Extraction by extracorporeal shock wave lithotripsy of a forgotten ureteric stent after cystectomy

Thomas, J; Fenn, Neil; Ponsford, A. Phyllis; Bowsher, W. G.

doi:10.1046/j.1464-410x.1998.00405.x

Cited by 3 publications

(3 citation statements)

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“…Mit zunehmender Liegedauer steigt das Risiko der Stentokklusion durch bakterienbeladene Biofilme mit sekundärer Kalzifizierung, die als Inkrustration auch auf Rönt-genaufnahmen dokumentiert werden kann [1,9].Folge ist meist eine konsekutive Harnstauung, die aufgrund der bestehenden Bakteriurie mit einer hohen Morbidität (z.B.Pyelonephritis,Pyonephrose,Urosepsis) verbunden ist [5]. Letztlich ist unklar, warum einige Patienten unter Umständen schon nach Wochen,andere aber nicht einmal nach Jahren (siehe Fallbericht 4) solche Inkrustrationen aufweisen [3].…”

Section: H Ie R S T E H T E In E a N Z E Ig E T H Is Is A N A D V E Runclassified

“…Finden sich Zeichen einer Inkrustration oder Harnstauung, sollte umgehend ein DJStentwechsel erfolgen. Ist dieser nicht mehr möglich, ist nach Sicherung der Urinpassage eine Desintegration der Stentinkrustrationen anzustreben [9].Ist auch dann eine Stententfernung nicht möglich, muss eine offene Sanierung durchgeführt werden [6]. Bei den Patienten, bei denen der DJ-Stent nur passager erforderlich ist, sollte die DJ-Stententfernung so früh wie möglich durchgeführt werden [7].…”

Section: Management Of the "Forgotten" Double J Stentunclassified

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Management beim "vergessenen" DJ-Stent

Knopf

2003

Der Urologe A

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Double J (DJ)stents are a comfortable method for assuring urine passage with little or no burden for the patient. However, the lack of or minimal impairment of physical activity has the disadvantage that an inserted DJ stent can be "forgotten". In cases of encrustation, stent removal can be impossible or a stent can tear off. To remove encrusted stents all modern, minimally invasive endourological techniques are used. In rare cases, surgical procedures are essential. To avoid these difficulties, patients with DJ stents have to be closely checked to recognize the beginning of encrustation as early as possible. The removal of DJ stents should be carried out as early as possible in patients for whom they are required only short-term.

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Section: H Ie R S T E H T E In E a N Z E Ig E T H Is Is A N A D V E Runclassified

Section: Management Of the "Forgotten" Double J Stentunclassified

Management beim "vergessenen" DJ-Stent

Knopf

2003

Der Urologe A

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“…Occasionally, DJSs can be left dwelling in situ for long periods of time because of negligence of the patient and/or the physician [1]. Despite all meticulous vigilance, even in many special situations such as in transplanted kidneys [2], solitary kidneys [3], and after neobladder [4] and cystectomy surgery [5], cases of forgotten double-J stents (FUSs) have been reported in the literature. The morbidity, and mortality of the extraction method applied varies with the indwelling time of the stent, and the degree of incrustation.…”

Section: Introductionmentioning

confidence: 99%

Treatment of forgotten ureteral stents: how much does it really cost? A cost-effectiveness study in 27 patients

et al. 2011

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Aim of study was to present costs of forgotten ureteral stents extraction so as to distract attentions of the urologists on this issue. Medical files of 27 accessible patients who referred to our clinics between 2001 and 2010 because of forgotten ureteral stent were retrospectively analyzed. The indwelling time of double-j stents (DJS) was calculated from the time of its insertion. Costs related to radiological investigations, all invasive, and noninvasive interventions, duration of hospital stay, and medical treatments used were calculated. These estimations were based on 2010 prices determined by Turkey Ministry of Health. Mean age of the patients was 31.2 (8-86 years) years. Mean indwelling time of ureteral DJSs was 36.7 months (14-84 months). Seventy-one [extracorporeal shock wave lithotripsy (ESWL), n = 26; invasive/noninvasive interventions, n = 32] procedures were applied for 27 patients. In six patients without incrustation, after a single session of ESWL DJSs could be removed cystoscopically. A various combination of a multimodal therapy was used for other 21 patients. Total financial burden of 27 patients was US $ 34,300. Cost of treatment was estimated to be 6.9-fold (1.8- to 21-fold) higher than an average timely stent extraction. Financial burden of the treatments increased in parallel with the duration of the stent retention (p = 0.001). Management of forgotten DJS is time consuming, difficult, complicated, risky, and costly. Therefore; financial burden, increased labour loss, and impaired quality of life brought by the application of these modalities must not be forgotten.

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Continence, incontinence and the aging male

Wagg

2000

The Aging Male

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Extraction by extracorporeal shock wave lithotripsy of a forgotten ureteric stent after cystectomy

Cited by 3 publications

References 3 publications

Management beim "vergessenen" DJ-Stent

Management beim "vergessenen" DJ-Stent

Treatment of forgotten ureteral stents: how much does it really cost? A cost-effectiveness study in 27 patients

Continence, incontinence and the aging male

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