Patient experiences and preferences with ureteral stent removal

Jeffrey C. Loh-Doyle, Roger Low, Manoj Monga, Mike M. Nguyen

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Purpose: Ureteral stent removal is a source of patient morbidity. We surveyed 599 patients to evaluate their experiences and identify the preferred method of stent removal. Materials and Methods: Visitors to a kidney stone website were invited to participate. Respondents were asked how their ureteral stent was removed? Pain during and after the procedure, patient experiences, and preferences regarding stent removal were queried. Chi-square and ANOVA tests were used to identify significant differences among removal methods. Results: Five hundred seventy-one respondents were included in the study. The majority of stents (44%) were removed by office cystoscopy while 39% had their stents removed by string. Mean pain during stent removal was 4.8 out of 10 with 57% reporting moderate-to-severe pain levels of 4 or more. Removal by office cystoscopy resulted in the highest experienced pain (5.3). Thirty-two percent reported delayed severe pain after stent removal, including 9% who returned for emergency care. Removal by string resulted in more emergency room visits when compared to cystoscopy. Willingness to undergo the same removal technique was lowest for those who underwent office cystoscopy and highest for operating room cystoscopy. Being informed of why a stent was placed and the removal process was of high priority for respondents. Conclusions: The majority of patients report moderate-to-severe pain with stent removal and a third report delayed significant pain after stent removal. Variations exist in the patient experience with stent removal based on the method used. More research is needed to identify effective ways to prevent or manage stent-removal-related adverse events.

Original languageEnglish (US)
Pages (from-to)35-40
Number of pages6
JournalJournal of Endourology
Volume29
Issue number1
DOIs
StatePublished - Jan 1 2015

Fingerprint

Patient Preference
Stents
Cystoscopy
Pain
Kidney Calculi
Emergency Medical Services
Operating Rooms
Chi-Square Distribution
Hospital Emergency Service
Analysis of Variance

ASJC Scopus subject areas

  • Urology

Cite this

Patient experiences and preferences with ureteral stent removal. / Loh-Doyle, Jeffrey C.; Low, Roger; Monga, Manoj; Nguyen, Mike M.

In: Journal of Endourology, Vol. 29, No. 1, 01.01.2015, p. 35-40.

Research output: Contribution to journalArticle

Loh-Doyle, Jeffrey C. ; Low, Roger ; Monga, Manoj ; Nguyen, Mike M. / Patient experiences and preferences with ureteral stent removal. In: Journal of Endourology. 2015 ; Vol. 29, No. 1. pp. 35-40.
@article{9bf8506371e74013b6b0b24d0dad9767,
title = "Patient experiences and preferences with ureteral stent removal",
abstract = "Purpose: Ureteral stent removal is a source of patient morbidity. We surveyed 599 patients to evaluate their experiences and identify the preferred method of stent removal. Materials and Methods: Visitors to a kidney stone website were invited to participate. Respondents were asked how their ureteral stent was removed? Pain during and after the procedure, patient experiences, and preferences regarding stent removal were queried. Chi-square and ANOVA tests were used to identify significant differences among removal methods. Results: Five hundred seventy-one respondents were included in the study. The majority of stents (44{\%}) were removed by office cystoscopy while 39{\%} had their stents removed by string. Mean pain during stent removal was 4.8 out of 10 with 57{\%} reporting moderate-to-severe pain levels of 4 or more. Removal by office cystoscopy resulted in the highest experienced pain (5.3). Thirty-two percent reported delayed severe pain after stent removal, including 9{\%} who returned for emergency care. Removal by string resulted in more emergency room visits when compared to cystoscopy. Willingness to undergo the same removal technique was lowest for those who underwent office cystoscopy and highest for operating room cystoscopy. Being informed of why a stent was placed and the removal process was of high priority for respondents. Conclusions: The majority of patients report moderate-to-severe pain with stent removal and a third report delayed significant pain after stent removal. Variations exist in the patient experience with stent removal based on the method used. More research is needed to identify effective ways to prevent or manage stent-removal-related adverse events.",
author = "Loh-Doyle, {Jeffrey C.} and Roger Low and Manoj Monga and Nguyen, {Mike M.}",
year = "2015",
month = "1",
day = "1",
doi = "10.1089/end.2014.0402",
language = "English (US)",
volume = "29",
pages = "35--40",
journal = "Journal of Endourology",
issn = "0892-7790",
publisher = "Mary Ann Liebert Inc.",
number = "1",

