Effectiveness of medical treatment in overcoming the ureteral double-J stent related symptoms

Authors

  • Ugur Kuyumcuoglu Dr. Lütfi Kirdar Training and Research Hospital 1. Urology Clinic, Istanbul, Turkey
  • Bilal Eryildirim Dr. Lütfi Kirdar Training and Research Hospital 1. Urology Clinic, Istanbul, Turkey
  • Murat Tuncer Dr. Lütfi Kirdar Training and Research Hospital 1. Urology Clinic, Istanbul, Turkey
  • Gokhan Faydaci Dr. Lütfi Kirdar Training and Research Hospital 1. Urology Clinic, Istanbul, Turkey
  • Fatih Tarhan Dr. Lütfi Kirdar Training and Research Hospital 1. Urology Clinic, Istanbul, Turkey
  • Aydin Ozgül Dr. Lütfi Kirdar Training and Research Hospital 1. Urology Clinic, Istanbul, Turkey

DOI:

https://doi.org/10.5489/cuaj.145

Abstract

Background: We investigated whether the frequency of lower urinary tract symptoms (LUTS) increased in patients in whom double-J stents were applied. We also evaluated several medical therapy protocols to treat symptoms related with ureteral stents.

Materials and Methods: A total of 108 patients, in whom unilateral double-j stent was applied during ureteral stone treatment, were included. Before the double-J stent was applied, all patients completed storage components of the “International Prostate Symptom Score” (IPSSs), quality of life components of the IPSS (IPSS-QOL) and “Overactive Bladder Questionnaire” (OABq) forms and scores were calculated. After the procedure, cases were randomized into 5 groups, an antiinflammatory was given to Group 1, spasmolytic to Group 2, anticholinergic to Group 3 and α-blocker to Group 4. No additional drug was given to Group 5 as this control group. During the fourth week of the procedure, IPSSs, IPSS-QOL and OABq forms were again completed and scores were compared with the previous ones.

Results: When all the cases were evaluated, the IPSSs, IPSS-QOLand OABq scores of patients in whom the double-J stent was applied were statistically significantly higher the procedure. Compared to the control group, the cases where the double-J stent was applied showed a higher IPSSs, IPSS-QOL and OABq scores and none of the medical therapies could prevent this increase.

Interpretation: The frequency of LUTS increased in cases where the ureteral stent was applied and discomfort continued as long as the stent stayed in the body.

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Published

2012-12-13

How to Cite

Kuyumcuoglu, U., Eryildirim, B., Tuncer, M., Faydaci, G., Tarhan, F., & Ozgül, A. (2012). Effectiveness of medical treatment in overcoming the ureteral double-J stent related symptoms. Canadian Urological Association Journal, 6(6), e234–7. https://doi.org/10.5489/cuaj.145

Issue

Section

Original Research