Indwelling ureteric stents: Patterns of use and nomenclature
| Autor: | James E. Steward, Joon Yau Leong, Kelly A. Healy, Demetrius H. Bagley, Scott G. Hubosky |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Practice patterns business.industry indwelling Urology medicine.medical_treatment 030232 urology & nephrology Stent Surgery 03 medical and health sciences 0302 clinical medicine double pigtail Double J medicine Stones / Endourology stent nomenclature Ureteric Ureteric stent business Research Article |
| Zdroj: | Arab Journal of Urology article-version (VoR) Version of Record |
| ISSN: | 2090-598X |
| Popis: | Objectives: To evaluate ureteric stenting practice patterns amongst a range of academic and community urologists, and to examine the nomenclature used to identify an indwelling ureteric stent from both our questionnaire and from a review of the literature. Subjects and methods: A 16-question, peer-reviewed online survey was distributed to members of the Mid-Atlantic American Urological Association. Responses were collected over a 1-month period. Questions included demographics, ureteric stenting practice patterns, and utilization of stenting nomenclature. Inappropriate use of nomenclature was defined as a mismatch between the visually depicted stents and the written description amongst urologists. Trends in ureteric stenting and nomenclature usage were tabulated and analyzed. Results: Of 863 members, 105 (12.2%) responded to the survey. There was a wide variety of practice settings, with the single-specialty group (44.2%) and academic/university (27.9%) being the two most common. Most providers used both cystoscopy and fluoroscopy to place stents (87.5%) as compared to fluoroscopy alone (12.5%). Most urologists (63.5%) removed stents with cystoscopy as compared to using a stent string (36.5%). While about half (51.0%) of the respondents left stents in situ for ≤3 months, many respondents (43.3%) felt comfortable with maximum dwell times of up to 6 months. The most commonly placed stent was the double pigtail stent (80.8%). However, most respondents inappropriately described this stent design as a Double J stent (72.1%). In the recent literature, 80% of articles clearly defined as using double pigtail stents, incorrectly identified their stent as a ‘Double J’. Conclusions: Variations in ureteric stenting practice patterns exist amongst community and academic urologists. Although most urologists utilize double pigtail ureteric stents, the majority inaccurately identified this stent design as a Double J. We propose use of the term ‘indwelling ureteric stent’ (IUS) unless describing any specific stent design. |
| Databáze: | OpenAIRE |
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