Intravesical stent position as a predictor of quality of life in patients with indwelling ureteral stent

Xeng Inn Fam, Nurzarina Ahmed, Loo Guo Hou, Zainal Adwin Zainal Abidin, Lim Li Yi, Zulkifli Md. Zainuddin

Research output: Contribution to journalArticle

Abstract

Purpose: The internal drainage provided by a ureteral stent helps with the relief and prevention of ureteral obstruction. By definition, correct stent placement is one with a complete loop in both the renal pelvis and bladder. This prevents stent migration proximally or distally despite urinary flow, patient movement, and ureteral peristalsis. Methods: We performed a comparative prospective cross-sectional study assessing the impact of intravesical stent position on the quality of life in 46 patients with a ureteral stent. This is done using the Ureteral Stent Symptom Questionnaire (USSQ). Results: 52.5% of patients had an ipsilateral positioned intravesical stent, while the remaining had their stent positioned contralaterally. Intravesical stent position significantly influenced the quality of life. The USSQ score was worse for the contralateral group. Subscore analysis found that urinary symptoms and body pain index contribute significantly to the morbidity. Majority of patients in the ipsilateral group reported no discomfort as compared to the contralateral group. Conclusions: To the best of our knowledge, this is the first study assessing the impact of intravesical stent position on the quality of life in the Asian population. Intravesical stent position has a significant influence on patient’s morbidity and quality of life in particular towards their urinary irritative symptoms and body pain. It is imperative to ensure correct distal placement of ureteric stent that does not cross the midline to the contralateral site. We believe that the USSQ should be used in daily clinical practice in assessing the symptoms related to indwelling ureteric stents.

Original languageEnglish
JournalInternational Urology and Nephrology
DOIs
Publication statusAccepted/In press - 1 Jan 2019

Fingerprint

Stents
Quality of Life
Morbidity
Pain
Ureteral Obstruction
Peristalsis
Kidney Pelvis
Drainage
Urinary Bladder
Cross-Sectional Studies

Keywords

  • Patient’s satisfaction
  • Stent irritation
  • Ureteral stent
  • Ureteral Stent Symptom Questionnaire
  • Ureteric stones

ASJC Scopus subject areas

  • Nephrology
  • Urology

Cite this

Intravesical stent position as a predictor of quality of life in patients with indwelling ureteral stent. / Fam, Xeng Inn; Ahmed, Nurzarina; Hou, Loo Guo; Abidin, Zainal Adwin Zainal; Yi, Lim Li; Md. Zainuddin, Zulkifli.

In: International Urology and Nephrology, 01.01.2019.

Research output: Contribution to journalArticle

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AU - Abidin, Zainal Adwin Zainal

AU - Yi, Lim Li

AU - Md. Zainuddin, Zulkifli

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