Outcomes of a non-randomised audit of single pigtail suture stents in urolithiasis management of Asian patients in Singapore  

作　　者：Ee Jean Lim Zhen Wei Choo Reshma Mangat Pradeep Durai Sarvajit Biligere Yiquan Tan Loh Hin Yeung Marcus Nicole Andrea Seet Li Ting Chin Tiong Heng Stefania Ferreti Vineet Gauhar 

机构地区：[1]Urology Department,Singapore General Hospital,Singapore [2]Urology Department,Tan Tock Seng Hospital,Singapore [3]Urology Department,Ng Teng Fong Hospital,Singapore [4]Urology Department,Azienda Ospedaliera-Uiversitaria(Hospital and University of Parma),Parma,Italy

出　　处：《Asian Journal of Urology》2024年第2期324-330,共7页亚洲泌尿外科杂志（英文）

摘　　要：Objective:Double-J(DJ)ureteric stents are commonly placed perioperatively for semirigid or flexible ureteroscopic renal surgery.It is believed that lesser stent material within the bladder mitigates stent-related symptoms.This study aimed to evaluate the J-Fil ureteral stent,a single pigtail suture stent compared with conventional DJ stent in relation to stent symptoms in an Asian population undergoing ureterorenal intervention.Methods:Based on internal audit committee recommendation approval,the records of 50 patients retrieved,available data of 41 patients who were prospectively enrolled into two groups(Group 1[J-Fil stent group],n=21 and Group 2[DJ stent group],n=20)between August 2020 to January 2021,were analysed.Parameters compared were nature of procedure,stone location and size,ease of deployment or removal,and complications.A modified universal stent symptom questionnaire was used to assess morbidity of stent symptoms within 48 h of insertion and at removal.Results:Both groups had similar median age,distribution in male to female ratio,and stone size.The overall median universal stent symptom questionnaire score at insertion was similar for bladder pain,flank or loin pain,and quality of life between Group 1 and 2;however,at removal Group 1 fared significantly better than Group 2,especially for flank or loin pain and pain at voiding.Both groups had similar ease in insertion with no hospital readmissions.Conclusion:Our audit favoured the single pigtail suture stent in Asian ureters in mitigating stent-related issues.It showed a good safety profile with easy deployment and removal.It promises a new standard in stenting.

关 键 词：STENT URETEROSCOPY Pigtail suture stent Asianpatient Flexible ureteroscopic renal surgery 

分 类 号：R691.4[医药卫生—泌尿科学]