Laparoscopic management of a retained heavily encrusted ureteral stent

Bhansali, Manish; Patankar, Suresh; Dobhada, Satyen

doi:10.1111/j.1442-2042.2006.01473.x

Cited by 15 publications

(10 citation statements)

References 12 publications

(25 reference statements)

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“…15 Laparoscopic management of a retained heavily encrusted ureteral stent has also been reported. 16 Borboroglu et al, also reported the endourological treatment of four patients with severely encrusted ureteral stents with a large stone burden. 17 All patients required two to six endourological approaches (average 4.2) performed at one or multiple sessions, to achieve stonefree and stent-free status.…”

Section: Resultsmentioning

confidence: 97%

Ureteric double-J stent related complications: a single tertiary care center experience from South India

et al. 2018

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Background: The double-J (DJ) ureteral stents is most commonly used urological procedure and is associated with complications. This study was done to analyse the complications of ureteral DJ stents, modalities of management and outcomes.Methods: The present study is a prospective observational study of patients who presented with DJ stent related complications between February 2016 and November 2017. Patients were evaluated by history, examination, urine analysis, cultures, KUB ultrasonography, abdominal roentgenogram, CT-KUB, intravenous urogram and DTPA renogram. Complications like fever, hematuria and irritable bladder symptoms were managed conservatively. Patients with stent migration underwent endoscopic removal. Combined endourological procedures were performed in single or staged manner in cases with retained DJS with encrustation.Results: Total 120 patients presented with DJ stent complications during the study period. Males were 63.3% and females 36.7%. The mean age was 31.5 years. The majority 65.33% of the stents were placed for postsurgical prophylaxis. Irritable bladder symptoms 42.5% was most common complication, followed by retained stent with encrustation 17.5%, fever 15.9%, hematuria 13.3%, stent migration 5.8% and retained sent with minimal and no encrustation 5%. Stent removal was done in 47 (39.16%) patients; all patients with retained stent, stent migration, 5 (26.3%) patients with fever and 8 (15.6%) patients with irritable bladder symptoms. Common site of encrustation was bladder alone and kidney with bladder in 5 (23.80%) patients each. The mean stent indwelling time was 3.2 years. Twenty-one (17.5%) patients required combined endourological procedures such as cystolithotripsy (CLT), ureteroscopic lithotripsy (URSL), percutaneous nephrolithotomy (PCNL) with intracorporal lithotripsy. One (4.76%) patient required nephrectomy.Conclusions: Double-J stent is an important tool to prevent and relieve obstruction. Their use must be strictly restricted to selected cases with proper documentation, counseling and close tracking. Encrustation in forgotten stents should be managed with stent removal with combined endourologic techniques.

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Section: Resultsmentioning

confidence: 97%

Ureteric double-J stent related complications: a single tertiary care center experience from South India

et al. 2018

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“…In case of our patient indwelling time was six years, so we conclude that due to encrustation and stone formation, both ends of the stent were retained in situ and the central shaft was fragmented and passed along with urine (stenturia) and disappeared [10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

A forgotten double-J stent with missing shaft and unusual large stone formation at its both the J end: A case report

Maurya¹,

Katiar²,

Kannaujiya³

2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comA forgotten double-J stent with missing shaft and unusual large stone formation at its both the J end: A case report Rajesh Kumar Maurya, Vikash Katiar, Vijay Kannaujiya ABSTRACT Introduction: Use of ureteric stents is accepted standard practice in the management of ureteric obstruction, 'forgotten' indwelling stents can cause encrustation, pyelonephritis, recurrent obstruction, and stent migration and breakage. A stent register should be maintained to check follow-up of such patient to prevent this urological travesty. Case Report: We are reporting a case of encrustation and unusual large stones formation at both the J end of a forgotten double-J stent in a 35-year-old female presented in our outpatient department for complaints of left flank and lower abdominal pain, burning and increased frequency of micturition for four months. Conclusion:Indwelling stents can result in complications such as encrustation, pyelonephritis, recurrent obstruction, and stent migration and breakage so their use should be done with caution.

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“…43 Laparoscopy emerges as a minimally invasive option to manage stent encrustation. Bhansali and associates 44 described laparoscopic management of a heavily encrusted ureteral stent. In our series, we managed three cases of heavily encrusted stents with laparoscopic pyelotomy, after repeated failure of SWL.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Iatrogenic Lesions

Abreu

Tanaka²,

Abreu³

et al. 2008

Journal of Endourology

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Purpose: To present our series of patients who underwent laparoscopic correction of iatrogenic lesions and a review of the literature. Patients and Methods:We evaluated 23 patients who underwent laparoscopic correction of iatrogenic lesions.Thirteen patients had open surgery, 6 had an endoscopic procedure, and 4 had a laparoscopic approach as the first surgical procedure. Vesicovaginal fistulas (VVF) developed in seven patients after open abdominal hysterectomies, and 1 patient presented with a VVF after ureterolithotripsy. A urethral cutaneous fistula developed in one patient after a laparoscopic resection of endometriosis nodules, and 1 patient presented with a ureterovaginal fistula after a perineoplasty. Three patients presented with encrusted ureteral stents after ureterolithotripsy. Ureteral stenosis developed in seven patients: three after open abdominal surgery, three after ureteroscopy, and one after pyeloplasty. One patient had a ureteral injury during laparoscopic partial nephrectomy, and two patients had bowel injuries after a tension-free vaginal tape procedure and a laparoscopic radical prostatectomy. Results: All patients underwent laparoscopic correction of the iatrogenic injuries. One patient had an early recurrence of a VVF, and one patient had a recurrence of a ureteral stenosis. There was one conversion to open surgery because of technical difficulties and one major bleeding event that necessitated blood transfusion. A lower limb compartmental syndrome developed in one patient. Conclusion: Despite the small number of patients and different types of surgeries performed, laparoscopic management of iatrogenic lesions seems to be feasible and safe in experienced hands. Its precise role in the management of this stressful condition still needs to be determined. 1279

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Laparoscopic management of a retained heavily encrusted ureteral stent

Cited by 15 publications

References 12 publications

Ureteric double-J stent related complications: a single tertiary care center experience from South India

Ureteric double-J stent related complications: a single tertiary care center experience from South India

A forgotten double-J stent with missing shaft and unusual large stone formation at its both the J end: A case report

Laparoscopic Management of Iatrogenic Lesions

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