Evaluation of pain perception associated with use of the magnetic-end ureteric double-J stent for short-term ureteric stenting

Purpose To investigate the morbidity, complication rate, and pain perception during removal of a novel ureteric stent with a magnetic end using a-traumatic retrieval catheter. Methods Between November 2013 and July 2015, 151 consecutive patients who underwent semirigid ureterorenoscopy (URS) for sto...

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Veröffentlicht in:World journal of urology 2018-03, Vol.36 (3), p.475-479
Hauptverfasser: Sevcenco, S., Eredics, K., Lusuardi, L., Klingler, Hans Christoph
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Eredics, K.
Lusuardi, L.
Klingler, Hans Christoph
description Purpose To investigate the morbidity, complication rate, and pain perception during removal of a novel ureteric stent with a magnetic end using a-traumatic retrieval catheter. Methods Between November 2013 and July 2015, 151 consecutive patients who underwent semirigid ureterorenoscopy (URS) for stone removal were prospectively enrolled. Stent removal was performed under local anesthesia using a special magnetic-end stent remover 1 week following URS. At follow-up, we obtained patients’ medical history, urine culture result, renal ultrasonogram, and visual analog scale (VAS) score regarding stent irritation (VAS 1) and pain during removal (VAS 2). Results Pain perception during stent removal was significantly less painful in patients with a magnet stent than in those with a regular stent ( p  
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Methods Between November 2013 and July 2015, 151 consecutive patients who underwent semirigid ureterorenoscopy (URS) for stone removal were prospectively enrolled. Stent removal was performed under local anesthesia using a special magnetic-end stent remover 1 week following URS. At follow-up, we obtained patients’ medical history, urine culture result, renal ultrasonogram, and visual analog scale (VAS) score regarding stent irritation (VAS 1) and pain during removal (VAS 2). Results Pain perception during stent removal was significantly less painful in patients with a magnet stent than in those with a regular stent ( p  &lt; 0.001). Stent irritation was slightly higher in patients with an indwelling magnet stent than in those with a regular stent ( p  &lt; 0.001). No significant differences in stent irritations were found in patients who had a magnetic stent for 4 weeks after laparoscopic pyeloplasty ( p  = 0.20). Patients with a magnetic stent experienced significantly less pain during removal with a median VAS 2 score of 2.5 and a mean VAS 2 score of 2.58 [standard deviation (SD) ± 0.90] than those without a magnetic stent a median VAS 2 of 6 and a mean VAS 2 of 5.88 (SD ± 1.43). The stent length correlated with stent irritation ( p  = 0.05), and it significantly correlated with pain during removal ( p  &lt; 0.001). Conclusion The magnetic-end ureteric double-J stent is a safe option associated with less pain, particularly for male patients requiring short-term ureteric stenting.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-017-2146-x</identifier><identifier>PMID: 29236163</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anesthesia ; Implants ; Irritation ; Kidneys ; Laparoscopy ; Medicine ; Medicine &amp; Public Health ; Morbidity ; Nephrology ; Oncology ; Original Article ; Pain ; Pain perception ; Ureter ; Urine ; Urology</subject><ispartof>World journal of urology, 2018-03, Vol.36 (3), p.475-479</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2017</rights><rights>World Journal of Urology is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-dcb24d26f3eb41b8b1fc3166c57165e8f0cd0920f44e6b644249c7ca01c1e4d53</citedby><cites>FETCH-LOGICAL-c372t-dcb24d26f3eb41b8b1fc3166c57165e8f0cd0920f44e6b644249c7ca01c1e4d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-017-2146-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-017-2146-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29236163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sevcenco, S.</creatorcontrib><creatorcontrib>Eredics, K.</creatorcontrib><creatorcontrib>Lusuardi, L.</creatorcontrib><creatorcontrib>Klingler, Hans Christoph</creatorcontrib><title>Evaluation of pain perception associated with use of the magnetic-end ureteric double-J stent for short-term ureteric stenting</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose To investigate the morbidity, complication rate, and pain perception during removal of a novel ureteric stent with a magnetic end using a-traumatic retrieval catheter. Methods Between November 2013 and July 2015, 151 consecutive patients who underwent semirigid ureterorenoscopy (URS) for stone removal were prospectively enrolled. Stent removal was performed under local anesthesia using a special magnetic-end stent remover 1 week following URS. At follow-up, we obtained patients’ medical history, urine culture result, renal ultrasonogram, and visual analog scale (VAS) score regarding stent irritation (VAS 1) and pain during removal (VAS 2). Results Pain perception during stent removal was significantly less painful in patients with a magnet stent than in those with a regular stent ( p  &lt; 0.001). Stent irritation was slightly higher in patients with an indwelling magnet stent than in those with a regular stent ( p  &lt; 0.001). No significant differences in stent irritations were found in patients who had a magnetic stent for 4 weeks after laparoscopic pyeloplasty ( p  = 0.20). Patients with a magnetic stent experienced significantly less pain during removal with a median VAS 2 score of 2.5 and a mean VAS 2 score of 2.58 [standard deviation (SD) ± 0.90] than those without a magnetic stent a median VAS 2 of 6 and a mean VAS 2 of 5.88 (SD ± 1.43). The stent length correlated with stent irritation ( p  = 0.05), and it significantly correlated with pain during removal ( p  &lt; 0.001). Conclusion The magnetic-end ureteric double-J stent is a safe option associated with less pain, particularly for male patients requiring short-term ureteric stenting.