Comparative analysis of efficacy of different calibre of DJ stent in relation to urinary tract symptoms.

Neeraj Agarwal; Ashish Gupta; S S Yadav; Shivam Priyadarshi; R D Sahu

Volume : VII, Issue : III, March - 2018

Comparative analysis of efficacy of different calibre of DJ stent in relation to urinary tract symptoms.

Neeraj Agarwal, Ashish Gupta, S S Yadav, Shivam Priyadarshi, R D Sahu

Abstract :

INTRODUCTION: ureteral stents (DJ) stents are integral part of endourology but they are not free from side effect.¹ These symptoms are largely due to bladder irritation caused by stent.² We report our experience on the evaluation of symptoms related to indwelling DJ stents and their impact on various urinary symptoms, based on different stent calie, using a validated stent symptom specific questionnaire³.

METHODS: A total of 150 patients divided in three groups (50 each) were evaluated using 4Fr, 5Fr and 6Fr DJ stent at 7^th day post op, at 21^st day and at 28^th day(7 days after DJ removal) using USSQ score.

RESULTS: At 7^th day we found urinary, pain, general and accessory symptoms were significantly lower in 4 Fr group. However no significant difference was seen between 5 and 6 Fr group. At 21^st day tolerance developed in almost all domains with significant difference only in pain and general symptoms, both being higher in 6Fr group. 7 days after removal of DJ stent symptom score continue to fall in all the groups. Where urinary and accessory symptoms were least in 4 Fr group there was greatest fall of pain scores in 6 Fr group, probably because of maximum relief in larger calie group.

CONCLUSION: Ours is the 1^st study to compare three different stent sizes including 4 Fr calie with USSQ scores not widely different but were statistically significant, so we recommend use of smaller calie stent wherever possible.