An observational study on the effect of stent microbial culture status on double J stent associated lower urinary tract symptoms

Mustaq Rassol; A. P. S. Guru Praveen; Jamal Shaik; M. Laxmi Ramesh; P. Vedamurthy Reddy

doi:10.18203/2320-6012.ijrms20243700

Authors

Mustaq Rassol Department of Urology, Preethi urology Hospitals, Hyderabad, Telangana, India
A. P. S. Guru Praveen Department of Urology, Narayana Medical College and Hospitals, Nellore, Andhra Pradesh, India
Jamal Shaik Department of Urology, Narayana Medical College and Hospitals, Nellore, Andhra Pradesh, India
M. Laxmi Ramesh Department of Urology, Narayana Medical College and Hospitals, Nellore, Andhra Pradesh, India
P. Vedamurthy Reddy Department of Urology, Narayana Medical College and Hospitals, Nellore, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20243700

Keywords:

QOL, DJ stent, IPSS score

Abstract

Background: The double-J ureteral stent had been widely applied during the endourologic surgery to relieve or prevent ureteral obstruction. Stent-related morbidities, such as lower urinary tract symptoms (LUTS), stent-related body pain and hematuria, are bothersome and might have a negative impact on quality of life (QoL) and sexual performance for both genders. The prevalence of LUTS after double DJ stenting is 50%-70%. The prevalence hence is significant and geographic variance might exist. This makes this issue an important health problem and indirectly serves as a scale for quality of healthcare delivery to the public. This study aimed to study the effect of stent microbial culture status on double j stent associated lower urinary tract symptoms performed at Narayana Hospitals, Nellore.

Methods: An observational study was conducted in the Department of Urology, Narayana Medical College & Hospitals, Nellore for 18 months from June 2021 to November 2022. A convenient sample of 45 were selected among the patients who underwent DJ stenting and presenting with LUTS to the outpatient department.

Results: The sensitivity of urine culture was 29.27%. The specificity and PPV are 100%. The NPV was 12.12% with diagnostic accuracy was 35.56%. The age and symptom score-IPSS were correlated and the r value was -0.03, QOL and Age were correlated with the r value was 0.004.

Conclusions: Urine culture was positive among 26.66% and stent culture in 84% of the stents. Urine culture is highly specific in identifying the stent culture status.

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