Endoscopic Approach to Bladder Stones

Geavlete, P.; Georgescu, D.; Alexandrescu, Emanuel; Multescu, R.; Geavlete, B.

doi:10.1016/b978-0-12-802439-3.00005-0

Cited by 2 publications

(1 citation statement)

References 80 publications

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“…In our patient’s case, the urine culture indicated the presence of E. coli , significantly increasing the risk of biofilm formation and subsequent encrustation. Additionally, bladder stones, which typically measure less than 1 cm and often pass out of the body naturally, can be a complication 12 . However, in our specific case, a large bladder stone measuring 4 cm was detected, highlighting the potential development of sizable bladder stones as a complication resulting from prolonged DJ stent placement.…”

Section: Discussionmentioning

confidence: 99%

Bladder stone formation due to neglected double J stent: a case report

Jawad,

Hamdar,

Nahle

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Double J (DJ) stents are commonly used in genitourinary procedures, but they can lead to complications including infection, hematuria, encrustation, and stone formation. The longer the duration of encrustation, the greater the risk of complications and renal dysfunction. Forgotten stents pose challenges for patients and can require endourological or open surgical procedures. Case Presentation: 40-year-old man with hypertension and coronary artery disease had a forgotten DJ stent for 3 years, causing suprapubic pain and dysuria. KUB revealed a coiled DJ stent with a large bladder stone and encrustation, and open Cystolithotomy was successfully performed. Recovery was uneventful, and the patient was discharged without complication. Clinical Discussion: Ureteral stents, including the Double-J stent, are commonly used for urological conditions but can cause complications if retained beyond the intended timeframe. Optimal timing for stent removal is crucial, and patients’ healthcare knowledge and adherence are critical to preventing retention. KUB x-ray can evaluate stent encrustation and bladder stones. Cystoscopy is the typical approach for stent removal, but supplementary interventions may be necessary. Open surgery was recommended for removing a large bladder stone and encrusted stent in this case. Conclusion: Timely removal of Double J stents is crucial to avoid complications. Extended retention can cause problems such as encrustation and stone formation. Patient education and adherence are essential to prevent retention and forgetfulness. This case report highlights the importance of careful management of patients with Double-J stents for optimal outcomes and prevention of complications.

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Section: Discussionmentioning

confidence: 99%

Bladder stone formation due to neglected double J stent: a case report

Jawad,

Hamdar,

Nahle

et al. 2023

Annals of Medicine &Amp; Surgery

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Consultation on kidney stones, Copenhagen 2019: lithotripsy in percutaneous nephrolithotomy

Axelsson

Cracco²,

Desai

et al. 2020

World J Urol

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Purpose To evaluate the balance between existing evidence and expert opinions on the safety and efficacy of new technological improvements in lithotripsy techniques for percutaneous nephrolithotomy (PCNL). Methods A scoping review approach was applied to search literature in Pubmed, Embase, and Web of Science. Consensus by key opinion leaders was reached at a 2-day meeting entitled "Consultation on Kidney Stones: Aspects of Intracorporeal Lithotripsy" held in Copenhagen, Denmark, in September 2019. Results New-generation dual-mode single-probe lithotripsy devices have shown favourable results compared with use of ballistic or ultrasonic lithotripters only. However, ballistic and ultrasonic lithotripters are also highly effective and safe and have been the backbone of PCNL for many years. Compared with standard PCNL, it seems that mini PCNL is associated with fewer bleeding complications and shorter hospital admissions, but also with longer operating room (OR) time and higher intrarenal pressure. Use of laser lithotripsy combined with suction in mini PCNL is a promising alternative that may improve such PCNL by shortening OR times. Furthermore, supine PCNL is a good alternative, especially in cases with complex renal stones and large proximal ureteric stones; in addition, it facilitates endoscopic combined intrarenal surgery (ECIRS). Conclusion Recent technological improvements in PCNL techniques are promising, but there is a lack of high-level evidence on safety and efficacy. Different techniques suit different types of stones and patients. The evolution of diverse methods has given urologists the possibility of a personalized stone approach, in other words, the right approach for the right patient.

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Endoscopic Approach to Bladder Stones

Cited by 2 publications

References 80 publications

Bladder stone formation due to neglected double J stent: a case report

Bladder stone formation due to neglected double J stent: a case report

Consultation on kidney stones, Copenhagen 2019: lithotripsy in percutaneous nephrolithotomy

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