CURRENT MANAGEMENT OF SEVERELY ENCRUSTED URETERAL STENTS WITH A LARGE ASSOCIATED STONE BURDEN

Abstract

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Sep 2000CURRENT MANAGEMENT OF SEVERELY ENCRUSTED URETERAL STENTS WITH A LARGE ASSOCIATED STONE BURDEN PRODROMOS G. BORBOROGLU and CHRISTOPHER J. KANE PRODROMOS G. BORBOROGLUPRODROMOS G. BORBOROGLU and CHRISTOPHER J. KANECHRISTOPHER J. KANE View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67272-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We review our recent experience with encrusted retained ureteral stents associated with a large stone burden as well as current endoscopic options available for management. Materials and Methods: One man and 3 women presented to our department between May 1998 and April 1999 for treatment of an encrusted retained ureteral stent. One patient had a history of 3 episodes of ureteral stent encrustation during the last 6 years. We reviewed the management of these stents and the associated stone burden. Results: Average patient age was 32.5 years (range 25 to 41). Average interval that the encrusted stent remained in place was 7 months (range 3 to 12). In the 3 women pregnancy was associated with the retained stent. All patients required 2 to 6 endourological approaches (average 4.2) performed at 1 or multiple sessions to render them stone-free and stent-free. Postoperatively sepsis in 1 case necessitated a prolonged intensive care unit stay with eventual recovery. Conclusions: Successful management of a retained encrusted stent requires combined endourological approaches. Percutaneous nephrostolithotomy and ureteroscopy are often necessary for treating a severely encrusted stent and the associated stone burden. References 1 : Polyurethane internal stents in treatment of stone patients: morbidity related to indwelling times. J Urol1991; 146: 1487. 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Google Scholar From the Department of Urology, Naval Medical Center San Diego, San Diego, California© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byKrishna S, Abello A and Steinberg P (2021) Forget Forgotten Stents: Review of Ureteral Stent Tracking SystemsUrology Practice, VOL. 8, NO. 6, (645-648), Online publication date: 1-Nov-2021.Tomer N, Garden E, Small A and Palese M (2020) Ureteral Stent Encrustation: Epidemiology, Pathophysiology, Management and Current TechnologyJournal of Urology, VOL. 205, NO. 1, (68-77), Online publication date: 1-Jan-2021.Jain R, Chaparala H, Omar M, Ganesan V, Sivalingam S, Noble M and Monga M (2017) Retained Ureteral Stents at a Tertiary Referral Stone Center—Who is at Risk?Urology Practice, VOL. 5, NO. 6, (452-457), Online publication date: 1-Nov-2018.Weedin J, Coburn M and Link R (2010) The Impact of Proximal Stone Burden on the Management of Encrusted and Retained Ureteral StentsJournal of Urology, VOL. 185, NO. 2, (542-547), Online publication date: 1-Feb-2011.Haleblian G, Kijvikai K, de la Rosette J and Preminger G (2007) Ureteral Stenting and Urinary Stone Management: A Systematic ReviewJournal of Urology, VOL. 179, NO. 2, (424-430), Online publication date: 1-Feb-2008.BUKKAPATNAM R, SEIGNE J and HELAL M (2018) 1-Step Removal of Encrusted Retained Ureteral StentsJournal of Urology, VOL. 170, NO. 4 Part 1, (1111-1114), Online publication date: 1-Oct-2003.LINGEMAN J, PREMINGER G, BERGER Y, DENSTEDT J, GOLDSTONE L, SEGURA J, AUGE B, WATTERSON J and KUO R (2018) Use of a Temporary Ureteral Drainage Stent After Uncomplicated Ureteroscopy: Results From a Phase II Clinical TrialJournal of Urology, VOL. 169, NO. 5, (1682-1688), Online publication date: 1-May-2003.Auge B, Ferraro R, Madenjian A and Preminger G (2018) Evaluation Of A Dissolvable Ureteral Drainage Stent In A Swine ModelJournal of Urology, VOL. 168, NO. 2, (808-812), Online publication date: 1-Aug-2002. Volume 164Issue 3 Part 1September 2000Page: 648-650 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordscalculiureterurinary catheterizationstentMetricsAuthor Information PRODROMOS G. BORBOROGLU More articles by this author CHRISTOPHER J. KANE More articles by this author Expand All Advertisement PDF downloadLoading ...