Evaluation of Quality of Life After Placement of a Modified Double-J Ureteral Stent Randomized Clinical Trial

What this Trial Is About

This research aims to evaluate the quality of life in patients who receive a modified Double-J ureteral stent after surgery for kidney or ureteral stones. The study focuses on complications often linked to standard Double-J stents, such as urinary tract infections, stent encrustation, migration, and stent-related symptoms (SRS) including pain, blood in urine, and discomfort, which affect patients' daily life. The modified stent has a thinner loop at the distal end designed to reduce these symptoms by lessening bladder irritation and urine reflux. The trial is a prospective, randomized, open-label controlled study with two groups: one receiving the standard Double-J stent and the other receiving the modified version. Both groups include patients who have not had previous stenting and have no ureteral obstruction. After surgery such as retrograde intrarenal surgery (RIRS) or ureteroscopy, the presence of urine reflux is assessed, and stents are placed under cystoscopic and X-ray guidance. Patients fill out the Ureteral Stent Symptom Questionnaire (USSQ) on the first and seventh days post-operation and before stent removal to track symptoms. Participants will undergo evaluations before surgery including height, weight, and body mass index measurements. Operative time is recorded during the procedure. Urine reflux is assessed intraoperatively. Researchers will monitor symptom changes through questionnaires after surgery and before stent removal to compare the impact of both stent types on quality of life. The study will use statistical tests to analyze symptom severity and reflux occurrence. The total duration and follow-up align with these postoperative assessments.

Evaluation of Quality of Life in Patients After Placement of a Modified Double J Ureteral Stent