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Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches

BACKGROUND: Double-J stents are widely used in urology practice, and removal of these stents can sometimes be forgotten. AIMS: To investigate whether indwelling time of double-J stent can predict which treatment modality is required for removal of the stent from the body. STUDY DESIGN: A multicentre...

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Autores principales: Polat, Hacı, Yücel, Mehmet Özgür, Utangaç, Mehmet M., Benlioğlu, Can, Gök, Alper, Çift, Ali, Kalyenci, Bedreddin, Lök, Uğur, Gülaçtı, Umut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615961/
https://www.ncbi.nlm.nih.gov/pubmed/28443570
http://dx.doi.org/10.4274/balkanmedj.2015.1562
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author Polat, Hacı
Yücel, Mehmet Özgür
Utangaç, Mehmet M.
Benlioğlu, Can
Gök, Alper
Çift, Ali
Kalyenci, Bedreddin
Lök, Uğur
Gülaçtı, Umut
author_facet Polat, Hacı
Yücel, Mehmet Özgür
Utangaç, Mehmet M.
Benlioğlu, Can
Gök, Alper
Çift, Ali
Kalyenci, Bedreddin
Lök, Uğur
Gülaçtı, Umut
author_sort Polat, Hacı
collection PubMed
description BACKGROUND: Double-J stents are widely used in urology practice, and removal of these stents can sometimes be forgotten. AIMS: To investigate whether indwelling time of double-J stent can predict which treatment modality is required for removal of the stent from the body. STUDY DESIGN: A multicentre, retrospective observational study. METHODS: The data of 57 patients who were treated for forgotten ureteral stents between January 2007 and December 2014 were evaluated retrospectively. Patients were classified into four groups according to indwelling time of the stents: 6-12 months, 13-24 months, 25-36 months, and >36 months. Encrustation and associated stone burden of the stents were evaluated with non-contrast stone protocol computerised tomography. RESULTS: Patients were classified according to their duration of the stent indwelling time. Simple cystoscopic stent retrieval was performed in 71.4% of patients in the 6-12 months group, 44% of patients in the 13-24 months group, 6.2% of patients in the 25-36 months group, and 11.1% of patients in the >36 months group. A percutaneous or open surgery was required in no patients with an indwelling time of double-J stent shorter than 30 months. CONCLUSION: Transurethral and/or percutaneous combined endo-urological approaches are usually sufficient for the removal of forgotten double-J stents. Transurethral procedures are sufficient for the treatment of patients with double-J stent indwelling times less than 30 months.
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spelling pubmed-56159612017-10-02 Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches Polat, Hacı Yücel, Mehmet Özgür Utangaç, Mehmet M. Benlioğlu, Can Gök, Alper Çift, Ali Kalyenci, Bedreddin Lök, Uğur Gülaçtı, Umut Balkan Med J Original Article BACKGROUND: Double-J stents are widely used in urology practice, and removal of these stents can sometimes be forgotten. AIMS: To investigate whether indwelling time of double-J stent can predict which treatment modality is required for removal of the stent from the body. STUDY DESIGN: A multicentre, retrospective observational study. METHODS: The data of 57 patients who were treated for forgotten ureteral stents between January 2007 and December 2014 were evaluated retrospectively. Patients were classified into four groups according to indwelling time of the stents: 6-12 months, 13-24 months, 25-36 months, and >36 months. Encrustation and associated stone burden of the stents were evaluated with non-contrast stone protocol computerised tomography. RESULTS: Patients were classified according to their duration of the stent indwelling time. Simple cystoscopic stent retrieval was performed in 71.4% of patients in the 6-12 months group, 44% of patients in the 13-24 months group, 6.2% of patients in the 25-36 months group, and 11.1% of patients in the >36 months group. A percutaneous or open surgery was required in no patients with an indwelling time of double-J stent shorter than 30 months. CONCLUSION: Transurethral and/or percutaneous combined endo-urological approaches are usually sufficient for the removal of forgotten double-J stents. Transurethral procedures are sufficient for the treatment of patients with double-J stent indwelling times less than 30 months. Galenos Publishing 2017-07 2017-08-04 /pmc/articles/PMC5615961/ /pubmed/28443570 http://dx.doi.org/10.4274/balkanmedj.2015.1562 Text en © Copyright 2017, Trakya University Faculty of Medicine http://creativecommons.org/licenses/by/2.5/ Balkan Medical Journal
spellingShingle Original Article
Polat, Hacı
Yücel, Mehmet Özgür
Utangaç, Mehmet M.
Benlioğlu, Can
Gök, Alper
Çift, Ali
Kalyenci, Bedreddin
Lök, Uğur
Gülaçtı, Umut
Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches
title Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches
title_full Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches
title_fullStr Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches
title_full_unstemmed Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches
title_short Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches
title_sort management of forgotten ureteral stents: relationship between indwelling time and required treatment approaches
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615961/
https://www.ncbi.nlm.nih.gov/pubmed/28443570
http://dx.doi.org/10.4274/balkanmedj.2015.1562
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