Impact in the quality of life of the patients with double J catheter.Authors:
G. Ordaz-Jurado, A. Budía-Alba, P. Bahilo-Mateu, J.D. López-Acón, M. Trassierra-Villa y
Arch. Esp. Urol. 2016; 69 (8): 471-478
Vol. 69, Number. 8, October 2016
OBJECTIVE: Double J ureteral stents are
frequently used to allow free diuresis from the kidney
to the bladder, but their presence has a major impact
on patient`s quality of life (QoL). Our aim is to describe
such impact, and to describe possible solutions that can
alleviate the symptoms associated with their use.
METHODS: Systematic search in bibliographic sources
including Cochrane library, UpToDate, Pubmed,
Tripdatabase, selecting publications between 2000-
2015, and also the EAU European guidelines (2016).
Studies that assessed QoL with double J stents and
possible solutions were selected.
RESULTS: We included 6 qualitative studies on QoL, 6
clinical trials of double J catheters new designs, and 3
systematic reviews. Most studies used the USSQ (QoL) questionnaire and main problems are described, being
storage symptoms and pain the most frequent and
important. Possible solutions include modifications in
design and composition of the catheter and specially,
the use of alpha-blockers and anticholinergics to improve
CONCLUSION: Double J stents have an important
symptomatic impact that impairs QoL. They should be
used under appropriate indication; their duration should
be limited and we must employ all the technological and
pharmacological approaches to mitigate their effects.
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