Forgotten and fragmented ureteral j stent with stone formation: combined endoscopic management

Şen,; Hi, Bozkurt; Yonguç, Tarık; Aydoğdu, Özgü; Yarımoğlu, Serkan; Değirmenci, Tansu; Minareci, Süleyman

doi:10.1590/s1677-5538.ibju.2014.0536

Cited by 3 publications

(2 citation statements)

References 2 publications

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“… 2 Various methods of treatment combinations of extracorporeal shock wave lithotripsy, cystolithotripsy, retrograde ureteroscopy with intracorporeal lithotripsy, PCNL and open surgery have been used for retrieval of these encrusted stents. 5 In the present study, Upon pre-operative investigation, including KUB, ultrasound, CT scan and IVU, it important to decide the treatment strategy, the forgotten stent was noted with significant calculus formation at both ends. For severe encrustation or calcification of the proximal stent in this case, PCNL in conjunction with antegrade ureteroscopy was used.…”

Section: Discussionmentioning

confidence: 71%

Fragmentation of Severely Encrusted Ureteral Stent Indwelled for 4 Years in a Boy

Tao

Yang

et al. 2017

Urology Case Reports

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Four years ago, a 9-year-old boy received percutaneous nephrolithotomy (PCNL) and a 5F DJS was placed thereafter. The DJS was neglected until it caused serious complications including encrustation involving the whole stent, a 5-cm-diameter vesical stone, fragmentation of DJS, and serious urinary tract infection. For this rare and complex case of pediatric lithotomy, we combined PCNL with the suprapubic cystolithotomy for complete removal of the encrusted stent and associated stones without any complications and the patient was rendered stone- and stent-free safely.

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Section: Discussionmentioning

confidence: 71%

Fragmentation of Severely Encrusted Ureteral Stent Indwelled for 4 Years in a Boy

Tao

Yang

et al. 2017

Urology Case Reports

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“…In the same session, renal fragment was also removed through percutaneous access. [14] In another multicentered and retrospective observational study, 57 patients were divided into groups considering the stent indwelling times and it was considered that transurethral procedures were sufficient for the treatment of patients who had DJ stent indwelling times <30 months. [15] In our case, endoscopic and percutaneous surgery was applied to the patient in the same session.…”

Section: Discussionmentioning

confidence: 99%

Treatment of fragmented and severely encrusted ureteral double-J stent forgotten for 11 years through multimodal endourological methods

Kandemir

Sönmez

2019

Urol Ann

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Ureteral catheters are frequently used in urology clinics for intrinsic or extrinsic pathologies which cause ureteral obstruction to provide urinary drainage from the kidney to the bladder. With the increase in stent use, an increase is observed in complications occurring due to ureteral stents in direct proportion with this increase, and ureteral double-J (DJ) stents forgotten in the urinary system are observed commonly in urological cases when the patients do not refer to a health institution in this condition and may cause severe problems, such as infection, stent fragmentation, migration, kidney failure, encrustation, and hydronephrosis conditions. A 30-year-old male patient referred to our clinic with right-side pain, dysuria, and incontinence complaints. It was learned that the patient had endoscopic stone surgery due to right ureteral stone and kidney stone 11 years before the presentation. In the imaging methods of the patient, it was observed that the DJ stent forgotten had separated into three parts, and stones were observed in the right ureter. Cystoscopy was made under general anesthesia. The torn distal end of DJ stent was observed in distal urethra. The foreign object was removed with forceps. Then with ureterorenoscope, the stones integrated with the stent at the end of the piece of DJ stent in the ureter were fragmented with pneumolithotriptor. Stone pieces and the second removed part of the stent were extracted with foreign object forceps. Then using nephroscope through percutaneous intervention, the stones at the end of the third torn piece of DJ stent were fragmented with pneumolithotriptor. They were extracted with forceps. After DJ stent installation, each patient should be checked by giving required information and told that the stent must be removed. In cases with forgotten stents and complications, the stents should be removed with suitable medical, endourological, or minimally invasive surgical methods taking care to protect kidney functions.

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Complications of Flexible Ureteroscopy

Keller

Coninck

Hameed

et al. 2022

Flexible Ureteroscopy

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Forgotten and fragmented ureteral j stent with stone formation: combined endoscopic management

Cited by 3 publications

References 2 publications

Fragmentation of Severely Encrusted Ureteral Stent Indwelled for 4 Years in a Boy

Fragmentation of Severely Encrusted Ureteral Stent Indwelled for 4 Years in a Boy

Treatment of fragmented and severely encrusted ureteral double-J stent forgotten for 11 years through multimodal endourological methods

Complications of Flexible Ureteroscopy

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