}

TY - JOUR

T1 - Patient experiences and preferences with ureteral stent removal

AU - Loh-Doyle, Jeffrey C.

AU - Low, Roger

AU - Monga, Manoj

AU - Nguyen, Mike M.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Purpose: Ureteral stent removal is a source of patient morbidity. We surveyed 599 patients to evaluate their experiences and identify the preferred method of stent removal. Materials and Methods: Visitors to a kidney stone website were invited to participate. Respondents were asked how their ureteral stent was removed? Pain during and after the procedure, patient experiences, and preferences regarding stent removal were queried. Chi-square and ANOVA tests were used to identify significant differences among removal methods. Results: Five hundred seventy-one respondents were included in the study. The majority of stents (44%) were removed by office cystoscopy while 39% had their stents removed by string. Mean pain during stent removal was 4.8 out of 10 with 57% reporting moderate-to-severe pain levels of 4 or more. Removal by office cystoscopy resulted in the highest experienced pain (5.3). Thirty-two percent reported delayed severe pain after stent removal, including 9% who returned for emergency care. Removal by string resulted in more emergency room visits when compared to cystoscopy. Willingness to undergo the same removal technique was lowest for those who underwent office cystoscopy and highest for operating room cystoscopy. Being informed of why a stent was placed and the removal process was of high priority for respondents. Conclusions: The majority of patients report moderate-to-severe pain with stent removal and a third report delayed significant pain after stent removal. Variations exist in the patient experience with stent removal based on the method used. More research is needed to identify effective ways to prevent or manage stent-removal-related adverse events.

AB - Purpose: Ureteral stent removal is a source of patient morbidity. We surveyed 599 patients to evaluate their experiences and identify the preferred method of stent removal. Materials and Methods: Visitors to a kidney stone website were invited to participate. Respondents were asked how their ureteral stent was removed? Pain during and after the procedure, patient experiences, and preferences regarding stent removal were queried. Chi-square and ANOVA tests were used to identify significant differences among removal methods. Results: Five hundred seventy-one respondents were included in the study. The majority of stents (44%) were removed by office cystoscopy while 39% had their stents removed by string. Mean pain during stent removal was 4.8 out of 10 with 57% reporting moderate-to-severe pain levels of 4 or more. Removal by office cystoscopy resulted in the highest experienced pain (5.3). Thirty-two percent reported delayed severe pain after stent removal, including 9% who returned for emergency care. Removal by string resulted in more emergency room visits when compared to cystoscopy. Willingness to undergo the same removal technique was lowest for those who underwent office cystoscopy and highest for operating room cystoscopy. Being informed of why a stent was placed and the removal process was of high priority for respondents. Conclusions: The majority of patients report moderate-to-severe pain with stent removal and a third report delayed significant pain after stent removal. Variations exist in the patient experience with stent removal based on the method used. More research is needed to identify effective ways to prevent or manage stent-removal-related adverse events.

UR - http://www.scopus.com/inward/record.url?scp=84920749741&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84920749741&partnerID=8YFLogxK

U2 - 10.1089/end.2014.0402

DO - 10.1089/end.2014.0402

M3 - Article

C2 - 25019375

AN - SCOPUS:84920749741

VL - 29

SP - 35

EP - 40

JO - Journal of Endourology

JF - Journal of Endourology

SN - 0892-7790

IS - 1

ER -