</description><subject>Anesthesia</subject><subject>Implants</subject><subject>Irritation</subject><subject>Kidneys</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Morbidity</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain</subject><subject>Pain perception</subject><subject>Ureter</subject><subject>Urine</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kUtv1DAUha0K1E4fP4ANssSmG1O_Yk-WqCptUaVu6NpynJsZV4kdbAfaDb-dZKYFhMTqSj7fOffKB6F3jH5klOqLTKmQFaFME86kIk8HaMWkEGStuXqDVlRzSWS9FkfoOOdHOoOKVofoiNdcKKbECv28-m77yRYfA44dHq0PeITkYNw92Zyj87ZAi3_4ssVThgUrW8CD3QQo3hEILZ4SFEje4TZOTQ_kC84FQsFdTDhvYypkloc_2E71YXOK3na2z3D2Mk_Qw-err5c35O7--vby0x1xQvNCWtdw2XLVCWgka9YN65xgSrlKM1XBuqOupTWnnZSgGiUll7XTzlLmGMi2EifofJ87pvhtglzM4LODvrcB4pQNq_Xi4krM6Id_0Mc4pTBft6N4XWu5UGxPuRRzTtCZMfnBpmfDqFnKMftyzPznZinHPM2e9y_JUzNA-9vx2sYM8D2QZylsIP21-r-pvwAfqpwY</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Sevcenco, S.</creator><creator>Eredics, K.</creator><creator>Lusuardi, L.</creator><creator>Klingler, Hans Christoph</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20180301</creationdate><title>Evaluation of pain perception associated with use of the magnetic-end ureteric double-J stent for short-term ureteric stenting</title><author>Sevcenco, S. ; Eredics, K. ; Lusuardi, L. ; Klingler, Hans Christoph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-dcb24d26f3eb41b8b1fc3166c57165e8f0cd0920f44e6b644249c7ca01c1e4d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anesthesia</topic><topic>Implants</topic><topic>Irritation</topic><topic>Kidneys</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Morbidity</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain</topic><topic>Pain perception</topic><topic>Ureter</topic><topic>Urine</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sevcenco, S.</creatorcontrib><creatorcontrib>Eredics, K.</creatorcontrib><creatorcontrib>Lusuardi, L.</creatorcontrib><creatorcontrib>Klingler, Hans Christoph</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sevcenco, S.</au><au>Eredics, K.</au><au>Lusuardi, L.</au><au>Klingler, Hans Christoph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of pain perception associated with use of the magnetic-end ureteric double-J stent for short-term ureteric stenting</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>36</volume><issue>3</issue><spage>475</spage><epage>479</epage><pages>475-479</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose To investigate the morbidity, complication rate, and pain perception during removal of a novel ureteric stent with a magnetic end using a-traumatic retrieval catheter. Methods Between November 2013 and July 2015, 151 consecutive patients who underwent semirigid ureterorenoscopy (URS) for stone removal were prospectively enrolled. Stent removal was performed under local anesthesia using a special magnetic-end stent remover 1 week following URS. At follow-up, we obtained patients’ medical history, urine culture result, renal ultrasonogram, and visual analog scale (VAS) score regarding stent irritation (VAS 1) and pain during removal (VAS 2). Results Pain perception during stent removal was significantly less painful in patients with a magnet stent than in those with a regular stent ( p  &lt; 0.001). Stent irritation was slightly higher in patients with an indwelling magnet stent than in those with a regular stent ( p  &lt; 0.001). No significant differences in stent irritations were found in patients who had a magnetic stent for 4 weeks after laparoscopic pyeloplasty ( p  = 0.20). Patients with a magnetic stent experienced significantly less pain during removal with a median VAS 2 score of 2.5 and a mean VAS 2 score of 2.58 [standard deviation (SD) ± 0.90] than those without a magnetic stent a median VAS 2 of 6 and a mean VAS 2 of 5.88 (SD ± 1.43). The stent length correlated with stent irritation ( p  = 0.05), and it significantly correlated with pain during removal ( p  &lt; 0.001). Conclusion The magnetic-end ureteric double-J stent is a safe option associated with less pain, particularly for male patients requiring short-term ureteric stenting.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29236163</pmid><doi>10.1007/s00345-017-2146-x</doi><tpages>5</tpages></addata></record>
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subjects Anesthesia
Implants
Irritation
Kidneys
Laparoscopy
Medicine
Medicine & Public Health
Morbidity
Nephrology
Oncology
Original Article
Pain
Pain perception
Ureter
Urine
Urology
title Evaluation of pain perception associated with use of the magnetic-end ureteric double-J stent for short-term ureteric stenting
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