Morbidity Associated With Ureteral Stenting: Study of 90 Cases

Singh, Chahal Harmandeep; Trehan, Munish; Sharma, Sandeep; Singh, Aulakh Baldev; Garg, Ramneesh; Kaur, Simran; Singla, Suhas; Bose, Abhishek

doi:10.14260/jemds/2015/782

Cited by 3 publications

(7 citation statements)

References 8 publications

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“…Chahal et al 18 in a similar study observed complication rate as 75.5%, which is higher than in present study. Frequency and dysuria were the most common complications observed, occurring in 36.6% and 35.5% of patients respectively.…”

Section: Complicationscontrasting

confidence: 59%

“…Chahal et al 18 in a similar study observed 7 cases (7.8%) complicated with upward stent migration and 3 cases (3.3%) of severe incrustation.…”

Section: Complicationsmentioning

confidence: 80%

“…In the study by Pensota et al 20 , the commonest indication for stenting was obstructive uropathy (80%) followed by prophylactic stenting (20%). Chahal et al 18 , Memon et al 6 and Richter et al 7 also described obstructive uropathy as the commonest indication in their studies. The most common cause of obstructive uropathy observed in these studies was stone disease either renal or ureteric stones.…”

Section: Indications For Ureteric Stentingmentioning

confidence: 93%

“…Pensota et al 20 observed 20% stenting cases to be related to urological surgeries. Chahal et al 18 observed other indications as hydronephrosis (27.8%), bifid ureter (2.2%) and ureteric stricture (1.1%) respectively.…”

Section: Indications For Ureteric Stentingmentioning

confidence: 97%

“…Chahal et al 18 studied 90 patients with various indications for DJ stenting. Out of total 90 patients 59 were male and 31 were female, mean age of patients was 42.64 years.…”

Section: Demographymentioning

confidence: 99%

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Double J Stenting - Clinical Profile, Indications and Post Operative Complications

2022

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Introduction: Ureteric stents have become one of the most basic and valuable tools in the urological practice. Indwelling ureteral stents provide direct drainage of the upper urinary tract to the bladder without the need for external diversion. The indications for insertion of stents into the urinary tract has expanded significantly during the last decade. However, their use is not free of complications and problems. The present study was designed to observe the clinical profile of patients presenting with obstructive uropathy at a tertiary care centre requiring DJ stents and to study the complications of indwelling DJ stents. Material and Methods: Data collection by meticulous history taking and clinical examination, appropriate laboratory and radiological investigations, operative findings, and follow-up of cases. Results: Study was conducted with 50 patients. nodule was 23%. Mean age of the subjects was 44.32 year. Overall male predominance was seen in present study with 70% males. Obstructive uropathy forms the major indication for DJ stenting followed by upper urinary tract infections (10%). Associated Complications were noticed in 46% of cases. Most common associated complication of DJ stenting was dysuria (24%) and increased frequency (22%). Urinary tract infection, haematuria, and stent migration was seen in 12%, 8% and 4% cases. Conclusion: Double stenting is an easy and effective procedure for the management of obstructive uropathy. However, we recommend that their use must be strictly restricted to selected cases and routine use should be avoided, as they are not free of complications. Moreover, close follow up of stented patients is essential for early detection of complications and a lot of stress should be paid on the counselling of the patients regarding stents complications and their timely removal in order to avoid stent encrustation/migration which could otherwise be highly fatal for the patient.

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Section: Complicationscontrasting

confidence: 59%

“…Chahal et al 18 in a similar study observed 7 cases (7.8%) complicated with upward stent migration and 3 cases (3.3%) of severe incrustation.…”

Section: Complicationsmentioning

confidence: 80%

Section: Indications For Ureteric Stentingmentioning

confidence: 93%

Section: Indications For Ureteric Stentingmentioning

confidence: 97%

“…Chahal et al 18 studied 90 patients with various indications for DJ stenting. Out of total 90 patients 59 were male and 31 were female, mean age of patients was 42.64 years.…”

Section: Demographymentioning

confidence: 99%

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Double J Stenting - Clinical Profile, Indications and Post Operative Complications

2022

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Frequency of Ureteral Stent Encrustations in a Urology Unit of Tertiary Care Hospital

