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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Plexus Medical Journal
Nur Rasyid
Department of Urology Faculty of Medicine Universitas Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Journal : JKKI : Jurnal Kedokteran dan Kesehatan Indonesia

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Association between material and design used in a ureteral stent with complication in ureteral catheterisation: A systematic review Pakpahan, Karimul Abdi; Birowo, Ponco; Rasyid, Nur; Atmoko, Widi
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 15, No 1, (2024)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol15.Iss1.art13

Abstract

The double-J stent is one of the ureteral catheters with curved ends for fixation. Since its introduction in 1978, catheterisation using a double-J stent has become one of the most frequently performed procedures in urology. However, double-J stents may lead to various complications, causing patient discomfort, pain, and bladder symptoms. Technological advancements in stent design aim to minimise these complications and enhance comfort. This review aimed to determine the association between the material and design used in ureteral stents and complications in ureteral catheterisation. We conducted a systematic review following the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) checklist. Screening based on specific inclusion criteria was employed to select potential studies. A database search yielded a total of 124 studies. Nine full texts were evaluated for eligibility, resulting in the exclusion of one paper. Our findings indicate that ureteral stent insertion significantly increases the frequency of pain and urinary symptoms while decreasing overall health. The choice of materials and design plays a crucial role in minimising pain and improving the quality of life for patients. Physical properties such as firmness and tensile strength also affect the quality of life, with higher firmness and tensile strength causing lower quality of life. Stent material and design choice were context-dependent. Using soft stents and specialised soft distal pigtails has been shown to reduce patient stent-related symptoms. Silicone stents showed the least bladder symptoms than polymeric stents. Polymeric stents also showed no difference in utility from metallic stents for long-term usage.
Co-Authors Abdul Aziz Rani Achmad Fauzi Adianti Khadijah, Adianti Agi Satria Putranto Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Akmal Taher Albertus Marcelino Alfarissi, Fekhaza Ari Astram, Ari Ari Basukarno, Ari Ari Fahrial Syam Arief Hakiki Arry Rodjani Asmarinah Bagus Baskoro Bimanggono Hernowo Murti Bimanggono Hernowo Murti, Bimanggono Hernowo Brodjonegoro, Sakti R Budi Wiweko C Susilo, C Chaidir A. Mochtar Chaidir Arif Mochtar CHAIDIR MOCHTAR, CHAIDIR charles johanes, charles Chudahman Manan Dadang Makmun Daldiyono Daldiyono Danarto, Raden Devintha Tiza Ariani donny eka putra, donny eka Dyandra Parikesit, Dyandra Endang Susalit Endrika Noviandrini, Endrika Fajriani, Rosalina Fakhri Rahman, Fakhri Febriyani Ferry Safriadi Fiastuti Witjaksono Gerhard Reinaldi Situmorang, Gerhard Reinaldi Harahap, Alida Roswita Hariwibowo, Rinto Harrina Erlianti Rahardjo, Harrina Erlianti Hendri, Ahmad Z Hernawan Rahmat Muharia, Bayu Hery Tiera Husein, Ali I Putu Gde Sanjaya, I Putu Ikhlas A. Bramono, Ikhlas A. Indah S. Widyahening Indrawarman Soeroharjo Irfan Wahyudi Isaac A. Deswanto, Isaac A. Islianti, Putri Iradita Ivan Rizal Sini, Ivan Rizal Marcellus Simadibrata Maruhum B.H. Marbun Mewahyu Dewi, Mewahyu Michelle Eva Muhammad Hilmy Labibi Murdani Abdullah Namira Kesuma Jelita P Pryambodho, P Pakpahan, Karimul Abdi Pande Made Wisnu Tirtayasa Ponco Birowo Prahara Yuri Prasetyo, Dimas Tri Pudji Sari Puji Sari Putra, Donny E. Putro , Prasetyo Sarwono Rainy Umbas Rama Firmanto, Rama Retno Asti Werdhani Savira, Missy Savitri, Ary Indriana Siti Setiati Soeroto, Adhitama A. Suharto Wijanarko Susanto , Agung Syaeful Agung Wibowo Tommie Prasetyo, Tommie Tri Endah Suprabawati Tri Prasetyo, Dimas Tusarawardaya , Setya Anton Uiterwaal, Cuno Vinny Verdini Wibisono Widi Atmoko Widyasmara, Her Bayu Wistara, Sevita Sathya Yopie Tjandradiguna Satyawan Zulfikar Ali, Zulfikar