Management of encrusted ureteral stent: nine years experience in a single center
lntroduction: Ureteral stent insertion is common in urological practice. However, ureteral stent is not without complications or adverse effects. Stent migration, infection, fragementation and encrustation are among the known complicationso f ureterals tents. Objective: To share our experience...
| Main Authors: | , , , |
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| Format: | Conference or Workshop Item |
| Language: | English |
| Published: |
2010
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/44087/ http://irep.iium.edu.my/44087/1/44107.pdf |
| Summary: | lntroduction: Ureteral stent insertion is common in
urological practice. However, ureteral stent is not without
complications or adverse effects. Stent migration, infection,
fragementation and encrustation are among the known
complicationso f ureterals tents.
Objective: To share our experience in the management of
stentse ncrustationi n our centre.
Material and methods: We retrospectively studied all
patients with ureteral stent encrustation which needed
intervention either surgically or by ESWL in our centre
(HospitalU niversitiS ainsM alaysia).F or a periodo f 9 years
(zooz-zoto)a, ll patientsw ith stent encrustationw ho needed
surgical or ESWL interventions were included in the study.
Demographic data, risk factors and outcome of treatments
were studied.T reatmentd ecisionsw ere made basedo n the
clinicala nd imagingf indings.
Results: 36 patients were included in the study. Mean age
at presentation was 48.47 years. There were 2i males and
t5 females. The stents were inserted for stone diseases
alone(8o.6%)c, ombination of stone diseasesa nd ureteric
strictures('n.'t%u),r eteric strictures alone(5.6%a) nd in a case
of malignant disease(2.82). The treatment options were
ESWL, vesicolitholapaxy, vesicolithotripsy, ureteroscopy,
retrograde intra renal surgery (RIRS) and PCNL. All the
stents were successfully removed. 583% of the stents were
removed in a singles ession.T he rest of the stents needed
additional interventions.
Conclusion: Eventhough stent insertion is fundamental in
urological practice it is not without complications.S tent
should only be inserted in patients who are really in need for
the stent insertion. However, stent encrustation could still
be successfulltyr eated even in the very severec ases |
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