輸尿管支架症狀問卷中文版之驗證研究

吳志緯¹、盧昱成¹、王啟暐¹、胡書維^2,3、梁凱婷 ⁴、李秉叡¹、林鉅棟¹、鄭以弘¹、何承勳^{1, 5}

1. 新光吳火獅紀念醫院外科部泌尿科

2. 衛生福利部雙和醫院泌尿科

3. 臺北醫學大學泌尿腎臟研究中心

4. 香港屯門醫院家庭醫學科

5. 天主教輔仁大學醫學院醫學系

Validation of Chinese Version of the Ureteral Stent Symptoms Questionnaire

Chih-Wei Wu ¹, Yu-Cheng Lu ¹, Chi-Wei Wang ¹, Su-Wei Hu ^{2, 3}, Liang Kai Ting Katy ⁴, Ping‐Jui Lee ¹,  Chu-Tung Lin ¹, Yi-Hong Cheng¹, Chen-Hsun Ho ^{1, 5}

1.Divisions of Urology, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan;

2. Department of Urology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan;

3. Taipei Medical University (TMU) Research Center of Urology and Kidney, Taipei Medical University, Taipei, Taiwan;

4. Department of Family Medicine, Tuen Mun Hospital, Hong Kong;

5. School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan

Purpose:

The Chinese version of the USSQ was created through linguistic validation of the original questionnaire. Its reliability and validity were assessed in patients who underwent ureteroscopic surgery and ureteral stent insertion. Participants completed the questionnaire on post-operative days 7 and again on days 28, before the removal of the ureteral stent. A third assessment was conducted 8 weeks after the ureteroscopic operation. Reliability and validity of the Chinese version USSQ were evaluated.

Materials and Methods:

From 2024 to 2025, six consecutive patients with muscle-invasive urothelial carcinoma underwent robotic-assisted radical cystectomy with ileal conduit urinary diversion using this modified technique. All surgeries were performed by a single surgeon following an enhanced recovery protocol. After bladder removal and extended lymph node dissection, a 20–25 cm ileal segment was isolated approximately 20 cm proximal to the ileocecal valve. The conduit was constructed extracorporeally via a 6–8 cm midline incision using Bricker's technique. Both ureters were anastomosed to the ileal segment anterior to the sigmoid colon with minimal dissection at their native positions. Postoperative monitoring included operative metrics, bowel recovery, renal function, and complications. The study protocol was approved by the local institutional review board.

Results:

A total of 55 patients were prospectively enrolled. The reliability of the Chinese-version USSQ was internally consistent; the Cronbach’s alpha was 0.68 for the overall questionnaire and ranged from 0.613 to 0.754 for each domain. Patients had significantly higher symptom scores, particularly in the urinary symptoms and body pain domains, at the first and second assessments compared to the third assessment (p < 0.001 and p = 0.002, respectively). However, there was no significant difference between the first and second assessments.

Conclusion:

The Chinese-version USSQ is a reliable and valid instrument for assessing ureteral stent symptoms.