Self-Removal of Ureteric JJ Stents: Analysis of Patient Experience

1. No. 116 Self-Removal of Ureteric JJ Stents: Analysis of Patient Experience Nadya York, Sharon English Urology Department, Christchurch Hospital, Christchurch, New Zealand Introduction Following ureteroscopy we often discharge patients with a string attached to the ureteric stent. This allows for self removal of the stent within a few days and alleviates the need for flexible cystoscopy. Although this is a well established practice there has only been one published study to date on this subject1. • Results • The mean and median anxiety score was of 5/10 (10 being very anxious). Main concerns were the fear of the unknown, stent becoming stuck and anticipation of pain. • The average pain score was only 2.3/10. • Patients found stent removal an easy process with mean score of 2.3/10 (10 being very difficult). • Following the stent removal 6 patients reported moderate to severe pain requiring regular analgesia. 3 patients were readmitted; one with fever, two with residual ureteric stone fragments. • Most patients were happy to perform the procedure again if required. Aim We wanted to review patient experience of stent self-removal and any complications resulting from this method. Methods Prospective study of 50 consecutive patients who had JJ stents with strings in situ placed at Christchurch Hospital. Data was collected by the principal investigator from May –December 2011 by phone questionnaire. Patients were asked about their experience, pain and anxiety scores out of 10 and any complications sustained. The computerised hospital record for each patient was also reviewed and readmissions were noted. 100% follow up was achieved. The mean age was 51 years, 11/50 patients were female. Perform procedure again? Conclusion Self removal of JJ ureteric stents is a viable and well tolerated option for patients. While our patients felt anxious about the procedure initially, they tolerated it well. Patient education regarding removal of the stent is important. In selected patients this method allows for stent removal without the need for flexible cystoscopy. • References • 1. Self-removal of ureteral stents by patients at their home guided by a urologist’s telephonic assistance. Sofer, M et al. European Urology Supps, 6(2):268, 2007 Acknowledgements I would like to thank the Urology Department at Christchurch Hospital for assistance with this study. Poster presentation sponsor