Akhtar¹,

Usman²,

Lodhi³

et al. 2022

PJMHS

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Objective: To determine the frequency of encrustations of ureteral stents in a tertiary care hospital of Pakistan. Patients and Methods: In this study we included 150 patients of Urology Unit of Ibn e Sina Hospital and Research Institute Multan, Pakistan in whom ureteral stents implantation was done. The study duration was April-2020 to July-2020. Patients with ureteral stents having renal stone, ureteric stone, ureteral stricture, pelviureteric junction obstruction (PUJO), trauma or malignant disease as primary pathology and duration of implantation >2 weeks to <2 years were included. Results: Mean age of patients included in this study was 46.46±12.26 years. Mean duration of stent placement was 11.96±6.01 weeks. There were 97 (64.7%) male and 53 (35.3%) female patients. There were 72 (48%) patients with renal stone disease, 32 (21.33%) patients with ureteric stone, 11 (7.33%) patients with pyeloplasty, 22 (14.67%) patients with partial nephrectomy and 13 (8.67%) patients with obstruction sec. to malignancy were included in this study. Stent encrustation was diagnosed 52 (34.67%) patients. Conclusion: After implantation, ureteral stent encrustation is still a cause for concern for urologists. Because its encrustation management may involve additional urologic procedures. In present study, stent encrustation was found in 62 (32.29%) patients. Keywords: Double-J stents, stent encrustation.

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Efficacy and Safety of Double J Stenting (DJS) and Percutaneous Nephrostomy (PCN) in Patients with Obstructive Uropathy

Khan,

Ghani,

Rashid

et al. 2024

JHRR

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Background: Obstructive uropathy is a condition characterized by the blockage of urine flow, which can lead to renal parenchymal damage and, if left untreated, potentially fatal outcomes. The condition arises from various causes, including stone disease, which remains the predominant factor. Management strategies such as Double J Stenting (DJS) and Percutaneous Nephrostomy (PCN) are employed to temporarily alleviate the obstruction, yet the comparative efficacy and safety profiles of these interventions remain to be thoroughly evaluated. Objective: To compare the efficacy and safety of ultrasound-guided percutaneous nephrostomy and double J stenting in the temporary diversion of urine in patients with obstructive uropathy, with a focus on procedural success rates, complication rates, and overall patient outcomes. Methods: This randomized controlled trial was conducted at the Department of Urology, Lady Reading Hospital, Peshawar, from January 1st, 2023, to December 31st, 2023. A total of 428 patients with obstructive uropathy, aged between 20 and 60 years, were randomized into two groups: the DJS group (n=214) and the PCN group (n=214). Exclusion criteria included severe coagulopathy and uremic encephalopathy. Efficacy was determined by the resolution of obstruction signs, and safety was assessed by the incidence of complications such as trigonalgia, hematuria, and septicemia within four weeks post-procedure. Statistical analysis was performed using IBM SPSS version 25. Results: The DJS group demonstrated a procedural success rate of 96.0%, while the PCN group showed a slightly higher success rate of 97.5%. Complication rates were comparably low across both groups, with trigonalgia (28.0% in DJS vs. 25.0% in PCN), hematuria (16.0% in DJS vs. 14.0% in PCN), and septicemia (6.5% in DJS vs. 8.4% in PCN). The efficacy in alleviating obstructive symptoms was 82.2% for DJS and 86.9% for PCN, with no statistically significant difference between the groups (p=0.180). Conclusion: Both double J stenting and percutaneous nephrostomy are effective and safe methods for temporary urine diversion in patients with obstructive uropathy. Although the PCN group exhibited a slightly higher success rate and a marginally lower complication rate, the differences were not statistically significant, indicating that the choice of procedure can be tailored to the individual patient's condition and the specific clinical scenario.

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Morbidity Associated With Ureteral Stenting: Study of 90 Cases

Cited by 3 publications

References 8 publications

Double J Stenting - Clinical Profile, Indications and Post Operative Complications

Double J Stenting - Clinical Profile, Indications and Post Operative Complications

Frequency of Ureteral Stent Encrustations in a Urology Unit of Tertiary Care Hospital

Efficacy and Safety of Double J Stenting (DJS) and Percutaneous Nephrostomy (PCN) in Patients with Obstructive Uropathy

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