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Bosio A, Ferretti S, Alessandria E, Vitiello F, Vercelli E, Campobasso D, Micai L, Gozzo C, Bertello G, Guarino GG, Alice C, Bisconti A, Fop F, Gontero P. Patients undergoing double J substitution with a pigtail suture stent report a significant decrease of stent-related symptoms. Results from a prospective multicenter longitudinal trial. World J Urol 2024; 42:186. [PMID: 38517489 PMCID: PMC10959803 DOI: 10.1007/s00345-024-04879-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 02/10/2024] [Indexed: 03/24/2024] Open
Abstract
PURPOSE To compare stent-related symptoms (SRS) in patients with double J (DJ) undergoing substitution with a pigtail suture stent (PSS) after ureteroscopy (URS), through the Ureteral Stent Symptom Questionnaire (USSQ). MATERIALS AND METHODS Patients with DJ undergoing URS for stone treatment were enrolled in this prospective multicenter longitudinal study. The USSQ was submitted thrice: 2 weeks after DJ, 2 weeks after PSS and 4 weeks after PSS removal (baseline). PRIMARY ENDPOINT to compare Urinary Symptom Index Score and the rate of patients with pain 2 weeks after DJ and PSS. Secondary endpoints: to compare other USSQ scores and single answers 2 weeks after DJ and PSS, and DJ and PSS USSQ scores with baseline. RESULTS 93 patients were enrolled. 2 weeks Urinary Symptom Index Score (p < 0.001) and the percentage of patients complaining of pain (60.2% vs 88.2%, p < 0.001) were significantly in favour of PSS compared to DJ. 2 weeks scores were significantly improved with PSS compared to DJ: Pain Index (p < 0.001), VAS (p < 0.001), General Health Index (p < 0.001) and Work Performance Index (p < 0.001). All urinary symptoms were significantly decreased with PSS, including renal pain during micturition and pain interfering with life. Pain Index Score (p = 0.622) and VAS (p = 0.169) were comparable to baseline with PSS, while differed with DJ. CONCLUSIONS Patients undergoing DJ substitution with PSS after URS report a significant decrease of SRS. Urologists may consider positioning PSS after URS in pre-stented patients to reduce the impact of SRS.
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Affiliation(s)
- Andrea Bosio
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy.
- Department of Surgical Sciences, University of Turin, Turin, Italy.
| | - Stefania Ferretti
- Department of Urology, AOU University Hospital, Parma, Italy
- Department of Urology, AOU University Hospital, Modena, Italy
| | - Eugenio Alessandria
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | - Federico Vitiello
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | - Eugenia Vercelli
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | | | - Luca Micai
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | - Claudia Gozzo
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | - Glauco Bertello
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | | | - Claudia Alice
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | - Alessandro Bisconti
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | - Fabrizio Fop
- Department of Nephrology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
| | - Paolo Gontero
- Department of Urology, AOU Città della Salute e della Scienza, Molinette University Hospital, Turin, Italy
- Department of Surgical Sciences, University of Turin, Turin, Italy
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Bosio A, Alessandria E, Vitiello F, Vercelli E, Micai L, Gozzo C, Bisconti A, Gontero P. One hundred and one pigtail suture stents after ureteroscopy: focus on insertion, removal and complications. Minerva Urol Nephrol 2023; 75:555-558. [PMID: 37199531 DOI: 10.23736/s2724-6051.23.05162-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/19/2023]
Affiliation(s)
- Andrea Bosio
- Department of Urology, Molinette University Hospital, Città della Salute e della Scienza, Turin, Italy -
| | - Eugenio Alessandria
- Department of Urology, Molinette University Hospital, Città della Salute e della Scienza, Turin, Italy
| | - Federico Vitiello
- Department of Urology, Molinette University Hospital, Città della Salute e della Scienza, Turin, Italy
| | - Eugenia Vercelli
- Department of Urology, Molinette University Hospital, Città della Salute e della Scienza, Turin, Italy
| | - Luca Micai
- Department of Urology, Molinette University Hospital, Città della Salute e della Scienza, Turin, Italy
| | - Claudia Gozzo
- Department of Urology, Molinette University Hospital, Città della Salute e della Scienza, Turin, Italy
| | - Alessandro Bisconti
- Department of Urology, Molinette University Hospital, Città della Salute e della Scienza, Turin, Italy
| | - Paolo Gontero
- Department of Urology, Molinette University Hospital, Città della Salute e della Scienza, Turin, Italy
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Bosio A, Alessandria E, Vitiello F, Vercelli E, Micai L, Gozzo C, Bisconti A, Gontero P. Can we safely use pigtail suture stents at the end of ureteroscopy? The first large series. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)00171-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Oleari F, Mordenti P, Bontini S, Carini S, Castellani S, Gozzo C, Grassi O, Muroni M, Cordani M, Cremona G, Cavanna L. The red thread between Piacenza and the Michigan Appropriateness guide for intravenous catheters guidelines. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw339.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Bontini S, Mordenti P, Oleari F, Carini S, Castellani S, Gozzo C, Grassi O, Muroni M, Cordani M, Cremona G, Cavanna L. A computerized approach for the management of peripheral and central venous accesses. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv345.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Oleari F, Mordenti P, Vallisa D, Moretto M, Arbasi C, Bontini S, Carini S, Castellani S, Gozzo C, Grassi O, Muroni M, Cordani M, Cappucciati L, Cavanna L. Midline for apheresis of peripheral blood stem cells. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv345.26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Grassi O, Mordenti P, Oleari F, Bontini S, Carini S, Castellani S, Gozzo C, Muroni M, Cordani M, Cremona G, Cavanna L. Tunnelled peripherally Inserted Central Catheters. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv345.07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Muroni M, Oleari F, Bontini S, Gozzo C, Grassi O, Cappucciati L, Cremona G, Cordani M, Cavanna L. Peripherally inserted central venous catheters (PICCs) in cancer patients placed by specialist nurses. A prospective observational study of 817 consecutive catheterizations. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv345.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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