A rare and unusual complication of the STING procedure

Santiapillai, Joseph; Symes, Andrew

doi:10.1016/j.eucr.2020.101174

Cited by 2 publications

(1 citation statement)

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“…A retrospective review showed that patients who had reimplantation of the ureter had a statistically significant greater chance of success compared with endoscopic injection [ 8 ]. Apart from complications like immune reaction and foreign body migration, ureteric obstruction is a rare but documented complication of STING procedure with a case of occurrence even up to 21 years later [ 9 , 10 ]. To our knowledge, our case represents the most delayed presentation of ureteric obstruction; 30 years post STING procedure.…”

Section: Discussionmentioning

confidence: 99%

A Rare and Late Complication of Subureteric Teflon Injection With Non-Animal Stabilized Hyaluronic Acid/Dextranomer Gel

Adamu‐Biu¹,

Han²,

Miakhil³

et al. 2023

Cureus

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Primary non-syndromic vesicoureteral reflux (VUR) is the commonest paediatric anomaly of the urinary tract. Complications of high-grade VUR include recurrent urinary tract infections, pyelonephritis, reflux nephropathy, and irreversible renal failure. The primary aim of its management centres on minimizing the number of urinary tract infections and renal scarring via surgical correction or continuous antibiotic prophylaxis. A rare complication of surgical treatment by subureteric Teflon injection with non-animal stabilized hyaluronic acid/dextranomer gel (NASHA/Dx) is ureteric obstruction. We report the case of a 38-year-old female who was diagnosed with ureteric obstruction secondary to subureteric injection with Deflux injection 30 years after endoscopic correction of VUR. She was successfully treated with ureteric reimplantation. Although considered efficient and safe, subureteric injection of bulking agent Deflux can be associated with delayed ureteric obstruction. This case highlights the need for long-term follow-up to allow timely detection and management of delayed ureteric obstruction. The possibility of late complication must also be addressed when obtaining pre-operative informed consent

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Section: Discussionmentioning

confidence: 99%