Abstract
Double J (DJ) ureteral stents are frequently used as a natural consequence of common use of endoscopic procedures. Even though use of these stents is practical and safe, undesired problems such as urinary tract infection, kidney dysfunction may develop in case of their long stay in the body. DJ stents staying for a long time in the body due to forgotten by urologist and frequently by the patients or due to carelessness of the patients which may cause serious medical and legal problems. Herein, we reported two cases with DJ stent placed 4 and 2 years ago after open kidney stone operation and encrusted as they were forgotten. These 2 cases were treated by application of ESWL, endoscopic laser cystolithotripsy, suprapubic percutaneous cystolithotripsy, ureteroscopic lithotripsy and percutaneous nephrolithotomy methods consecutively. In conclusion, cases with DJ stents should be informed and warned strictly to avoid rare but serious problems due to delay or forget of these stents. We think that with an algorithm including the consecutive treatment alternatives management of encrusted DJ stents might be more successful. J Clin Exp Invest 2012; 3(2): 263-266
References
- Finney RP. Experience with new Double-j ureteral cath- eter stent. J Urol 1978;120(5): 678-91.
- Kilciler M, Erdemir F, Bedir S, et al. Spontaneous ure- teral stent fragmentation: a case report and review of the literature. Kaohsiung J Med Sci. 2006;22(7):363-6.
- Shandera KC: Minimally invasive management of the calcified ureteral stent. Tech Urol 1997;3(1):54-7.
- Tahmaz L, Ozgok Y, Zor M, Basal S, Kilciler M, Istanbul- luoglu O, Dayanc M. Laparoscopy- assisted tubeless percutaneous nephrolithotomy in previously operated ectopic pelvic kidney with fragmented J-J stent. Urol Res 2009;37(5):257-60.
- McCahy PJ and Ramsden PD: A computerized ureteric stent retrieval system. Br J Urol 1996;77(1):147-8
- Singh I, Gupta NP, Hemal AK, et al. Severely encrusted polyurethane ureteral stents: Management and analy- sis of potential risk factors. Urology 2001;58(4):526-31.
- Kumar M, Aron M, Aggarwal AK, et al. Stenturia: An unusual manifestation of spontaneous ureteral stent fragmentation. Urol Int 1999;62(1):114-6.
- Soylemez H, Altunoluk B, Onem K, Oğuz F. Minimally painful retrieval of ureteral stent by using ureterosco- py J Clin Exp Invest 2010;1 (1); 7-11
- Veltman Y, Shields JM, Ciancio G, Bird VG. Percutane- ous nephrolithotomy and cystolithalapaxy for a “for- gotten” stent in a transplant kidney: case report and literature review. Clin Transplant. 2010;24(1):112-7.
Abstract
DJ stentler endoskopik uygulamaların yaygınlaşmasıyla beraber sıklıkla kullanılmaktadır. Bu stentler güvenli ve pratik olmalarının yanında vücutta normalden uzun süre kalırlarsa üriner sistem enfeksiyonu, böbrek fonksiyon kaybı gibi yan etkilere sahiptir. Bazen ürologlar çoğu kez de hastalar tarafından unutulan veya hastanın ilgisizliği nedeniyle vücutta uzun süre kalan double J stentler günümüzde halen sorun olmaya devam etmektedir Bu yazıda, biri 4 yıl önce ve diğeri 2 yıl önce açık böbrek taşı ameliyatı sırasında yerleştirilen ve sonrasında unutulup taşlaşan DJ stentli iki hastanın uygulanan ESWL, endoskopi sistolitotripsi, perkütan sistolitotripsi ve perkütan nefrolitotripsinin kombine kullanımıyla taşsız hale getirilmeleri tartışıldı ve ilgili yayınlar gözden geçirildi. Biz DJ stent yerleştirilen hastaların takiplerinde hastaların daha sıkı uyarılmalarının ve daha çok bilgilendirmelerinin gerekli olduğuna inanıyoruz. Bunun için gerekirse iletişim imkanlarından da yararlanılmalıdır. Enkruste veya taşlaşmış DJ stentlerle mücadele etmek için birçok seçeneğin olduğu ve belli bir algoritma ile bu seçeneklerin kullanılarak hastaların taşsız hale getirilebileceği düşüncesindeyiz.
Keywords
References
- Finney RP. Experience with new Double-j ureteral cath- eter stent. J Urol 1978;120(5): 678-91.
- Kilciler M, Erdemir F, Bedir S, et al. Spontaneous ure- teral stent fragmentation: a case report and review of the literature. Kaohsiung J Med Sci. 2006;22(7):363-6.
- Shandera KC: Minimally invasive management of the calcified ureteral stent. Tech Urol 1997;3(1):54-7.
- Tahmaz L, Ozgok Y, Zor M, Basal S, Kilciler M, Istanbul- luoglu O, Dayanc M. Laparoscopy- assisted tubeless percutaneous nephrolithotomy in previously operated ectopic pelvic kidney with fragmented J-J stent. Urol Res 2009;37(5):257-60.
- McCahy PJ and Ramsden PD: A computerized ureteric stent retrieval system. Br J Urol 1996;77(1):147-8
- Singh I, Gupta NP, Hemal AK, et al. Severely encrusted polyurethane ureteral stents: Management and analy- sis of potential risk factors. Urology 2001;58(4):526-31.
- Kumar M, Aron M, Aggarwal AK, et al. Stenturia: An unusual manifestation of spontaneous ureteral stent fragmentation. Urol Int 1999;62(1):114-6.
- Soylemez H, Altunoluk B, Onem K, Oğuz F. Minimally painful retrieval of ureteral stent by using ureterosco- py J Clin Exp Invest 2010;1 (1); 7-11
- Veltman Y, Shields JM, Ciancio G, Bird VG. Percutane- ous nephrolithotomy and cystolithalapaxy for a “for- gotten” stent in a transplant kidney: case report and literature review. Clin Transplant. 2010;24(1):112-7.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 1, 2012 |
| Published in Issue | Year 2012 |