, United Kingdom More articles by this author Anthony Timoney Bristol, United Kingdom More articles by this author Francis Keeley Bristol, United Kingdom More articles by this author Neil Burgess Norwich, United Kingdom More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...