Cargando…
Ureteral stent complications – experience on 50,000 procedures
Double J stent is an essential tool in urology, being a basic part of many urological procedures. However, some issues related to their use still occur. Our study aimed to evaluate an important number of procedures, the complications of ureteral stents, and their prevention and treatment retrospecti...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Carol Davila University Press
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811679/ https://www.ncbi.nlm.nih.gov/pubmed/35126746 http://dx.doi.org/10.25122/jml-2021-0352 |
_version_ | 1784644485182914560 |
---|---|
author | Geavlete, Petrișor Georgescu, Dragos Mulțescu, Razvan Stanescu, Florin Cozma, Cosmin Geavlete, Bogdan |
author_facet | Geavlete, Petrișor Georgescu, Dragos Mulțescu, Razvan Stanescu, Florin Cozma, Cosmin Geavlete, Bogdan |
author_sort | Geavlete, Petrișor |
collection | PubMed |
description | Double J stent is an essential tool in urology, being a basic part of many urological procedures. However, some issues related to their use still occur. Our study aimed to evaluate an important number of procedures, the complications of ureteral stents, and their prevention and treatment retrospectively. We evaluate 50,000 procedures performed between 1996 and 2021 on 36,688 patients. According to the stenting duration, the cases were divided into short-term (less than 6 weeks – 34,213 procedures), respectively long-term stenting (more than 6 weeks – 15,757 procedures). The indications of stenting for both groups were noted. The total number of complications was 41,369. We encountered 153 cases (0.3%) of JJ stent malposition, of which 3 cases were into the retroperitoneum, one case with parenchymal perforation and hematoma. Considering the double J migrations, we found proximal migration in 427 cases (0.9%) and distal double J migrations in 352 (0.7%) cases. The obstruction of the ureteral stent, causing inefficient drainage, was encountered in 925 cases, while irritative bladder symptoms occurred in 16,326 cases (32.7%). Hematuria was observed in 5,213 cases, in 7 cases blood transfusion being necessary. Urinary tract infection was diagnosed in 7,436 cases (14.8%). Stent encrustation and calcification occurred in 832 cases, while stent fragmentation was noted in 52 cases. Double J stent complications should be promptly evaluated and treated. Encrustation and stone formation in forgotten stents often lead to serious complications and should be managed with stent removal and combined endourological techniques. |
format | Online Article Text |
id | pubmed-8811679 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Carol Davila University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-88116792022-02-03 Ureteral stent complications – experience on 50,000 procedures Geavlete, Petrișor Georgescu, Dragos Mulțescu, Razvan Stanescu, Florin Cozma, Cosmin Geavlete, Bogdan J Med Life Original Article Double J stent is an essential tool in urology, being a basic part of many urological procedures. However, some issues related to their use still occur. Our study aimed to evaluate an important number of procedures, the complications of ureteral stents, and their prevention and treatment retrospectively. We evaluate 50,000 procedures performed between 1996 and 2021 on 36,688 patients. According to the stenting duration, the cases were divided into short-term (less than 6 weeks – 34,213 procedures), respectively long-term stenting (more than 6 weeks – 15,757 procedures). The indications of stenting for both groups were noted. The total number of complications was 41,369. We encountered 153 cases (0.3%) of JJ stent malposition, of which 3 cases were into the retroperitoneum, one case with parenchymal perforation and hematoma. Considering the double J migrations, we found proximal migration in 427 cases (0.9%) and distal double J migrations in 352 (0.7%) cases. The obstruction of the ureteral stent, causing inefficient drainage, was encountered in 925 cases, while irritative bladder symptoms occurred in 16,326 cases (32.7%). Hematuria was observed in 5,213 cases, in 7 cases blood transfusion being necessary. Urinary tract infection was diagnosed in 7,436 cases (14.8%). Stent encrustation and calcification occurred in 832 cases, while stent fragmentation was noted in 52 cases. Double J stent complications should be promptly evaluated and treated. Encrustation and stone formation in forgotten stents often lead to serious complications and should be managed with stent removal and combined endourological techniques. Carol Davila University Press 2021 /pmc/articles/PMC8811679/ /pubmed/35126746 http://dx.doi.org/10.25122/jml-2021-0352 Text en ©2021 JOURNAL of MEDICINE and LIFE https://creativecommons.org/licenses/by/3.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Original Article Geavlete, Petrișor Georgescu, Dragos Mulțescu, Razvan Stanescu, Florin Cozma, Cosmin Geavlete, Bogdan Ureteral stent complications – experience on 50,000 procedures |
title | Ureteral stent complications – experience on 50,000 procedures |
title_full | Ureteral stent complications – experience on 50,000 procedures |
title_fullStr | Ureteral stent complications – experience on 50,000 procedures |
title_full_unstemmed | Ureteral stent complications – experience on 50,000 procedures |
title_short | Ureteral stent complications – experience on 50,000 procedures |
title_sort | ureteral stent complications – experience on 50,000 procedures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811679/ https://www.ncbi.nlm.nih.gov/pubmed/35126746 http://dx.doi.org/10.25122/jml-2021-0352 |
work_keys_str_mv | AT geavletepetrisor ureteralstentcomplicationsexperienceon50000procedures AT georgescudragos ureteralstentcomplicationsexperienceon50000procedures AT multescurazvan ureteralstentcomplicationsexperienceon50000procedures AT stanescuflorin ureteralstentcomplicationsexperienceon50000procedures AT cozmacosmin ureteralstentcomplicationsexperienceon50000procedures AT geavletebogdan ureteralstentcomplicationsexperienceon50000procedures |