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).
METHODS: 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.
方法:这项前瞻性多中心纵向研究纳入了接受URS治疗的DJ患者。USSQ提交三次:DJ后2周,PSS去除后2周和PSS去除后4周(基线)。
方法:比较泌尿系统症状指数评分和患者术后2周疼痛的发生率。次要终点:比较DJ和PSS后2周的其他USSQ分数和单个答案,DJ和PSSUSSQ评分与基线。
结果:纳入93例患者。2周排尿症状指数评分(p<0.001)和抱怨疼痛的患者百分比(60.2%vs88.2%,与DJ相比,p<0.001)显着有利于PSS。与DJ相比,PSS的2周评分显着提高:疼痛指数(p<0.001),VAS(p<0.001),一般健康指数(p<0.001)和工作绩效指数(p<0.001)。所有尿路症状均显著降低PSS,包括排尿时的肾脏疼痛和影响生活的疼痛。疼痛指数评分(p=0.622)和VAS(p=0.169)与PSS基线相当,与DJ不同。
结论:在URS后接受PSS替换DJ的患者报告SRS显著降低。泌尿科医师可能会考虑在植入前支架的患者中在URS后定位PSS,以减少SRS的影响。