Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity

pelit, eyyup sabri; GÜNEŞ, Ali; KATI, Bülent; YAKUPOĞULLARI, Yusuf; POLAT, Emre Can

Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity

Bülent KATI, (Harran University, Medical Faculty, Urology Department Sanliurfa, Turkey)

Yusuf YAKUPOĞULLARI, (Inonu University, Faculty of Medicine, Microbiology and Clinical Microbiology Department, Malatya, Turkey)

Emre Can POLAT, (Okmeydani Traning and Resarching Hospital, Urology Department, Istanbul, Turkey)

Eyyup Sabri PELİT, (Harran University, Medical Faculty, Urology Department Sanliurfa, Turkey)

Ali GÜNEŞ (Inonu University, Faculty of Medicine, Urology Department, Malatya, Turkey)

Turgut Özal Tıp Merkezi Dergisi

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Yıl: 2018 Cilt: 25 Sayı: 1 Sayfa Aralığı: 7 - 11 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity

Öz:

Aim: The purpose of this study is to evaluate risk factors for, and the relationship between, lower urinary tract symptoms (LUTS) and double J stent (DJS) colonization.Material and Methods: One hundred and thirty five patients aged 18 to 77 were included in this prospective study conducted at Urology Clinic in our university hospital between July 2012 and December 2013. Patients were followed clinically; we recorded any bothersome symptoms after treatment. Stents were removed under aseptic conditions. Their distal ends were removed and placed in a culture medium for evaluation. The relationship between colonization and LUTS was evaluated.Results: Bacteriuria and stent colonization were found in 10 (7.4%) and 35 (26%) patients, respectively. In the colonized stents, Candida spp. was the most commonly observed pathogen (40%). Mean indwelling times were different for the colonized (68.6 days) and non-colonized (46.2 days) groups. Similarly, the encrustation rate was significantly higher in colonized patients (42.8%) than in non-colonized cases (27%). In the colonized group, rates were significantly higher for irritative voiding symptoms such as polyuria (57.1% vs. 31%), nocturia (71.4% vs. 57%), and urgency (54.2% vs. 33%).Conclusions: LUTS, especially irritative voiding symptoms including polyuria and nocturia, are more frequent in patients with stent colonization. Patients at risk of stent colonization should be followed up for the development of infections, and prophylactic treatment should be administered. In addition, indwelling time may be shortened to prevent colonization.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Dunn MD, Portis AJ, Kahn SA, Yan Y, Shalhav AL, Elbahnasy AM, et al. Clinical effectiveness of new stent design: randomized single-blind comparison of tail and doublepigtail stents. J Endourol 2000;14(2):195-202.
2. Riedl CR, Plas E, Hübner WA, Zimmerl H, Ulrich W, Pflüger H. Bacterial colonization of ureteral stents. Eur Urol 1999;36(1):53-9.
3. Bultitude MF, Tiptaft RC, Glass JM, Dasgupta P. Management of encrusted ureteral stents impacted in upper tract. Urology 2003;62(4):622-6.
4. Mosli HA, Farsi HM, al-Zimaity MF, Saleh TR, al-Zamzami MM. Vesicoureteral reflux in patients with double pigtail stents. J Urol 1991;146(4):966-9.
5. Ramsay JW, Payne SR, Gosling PT, Whitfield HN, Wickham JE, Levison DA. The effects of double j stenting on unobstructed ureters. An experimental and clinical study. Br. J. Urol 1985;57(6):630-4.
6. Pidsudko Z. Distribution and chemical coding of neurons in intramural ganglia of the porcine urinary bladder trigone. Folia Histochem Cytobiol 2004;42(1):3-11.
7. Paick SH, Park HK, Oh SJ, Kim HH. Characteristics of bacterial colonization and urinary tract infection after indwelling of double-J ureteral stent. Urology 2003;62(2):214-7.
8. Bonkat G, Rieken M, Müller G, Roosen A, Siegel FP, Frei R, et. al. Microbial colonization and ureteral stent-associated storage lower urinary tract symptoms: the forgotten piece of the puzzle? World J Urol 2013;31(3):541-6.
9. García-Aparicio L, Blázquez-Gómez E, Martin O, Krauel L, de Haro I, Rodó J. Bacterial characteristics and clinical significance of ureteral double-J stents in children. Actas Urol Esp 2015;39(1):53-6.
10. Tieszer C, Reid G, Denstedt J. Conditioning film deposition on ureteral stents after implantation. J Urol 1998;160(3):876-81.
11. Ozgur BC, Ekici M, Yuceturk CN, Bayrak O. Kaohsiung J Med Sci 2013;29(12):658-61.
12. Farsi HM, Mosli HA, Al-Zemaity MF, Bahnassy AA, Alvarez M. Bacteriuria and colonization of double-pigtail ureteral stents: long-term experience with 237 patients. J Endourol 1995;9(6):469-72.
13. Reid G, Sobel JD. Bacterial adherence in the pathogenesis of urinary tract infection: a review. Rev Infect Dis 1987;9(3):470-87.
14. Akay AF, Aflay U, Gedik A, Sahin H, Bircan MK. Risk factors for lower urinary tract infection and bacterial stent colonization in patients with a double J ureteral stent. Int Urol Nephrol 2007;39(1):95-8.
15. Al-Ghazo MA, Ghalayini IF, Matani YS, El-Radaideh KM, Haddad HI. The risk of bacteriuria and ureteric stent colonization in immune-compromised patients with double J stent insertion. Int Urol Nephrol 2010;42(2):343-7.
16. Kuyumcuoglu U, Eryildirim B, Tuncer M, Faydaci G, Tarhan F, Ozgül A. Effectiveness of medical treatment in overcoming the ureteral double-J stent related symptoms. Can Urol Assoc J. 2012;6(6):E234-7.
17. Kehinde EO, Rotimi VO, Al-Awadi KA, Abdul-Halim H, Boland F, Al-Hunayan A, et al. Factors predisposing to urinary tract infection after J ureteral stent insertion. J Urol 2002;167(3):1334-7.
18. Vanderbrink BA, Rastinehad AR, Ost MC, Smith AD. Encrusted urinary stents: evaluation and endourologic management. J Endourol 2008;22(5):905-12.
19. Joshi HB, Stainthorpe A, MacDonagh RP, Keeley FX Jr, Timoney AG, Barry MJ. Indwelling ureteral stents: evaluation of symptoms, quality of life and utility. J Urol 2003;169(3):1065-9.

