Table of Contents
ISRN Urology
Volume 2013, Article ID 523625, 5 pages
Clinical Study

Impact of Self-Watching Double J Stent Insertion on Pain Experience of Male Patients: A Randomized Control Study Using Visual Analog Scale

1Urology Department, Al-Karamah Teaching Hospital, 7 Abkar, 26047 Baghdad, Iraq
2Faculty of Computer and Mathematical Sciences, Universiti Teknologi MARA (UiTM), 40450 Shah Alam, Selangor Darul Ehasn, Malaysia

Received 15 February 2013; Accepted 17 March 2013

Academic Editors: A. M. El-Assmy, A. Fandella, A. Natali, and C. A. Podlasek

Copyright © 2013 Naser S. Hussein and M. R. Norazan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To confirm safety and feasibility of double J stent insertion under local anesthesia and to assess the effect of detailed explanation and observing double J stent insertion on pain experience of male patients. Material and Methods. Eighty consenting males, randomized and divided prospectively into group A, who were allowed to observe DJ stent insertion, and group B, were not observed. All DJ stent insertions were done by senior urologist in operating urology room with or without fluoroscopy guidance. At the end of the procedure the vital signs and duration of the procedure were documented and patients were asked to fill unmarked 100 mm visual analogue pain scale (VAS) as soon as the surgeon leaves operating room. Results. Mean age of entire study group was 38.8 years; the majority of the patients had DJ stent insertion for obstructed ureteric stone, with uneventful outcomes. Postprocedural systolic blood pressure and mean pain using VAS showed statistically significant difference between groups A and B. Conclusion. DJ stent insertion under local anesthesia is a safe and feasible procedure. We recommended self-watching and detailed explanation to patients who underwent DJ stent insertion to reduce the pain and anxiety associated with the procedure.