An endourological management of 4-year-old bilateral neglected and encrusted ureteral stents

Double-J (DJ) stents are integral tools in the hands of urologists. Nonetheless, it might be associated with significant complications. Forgotten DJ stent is a commonly encountered problem. Herein, we present a case of a 42-year-old female patient who presented with extensively encrusted bilateral DJ stents, with bulky stones and encrustations at the entire course of the DJ stents on both sides. They were inserted 4 years ago with no follow-up. Multimodal endourological techniques were tailored to manage this difficult case. Cystolithotripsy, endoscopic combined intrarenal surgeries, and spontaneous bilateral endoscopic surgery were required to render her stone free.