2 Stent placement is commonplace at the time of stone surgery, particularly in the setting of ureteroscopy and extracorporeal shockwave lithotripsy. 1 Many of these patients ultimately require surgical intervention. U rinary tract stone disease affects ∼10.6% of men and 7.1% of women in the United States. More research is needed to identify effective ways to prevent or manage stent-removal-related adverse events. Variations exist in the patient experience with stent removal based on the method used. Being informed of why a stent was placed and the removal process was of high priority for respondents.Ĭonclusions: The majority of patients report moderate-to-severe pain with stent removal and a third report delayed significant pain after stent removal. Willingness to undergo the same removal technique was lowest for those who underwent office cystoscopy and highest for operating room cystoscopy. Removal by string resulted in more emergency room visits when compared to cystoscopy. Thirty-two percent reported delayed severe pain after stent removal, including 9% who returned for emergency care. Removal by office cystoscopy resulted in the highest experienced pain (5.3). Mean pain during stent removal was 4.8 out of 10 with 57% reporting moderate-to-severe pain levels of 4 or more. The majority of stents (44%) were removed by office cystoscopy while 39% had their stents removed by string. Results: Five hundred seventy-one respondents were included in the study. Chi-square and ANOVA tests were used to identify significant differences among removal methods.
Respondents were asked how their ureteral stent was removed? Pain during and after the procedure, patient experiences, and preferences regarding stent removal were queried.
Materials and Methods: Visitors to a kidney stone website were invited to participate. We surveyed 599 patients to evaluate their experiences and identify the preferred method of stent removal. Purpose: Ureteral stent removal is a source of patient morbidity.
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