Pd44-12 Percutaneous Nephrostomy Before Ureteral Reconstruction: Providing Ureteral Rest, but at What Cost?

You have accessJournal of UrologyReconstruction: Ureteral Reconstruction (Including Pyeloplasty) and Bladder Reconstruction (Including Trauma-Related Fistula) II (PD44)1 May 2024PD44-12 PERCUTANEOUS NEPHROSTOMY BEFORE URETERAL RECONSTRUCTION: PROVIDING URETERAL REST, BUT AT WHAT COST? Labeeqa Khizir, Benjamin Lichtbroun, Kevin Chua, Alain Kaldany, John Pfail, Krishna Doppalapudi, Rachel Passerelli, and Sammy E. Elsamra Labeeqa KhizirLabeeqa Khizir , Benjamin LichtbrounBenjamin Lichtbroun , Kevin ChuaKevin Chua , Alain KaldanyAlain Kaldany , John PfailJohn Pfail , Krishna DoppalapudiKrishna Doppalapudi , Rachel PasserelliRachel Passerelli , and Sammy E. ElsamraSammy E. Elsamra View All Author Informationhttps://doi.org/10.1097/01.JU.0001008800.83683.92.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In patients with symptomatic obstruction from ureteral stricture disease, pre-operative placement of percutaneous nephrostomy (PCN) to allow for ureteral rest has been associated with improved outcomes. However, PCNs are associated with many quality of life (QoL) issues, such as pain, infection, and impact on daily life. We sought to better understand the impact of pre-operative PCN placement on patient's quality of life. METHODS: A symptom questionnaire was developed to retrospectively survey 20 patients managed with pre-operative PCN via phone interviews. Question topics included pain, general health, work performance, sexual matters, ease of follow-up, urinary symptoms, and other associated complications. Questions were scored on a 5-point Likert –scale ranging from strongly disagree to strongly agree. RESULTS: Of patients surveyed, 65% strongly agreed or agreed that PCN improved their pain prior to surgery (3.9, 95% CI 3.31-4.49). Overall, 65% of patients strongly agreed or agreed that PCN made it challenging to enjoy everyday activities (3.8, 95% CI 3.16-4.44), and 75% strongly agreed or agreed it made engaging in exercise difficult (3.95, 95% CI 3.52- 4.38). Regarding sexual health, 40% of patients were neutral for PCN leading to decreased desire to have sexual intercourse (3.2, 95% CI 2.6-3.8), feeling unattractive around partners (3.3, 95% CI 2.7-3.9), and finding sexual intercourse challenging (3.2, 95% CI 2.6-3.8). For work performance, 70% and 85% of patients strongly disagreed or disagreed that quality of their work (2.05, 95% CI 1.44-2.66) or ability to concentrate at work (1.7, 95% CI 1.22-2.18) was diminished with PCN, respectively. Lastly, 95% of patients strongly agreed or agreed that they were happy to have a PCN due to an increased likelihood of having a successful surgery (4.8, 95% CI 4.6-5.0) (Figure 1). CONCLUSIONS: Our survey instrument allowed for characterization of patient experiences with PCN and its impact on health-related quality of life. Pre-operative PCN placement did not significantly impact patient's QoL, and should continue to be employed for ureteral rest prior to ureteral reconstruction. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e910 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Labeeqa Khizir More articles by this author Benjamin Lichtbroun More articles by this author Kevin Chua More articles by this author Alain Kaldany More articles by this author John Pfail More articles by this author Krishna Doppalapudi More articles by this author Rachel Passerelli More articles by this author Sammy E. Elsamra More articles by this author Expand All Advertisement PDF downloadLoading ...