APA	KATI B, YAKUPOĞULLARI Y, POLAT E, pelit e, GÜNEŞ A (2018). Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. , 7 - 11.
Chicago	KATI Bülent,YAKUPOĞULLARI Yusuf,POLAT Emre Can,pelit eyyup sabri,GÜNEŞ Ali Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. (2018): 7 - 11.
MLA	KATI Bülent,YAKUPOĞULLARI Yusuf,POLAT Emre Can,pelit eyyup sabri,GÜNEŞ Ali Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. , 2018, ss.7 - 11.
AMA	KATI B,YAKUPOĞULLARI Y,POLAT E,pelit e,GÜNEŞ A Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. . 2018; 7 - 11.
Vancouver	KATI B,YAKUPOĞULLARI Y,POLAT E,pelit e,GÜNEŞ A Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. . 2018; 7 - 11.
IEEE	KATI B,YAKUPOĞULLARI Y,POLAT E,pelit e,GÜNEŞ A "Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity." , ss.7 - 11, 2018.
ISNAD	KATI, Bülent vd. "Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity". (2018), 7-11.

APA	KATI B, YAKUPOĞULLARI Y, POLAT E, pelit e, GÜNEŞ A (2018). Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. Turgut Özal Tıp Merkezi Dergisi, 25(1), 7 - 11.
Chicago	KATI Bülent,YAKUPOĞULLARI Yusuf,POLAT Emre Can,pelit eyyup sabri,GÜNEŞ Ali Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. Turgut Özal Tıp Merkezi Dergisi 25, no.1 (2018): 7 - 11.
MLA	KATI Bülent,YAKUPOĞULLARI Yusuf,POLAT Emre Can,pelit eyyup sabri,GÜNEŞ Ali Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. Turgut Özal Tıp Merkezi Dergisi, vol.25, no.1, 2018, ss.7 - 11.
AMA	KATI B,YAKUPOĞULLARI Y,POLAT E,pelit e,GÜNEŞ A Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. Turgut Özal Tıp Merkezi Dergisi. 2018; 25(1): 7 - 11.
Vancouver	KATI B,YAKUPOĞULLARI Y,POLAT E,pelit e,GÜNEŞ A Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity. Turgut Özal Tıp Merkezi Dergisi. 2018; 25(1): 7 - 11.
IEEE	KATI B,YAKUPOĞULLARI Y,POLAT E,pelit e,GÜNEŞ A "Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity." Turgut Özal Tıp Merkezi Dergisi, 25, ss.7 - 11, 2018.
ISNAD	KATI, Bülent vd. "Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity". Turgut Özal Tıp Merkezi Dergisi 25/1 (2018), 7-11.