PD14-05 THE PATIENT VOICE: LIVING WITH A URETERAL STENT AFTER URETEROSCOPY - A URINARY STONE DISEASE RESEARCH NETWORK (USDRN) STUDY

Abstract

You have accessJournal of UrologyStone Disease: Epidemiology & Evaluation I (PD14)1 Sep 2021PD14-05 THE PATIENT VOICE: LIVING WITH A URETERAL STENT AFTER URETEROSCOPY - A URINARY STONE DISEASE RESEARCH NETWORK (USDRN) STUDY Amy Corneli, Carrie Dombeck, Kevin McKenna, Jonathan Harper, Jodi Antonelli, Alana Desai, Henry Lai, Greg Tasian, Justin Ziemba, Rebecca McCune, Brooke Piskator, Hussein Al-Khalidi, Naim Maalouf, Peter Reese, Hunter Wessells, Ziya Kirkali, and Charles Scales Amy CorneliAmy Corneli More articles by this author , Carrie DombeckCarrie Dombeck More articles by this author , Kevin McKennaKevin McKenna More articles by this author , Jonathan HarperJonathan Harper More articles by this author , Jodi AntonelliJodi Antonelli More articles by this author , Alana DesaiAlana Desai More articles by this author , Henry LaiHenry Lai More articles by this author , Greg TasianGreg Tasian More articles by this author , Justin ZiembaJustin Ziemba More articles by this author , Rebecca McCuneRebecca McCune More articles by this author , Brooke PiskatorBrooke Piskator More articles by this author , Hussein Al-KhalidiHussein Al-Khalidi More articles by this author , Naim MaaloufNaim Maalouf More articles by this author , Peter ReesePeter Reese More articles by this author , Hunter WessellsHunter Wessells More articles by this author , Ziya KirkaliZiya Kirkali More articles by this author , and Charles ScalesCharles Scales More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001990.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ureteral stents are often employed after ureteroscopy, and thought to impair patient quality of life. Despite this well-known impact, there has been little rigorous qualitative research on patients’ experiences with stent placement after ureteroscopy. The objective of this study was to describe the qualitative impact of stents on psychological, functional, and interpersonal aspects of patients’ lives. METHODS: The USDRN Study to Enhance Understanding of Stent-Associated Symptoms (STENTS) is a prospective observational cohort study that included a nested cohort of participants who completed qualitative in-depth interviews (IDIs, n=39) within 30 days after stent removal. Participants shared their experiences focusing on symptoms and symptom impact on daily activities. All interviews were audio-recorded, transcribed, and analyzed using a rigorous qualitative approach (applied thematic analysis). Participants were categorized into three groups during analysis based on their experiences with interference in daily activities: minimal, moderate, and substantial interference. RESULTS: Of the 39 participants, 21 (54%) were female, and the median age was 44 (IQR 29,58; range 13–77); median stent dwell time was 8 days (IQR 6.5, 11). Interviews were conducted 7–30 days (median=16 days) after stent removal. All participants experienced pain and almost all experienced urinary symptoms. Participants often linked their pain with apprehension or anxiety caused by knowing that urination would be painful, as well as resentment for needing to drink water as it would ultimately lead to painful urination. A subset of participants (n=12) experienced only minimal interference with activities, 19 experienced moderate interference, and importantly, the remainder of participants (n=8, Table) reported substantial and pervasive interference with activities. CONCLUSIONS: These qualitative findings provide important insights into the lived experience of patients with stents. Counseling to better prepare patients for the impact of stent-associated symptoms, and efforts to identify patients at risk for pervasive symptom interference, may help mitigate the burden of stent-associated symptoms. Source of Funding: NIH/NIDDK © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e217-e217 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Amy Corneli More articles by this author Carrie Dombeck More articles by this author Kevin McKenna More articles by this author Jonathan Harper More articles by this author Jodi Antonelli More articles by this author Alana Desai More articles by this author Henry Lai More articles by this author Greg Tasian More articles by this author Justin Ziemba More articles by this author Rebecca McCune More articles by this author Brooke Piskator More articles by this author Hussein Al-Khalidi More articles by this author Naim Maalouf More articles by this author Peter Reese More articles by this author Hunter Wessells More articles by this author Ziya Kirkali More articles by this author Charles Scales More articles by this author Expand All Advertisement Loading ...