The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain

Abstract objectives: To examine the safety and effectiveness of the use of a stent with a string attached after ureteroscopy (URS) for self-removal of the stent by the patient. Patients and methods: After Institutional Review Board approval, a retrospective chart review was performed concerning pati...

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Autores principales:	Karen M. Doersch, Amr Elmekresh, G. Luke Machen, Marawan M. El Tayeb
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/91e0ee311e384451bd2440fe39b3fcb3
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spelling	oai:doaj.org-article:91e0ee311e384451bd2440fe39b3fcb32021-12-02T12:24:09ZThe use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain2090-598X10.1016/j.aju.2018.04.005https://doaj.org/article/91e0ee311e384451bd2440fe39b3fcb32018-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300548https://doaj.org/toc/2090-598XAbstract objectives: To examine the safety and effectiveness of the use of a stent with a string attached after ureteroscopy (URS) for self-removal of the stent by the patient. Patients and methods: After Institutional Review Board approval, a retrospective chart review was performed concerning patients who underwent URS and received an indwelling stent with or without a string attached to the stent (94 vs 349, respectively). Amongst the string group patients received a single- or a double-arm-stringed stent (31 vs 63, respectively). Statistical analyses included chi-squared and Student’s t-tests. Results: The string group consisted of 94 procedures, in which 59.6% of the patients were male with a mean (SD) age of 50.0 (16.5) years. In the no-string group, 51.3% of the 349 procedures were performed in males and the mean (SD) age was 54.9 (18.1) years. Complication rates were 12.8% in the string group and 14.0% in the no-string group (P = 0.867). In the string group, 17.0% of the patients returned to the Emergency Department, whilst 15.8% of the no-string patients returned (P = 0.753). The complication rate in the single- and double-arm groups were 12.9% and 12.7%, respectively (P > 0.910). Self-removal of stents was successful in 94.7% of patients (89/94). Conclusions: The use of a stent with a string after URS appears safe and effective. Few patients had difficulty removing their stents and complication rates were similar in the groups with and without a string attached to their stents. Single- and double-arm-stringed stents have similar complication rates. Keywords: Ureteric stent, Ambulatory care, Endourology, Urinary tract obstruction, Obstructive uropathy, Outpatient procedureKaren M. DoerschAmr ElmekreshG. Luke MachenMarawan M. El TayebTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 4, Pp 435-440 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Karen M. Doersch Amr Elmekresh G. Luke Machen Marawan M. El Tayeb The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain
description	Abstract objectives: To examine the safety and effectiveness of the use of a stent with a string attached after ureteroscopy (URS) for self-removal of the stent by the patient. Patients and methods: After Institutional Review Board approval, a retrospective chart review was performed concerning patients who underwent URS and received an indwelling stent with or without a string attached to the stent (94 vs 349, respectively). Amongst the string group patients received a single- or a double-arm-stringed stent (31 vs 63, respectively). Statistical analyses included chi-squared and Student’s t-tests. Results: The string group consisted of 94 procedures, in which 59.6% of the patients were male with a mean (SD) age of 50.0 (16.5) years. In the no-string group, 51.3% of the 349 procedures were performed in males and the mean (SD) age was 54.9 (18.1) years. Complication rates were 12.8% in the string group and 14.0% in the no-string group (P = 0.867). In the string group, 17.0% of the patients returned to the Emergency Department, whilst 15.8% of the no-string patients returned (P = 0.753). The complication rate in the single- and double-arm groups were 12.9% and 12.7%, respectively (P > 0.910). Self-removal of stents was successful in 94.7% of patients (89/94). Conclusions: The use of a stent with a string after URS appears safe and effective. Few patients had difficulty removing their stents and complication rates were similar in the groups with and without a string attached to their stents. Single- and double-arm-stringed stents have similar complication rates. Keywords: Ureteric stent, Ambulatory care, Endourology, Urinary tract obstruction, Obstructive uropathy, Outpatient procedure
format	article
author	Karen M. Doersch Amr Elmekresh G. Luke Machen Marawan M. El Tayeb
author_facet	Karen M. Doersch Amr Elmekresh G. Luke Machen Marawan M. El Tayeb
author_sort	Karen M. Doersch
title	The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain
title_short	The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain
title_full	The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain
title_fullStr	The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain
title_full_unstemmed	The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain
title_sort	use of a string with a stent for self-removal following ureteroscopy: a safe practice to remain
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/91e0ee311e384451bd2440fe39b3fcb3
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The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain

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