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Endourologic Management of a 15-Year-Old Neglected, Fragmented, and Encrusted Ureteral Stent
Background: Ureteral stents (Double-J stents) have been widely used in urology to prevent or relieve ureteral obstruction and have become an integral part of urologic practice. However, if ureteral stents are kept for a prolonged period or neglected, they can cause significant morbidity because of c...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc., publishers
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340373/ https://www.ncbi.nlm.nih.gov/pubmed/30671542 http://dx.doi.org/10.1089/cren.2018.0083 |
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author | Mahmood, Sarwar Noori Toffeq, Hewa Mahmoud Hussen, Muhamed Karim, Aram Jamal, Choman Said, Aree Ali Aziz, Bryar Othman |
author_facet | Mahmood, Sarwar Noori Toffeq, Hewa Mahmoud Hussen, Muhamed Karim, Aram Jamal, Choman Said, Aree Ali Aziz, Bryar Othman |
author_sort | Mahmood, Sarwar Noori |
collection | PubMed |
description | Background: Ureteral stents (Double-J stents) have been widely used in urology to prevent or relieve ureteral obstruction and have become an integral part of urologic practice. However, if ureteral stents are kept for a prolonged period or neglected, they can cause significant morbidity because of complications such as stent migration, encrustation, occlusion, stone formation, and fragmentation. Therefore, it is crucial to remove stents as soon as possible after they have served their purpose, to prevent complications and morbidity. Case Presentation: In this study, we present a case of a 28-year-old man who presented with broken extensively encrusted Double-J stent, with bulky stones at both ends of the stents that had been inserted 15 years ago, after an open right pyelolithotomy, and that was lost to follow-up. Cystolithotripsy, ureteroscopic laser lithotripsy, and two consecutive mini-percutaneous nephrolithotomies were necessary to extract the stent and the patient became stone free. Conclusion: Forgotten Double-J stents for long times with extensive encrustation and stone formation can be managed safely with a combined endourologic approach with minimal morbidity. |
format | Online Article Text |
id | pubmed-6340373 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Mary Ann Liebert, Inc., publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-63403732019-01-22 Endourologic Management of a 15-Year-Old Neglected, Fragmented, and Encrusted Ureteral Stent Mahmood, Sarwar Noori Toffeq, Hewa Mahmoud Hussen, Muhamed Karim, Aram Jamal, Choman Said, Aree Ali Aziz, Bryar Othman J Endourol Case Rep Case Report Background: Ureteral stents (Double-J stents) have been widely used in urology to prevent or relieve ureteral obstruction and have become an integral part of urologic practice. However, if ureteral stents are kept for a prolonged period or neglected, they can cause significant morbidity because of complications such as stent migration, encrustation, occlusion, stone formation, and fragmentation. Therefore, it is crucial to remove stents as soon as possible after they have served their purpose, to prevent complications and morbidity. Case Presentation: In this study, we present a case of a 28-year-old man who presented with broken extensively encrusted Double-J stent, with bulky stones at both ends of the stents that had been inserted 15 years ago, after an open right pyelolithotomy, and that was lost to follow-up. Cystolithotripsy, ureteroscopic laser lithotripsy, and two consecutive mini-percutaneous nephrolithotomies were necessary to extract the stent and the patient became stone free. Conclusion: Forgotten Double-J stents for long times with extensive encrustation and stone formation can be managed safely with a combined endourologic approach with minimal morbidity. Mary Ann Liebert, Inc., publishers 2018-12-17 /pmc/articles/PMC6340373/ /pubmed/30671542 http://dx.doi.org/10.1089/cren.2018.0083 Text en © Sarwar Noori Mahmood et al. 2018; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Mahmood, Sarwar Noori Toffeq, Hewa Mahmoud Hussen, Muhamed Karim, Aram Jamal, Choman Said, Aree Ali Aziz, Bryar Othman Endourologic Management of a 15-Year-Old Neglected, Fragmented, and Encrusted Ureteral Stent |
title | Endourologic Management of a 15-Year-Old Neglected, Fragmented, and Encrusted Ureteral Stent |
title_full | Endourologic Management of a 15-Year-Old Neglected, Fragmented, and Encrusted Ureteral Stent |
title_fullStr | Endourologic Management of a 15-Year-Old Neglected, Fragmented, and Encrusted Ureteral Stent |
title_full_unstemmed | Endourologic Management of a 15-Year-Old Neglected, Fragmented, and Encrusted Ureteral Stent |
title_short | Endourologic Management of a 15-Year-Old Neglected, Fragmented, and Encrusted Ureteral Stent |
title_sort | endourologic management of a 15-year-old neglected, fragmented, and encrusted ureteral stent |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340373/ https://www.ncbi.nlm.nih.gov/pubmed/30671542 http://dx.doi.org/10.1089/cren.2018.0083 |
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