Tolerance of jj ureteral endoprostheses using USSQ questionnaires in the urology department of the General Reference Hospital of Niamey
Article Sidebar
-
Tolerance, Ureteral Endoprosthesis, USSQ questionnaire, HGR (Hôpital Général de Référence), Niamey
Abstract
Introduction:
The concept of endoscopic placement of ureteral probe was described in 1967 by Zimskind. Few studies have evaluated the impact of "double J" type ureteral endoprostheses on the quality of life of patients.
The aim of this study is to assess through a retrospective study the impact of “double J” type ureteral endoprostheses (EU) on the quality of life of patients at the General Referral Hospital (Hôpital Général de Référence) of Niamey using the USSQ questionnaire (Ureteric Stent Symptom Questionnaire).
Objective: To assess the tolerance of ureteral endoprostheses jj probe (SU) using the USSQ questionnaire (ureteral stents symptom questionnaire) translated into French in 2010.
Patients and Method: This was a descriptive study with prospective data collection conducted at the General Reference Hospital of Niamey on the evaluation of the tolerance of double J probe ureteral endoprostheses in patients operated on in the urology department on the period from July 2019 to December 2021 (30 months) and involving 55 patients.
The variables studied are: age, sex, clinical and therapeutic aspect. The following parameters were studied through the USSQ self-questionnaire to assess: Urinary problems, pain, general condition, impact on sexuality professional impact other problems.
Data were analyzed using Epi info version (3.4.5) software dated July 30, 2012 (Microsoft Office Excel 2007).
Results:
In this study, the placement of the jj probe concerned 55 patients among 64 patients operated for ureteral obstruction (a rate of 85.94%) and an average implantation duration of 31 days. The average age of patients was 35.81 years with ranging from 5 to 80 years. Etiologies were dominated by lithiasic (73%) and malformative (22%) pathology. Urinary symptoms including pollakiuria, urgency, leakage of urine by urgency and the feeling of incomplete emptying of the bladder accounted for 45% respectively; 55%; 15% and 25% of patients. Hematuria represents 10%, lumbar pain represents 45%, and 54.5% of patients who had this lumbar pain used analgesics. In this study, 60% of patients had difficulty performing heavy physical activities, 70% were satisfied with their social life. 65% of patients had an active sexual life, of which 38.47% urinary tract infection account for 20% of patients. 80% of patients were satisfied with the jj probe in the improvement of symptoms related to their pathology.
Conclusion:
The morbidity of the jj probe is significant and sometimes underestimated, the urologist must assess the impact in terms of the symptoms caused but also on the quality of life. The results of this study confirmed that the duration of implantation should be as short as possible in order to improve patient tolerance. This implies organizing rapid etiological management of these patients.
Full text article
References
ZIMSKIND P.D., FETTER T.R., WILKERSON J.L.: Clinical use of long-term indwelling silicone rubber ureteral splints inserted cystoscopically. J.Urol., 1967; 97: 840-844.
Azizi, A., Pasticier, G., Bénard, A., Lapouge, O., Ferrière, J. M., Ballanger, P., & Robert, G. (2012). Efficacité et tolérance des endoprothèses urétérales métalliques Memokath® 051: étude prospective sur trois ans. Progrès en urologie, 22(5), 266-272.
AMOCH, M. A. Amélioration de la tolérance Des endoprothéses urétérales type double J: Étude prospective randomisée comparant la Tamsulosine VS Paracétamol.
Boureima Ouédraogo. Health Sci. Dis: Vol 21 (9) September 2020 pp 60-62 Available free at www.hsd-fmsb.org
Mohammed S. Al-M, Omar S, Krishna P. V. Complications and outcomes of JJ stenting of the ureter in urological practice: a single-centre experience. Arab Journal of Urology. 2012;10: 372-77
Zakou, A. R. H., Ndoye, M., Niang, L., Jalloh, M., Labou, I., & Gueye, S. M. (2018). Dérivation du haut appareil urinaire par une sonde JJ: indications et résultats dans une étude rétrospective et monocentrique. African journal of urology, 24(4), 303-307.
JOSHI H.B., STAINTHORPE A., MACDONAGH R.P., KEELEY F.X. JR., TIMONEY A.G. : Indwelling ureteral stents : evaluation of symptoms, quality of life and utility. J. Urol., 2003 ; 169 : 1060-1064.
Damien CHAMBADE, Frédéric THIBAULT, Lamine NIANG, Mohamed Amine LAKMICHI, Bernard GATTEGNO, Philippe THIBAULT, Olivier TRAXER : Etude de tolérance des endoprothèses urétérales de type double J. Progrès en Urologie (2006), 16, 445-449
Leibovici D, Cooper A, LINDNER A, Ostrowky R, Kleinmann J, velikanov S, et al Ureteral stents: morbidity and impact on quality of life.Isr Med Assoc j. 2005 ;(8) : 491-4
Lee SW, HsiaoPJ, Chang CH, Chou EC, symptômes des voies urinaire inférieures associés au stent double –J. UrolSci 2019 ; 30 :92-8
Ahmet Comtosum, M.D .Departement of urology, Ankara (Turkey) : The impact of double j stent on the quallity of sexuallife and job performance
https : //www.imrpress.com
R Bonnil et al. Prog Urol . 2O11 juin
A Puichaud .vol. 19-septembre 2009 –N° 3 .Progrès en urologie –FMC
Benrabah, R., Sadki, R., Bouzoada, H., Koudri, S., Azli, M., Boumelit, S., ... & Lounici, M. (2017). Évaluation de la douleur et les signes urinaires liés au drainage urétéral par sonde double JJ chez les enfants. Progrès en Urologie, 27(13), 740-741.
Rajendra PR, Rajkumar SM, Partha P, Dilip KP. Long term complications of JJ stent and its management: a 5 years review. Uroltaogy Annals. 2015;7:41- 45.
Ouédraogo, B., Traoré, O., Karama, H., Hafing, T., Sama, P., & Sikpa, H. K. (2020). Montée de Sonde JJ au Centre Hospitalo-Universitaire de Tengandogo (Ouagadougou): Indications et Résultats. Health Sci. Dis, 21(9), 60-62.
Ndoye, M., Mahamat, M. A., Natchagande, G., Jalloh, M., Niang, L., & Gueye, S. M. (2016). Emergency Drainage of Upper Urinary Tract with a Double Catheter in the Hospital General de Grand Yoff of Dakar (HOGGY). Open Journal of Urology, 6(2), 13-18.
Chiron P, Reslinger V, Haus R, Des femmes FR, Durand X, Bayoud Y, Molimard B. Évaluation de la tolérance de la sonde JJ par l'utilisation de l'auto questionnaire USSQ [Use of French version of Urétéral Stent Symptom Questionnaire for tolérance évaluation of urétéral double J-stent]. Prog Urol. 2015 Jun;25(7):413-9. French. doi: 10.1016/j.purol.2015.02.007. Epub 2015 Apr
Authors
This work is licensed under a Creative Commons Attribution 4.0 International License.