Pigtail Suture Stents Significantly Reduce Stent-related Symptoms Compared to Conventional Double J Stents: A Prospective Randomized Trial.

Double J stent Lower urinary tract symptoms Nephrolithiasis Pain Pigtail suture stents RIRS Stent-related symptoms Stents URS Ureteroscopy Urinary calculi

Journal

European urology open science
ISSN: 2666-1683
Titre abrégé: Eur Urol Open Sci
Pays: Netherlands
ID NLM: 101771568

Informations de publication

Date de publication:
Jul 2021
Historique:
accepted: 29 03 2021
entrez: 2 8 2021
pubmed: 3 8 2021
medline: 3 8 2021
Statut: epublish

Résumé

Double J (DJ) ureteral stents are commonly inserted after ureteroscopy (URS) procedures for stone treatment. However, stent-related symptoms are still a major issue. To determine whether a commercially available pigtail suture stent (PSS) can reduce stent-related symptoms compared to a conventional DJ stent after uncomplicated URS. We designed a randomized, single-blind, parallel-group trial from January to November 2020. The inclusion criteria were stone-free URS without intraprocedural complications. Patients with distal ureteral stones were excluded. Insertion of a PSS or DJ stent after URS. The primary endpoint was the Urinary Symptom Index score on the Ureteral Stent Symptoms Questionnaire (USSQ) 2 wk after URS. Secondary endpoints were USSQ domain scores and responses to individual USSQ questions at 2 d and 2 wk after surgery. A total of 78 patients were randomized and treated according to protocol. The Urinary Symptom Index score ( PSS significantly reduced stent-related symptoms after URS, in particular urinary symptoms and pain, compared to conventional DJ stents, and showed a good safety profile. Stents are hollow tubes placed in the passage between the kidney and the bladder (ureter). The standard stent has two coiled ends (double J stent) to keep it in place in both the kidney and the bladder. We tested a commercial stent with two strings at the bladder end (pigtail suture stent) after procedures to remove stones from the upper urinary tract and found that it caused less stent-related symptoms compared to a double J stent.

This trial is registered at Clinicaltrials.gov as NCT03344120.

Sections du résumé

BACKGROUND BACKGROUND
Double J (DJ) ureteral stents are commonly inserted after ureteroscopy (URS) procedures for stone treatment. However, stent-related symptoms are still a major issue.
OBJECTIVE OBJECTIVE
To determine whether a commercially available pigtail suture stent (PSS) can reduce stent-related symptoms compared to a conventional DJ stent after uncomplicated URS.
DESIGN SETTING AND PARTICIPANTS METHODS
We designed a randomized, single-blind, parallel-group trial from January to November 2020. The inclusion criteria were stone-free URS without intraprocedural complications. Patients with distal ureteral stones were excluded.
INTERVENTION METHODS
Insertion of a PSS or DJ stent after URS.
OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS METHODS
The primary endpoint was the Urinary Symptom Index score on the Ureteral Stent Symptoms Questionnaire (USSQ) 2 wk after URS. Secondary endpoints were USSQ domain scores and responses to individual USSQ questions at 2 d and 2 wk after surgery.
RESULTS AND LIMITATIONS CONCLUSIONS
A total of 78 patients were randomized and treated according to protocol. The Urinary Symptom Index score (
CONCLUSIONS CONCLUSIONS
PSS significantly reduced stent-related symptoms after URS, in particular urinary symptoms and pain, compared to conventional DJ stents, and showed a good safety profile.
PATIENT SUMMARY RESULTS
Stents are hollow tubes placed in the passage between the kidney and the bladder (ureter). The standard stent has two coiled ends (double J stent) to keep it in place in both the kidney and the bladder. We tested a commercial stent with two strings at the bladder end (pigtail suture stent) after procedures to remove stones from the upper urinary tract and found that it caused less stent-related symptoms compared to a double J stent.

This trial is registered at Clinicaltrials.gov as NCT03344120.

Identifiants

pubmed: 34337527
doi: 10.1016/j.euros.2021.03.011
pii: S2666-1683(21)00078-1
pmc: PMC8317849
doi:

Banques de données

ClinicalTrials.gov
['NCT03344120']

Types de publication

Journal Article

Langues

eng

Pagination

1-9

Informations de copyright

© 2021 The Authors.

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Auteurs

Andrea Bosio (A)

Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Eugenio Alessandria (E)

Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Simone Agosti (S)

Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Federico Vitiello (F)

Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Eugenia Vercelli (E)

Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Alessandro Bisconti (A)

Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Paolo Piana (P)

Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Fabrizio Fop (F)

Department of Nephrology, Dialysis and Renal Transplantation, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Paolo Gontero (P)

Department of Urology, Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.

Classifications MeSH