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Strategies to improve patient outcomes and QOL: Current complications of the design and placements of ureteric stents

Strategies to improve patient outcomes and QOL: Current complications of the design and placements of ureteric stents
Strategies to improve patient outcomes and QOL: Current complications of the design and placements of ureteric stents
Ureteric stents have played a vital role in relieving urinary obstruction in many urological conditions. Although they are extremely successful, stents have been associated with complications and reduced patients’ health-related quality of life (HRQoL). There are many factors that may affect the quality and longevity of stents. In this review, we have highlighted the journey and innovation of ureteric stents through the modern day. A literature review was conducted to identify relevant articles over the last 20 years. There is a plethora of evidence with various indications for the use of ureteral stents and how they affect QoL. There is still ongoing research to develop the ideal stent with reduced encrustation, one that resists infection and is also comfortable for the patients. Stents made from metal alloys, polymers and biodegradable materials have unique properties in their own right but also have certain deficiencies. These have been discussed along with an overview of newly developed stents. Certain pharmacological adjuncts have also been highlighted that may be useful to improve patient’s tolerance to stents. In summary, this paper describes the features of the different types of stents and the problems that are frequently encountered, including effect on patients’ HRQoL and financial burden to healthcare providers.
Encrustation, Health-related quality of life, Infection, Stent symptoms, Ureteral stent
2253-2447
303-314
Ramachandra, Meghana
3980ba19-c54b-405c-9536-9529ad285436
Mosayyebi, Ali
ab9cf6da-58c4-4441-993b-7d03d5d3549a
Carugo, Dario
0a4be6cd-e309-4ed8-a620-20256ce01179
Somani, Bhaskar
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Ramachandra, Meghana
3980ba19-c54b-405c-9536-9529ad285436
Mosayyebi, Ali
ab9cf6da-58c4-4441-993b-7d03d5d3549a
Carugo, Dario
0a4be6cd-e309-4ed8-a620-20256ce01179
Somani, Bhaskar
ab5fd1ce-02df-4b88-b25e-8ece396335d9

Ramachandra, Meghana, Mosayyebi, Ali, Carugo, Dario and Somani, Bhaskar (2020) Strategies to improve patient outcomes and QOL: Current complications of the design and placements of ureteric stents. Research and Reports in Urology, 12, 303-314. (doi:10.2147/RRU.S233981).

Record type: Article

Abstract

Ureteric stents have played a vital role in relieving urinary obstruction in many urological conditions. Although they are extremely successful, stents have been associated with complications and reduced patients’ health-related quality of life (HRQoL). There are many factors that may affect the quality and longevity of stents. In this review, we have highlighted the journey and innovation of ureteric stents through the modern day. A literature review was conducted to identify relevant articles over the last 20 years. There is a plethora of evidence with various indications for the use of ureteral stents and how they affect QoL. There is still ongoing research to develop the ideal stent with reduced encrustation, one that resists infection and is also comfortable for the patients. Stents made from metal alloys, polymers and biodegradable materials have unique properties in their own right but also have certain deficiencies. These have been discussed along with an overview of newly developed stents. Certain pharmacological adjuncts have also been highlighted that may be useful to improve patient’s tolerance to stents. In summary, this paper describes the features of the different types of stents and the problems that are frequently encountered, including effect on patients’ HRQoL and financial burden to healthcare providers.

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More information

Accepted/In Press date: 19 July 2020
Published date: 31 July 2020
Keywords: Encrustation, Health-related quality of life, Infection, Stent symptoms, Ureteral stent

Identifiers

Local EPrints ID: 443541
URI: http://eprints.soton.ac.uk/id/eprint/443541
ISSN: 2253-2447
PURE UUID: 79bfe334-b36d-4cf4-b205-dab35447485b

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Date deposited: 28 Aug 2020 16:31
Last modified: 25 Nov 2021 21:32

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Contributors

Author: Meghana Ramachandra
Author: Ali Mosayyebi
Author: Dario Carugo
Author: Bhaskar Somani

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