Pd7-03 Rate of Accidental Dislodgement of Ureteral Stents When Utilizing an Extraction String After Endoscopic Urologic Surgery

Althaus, Adam; Li, Kai; Pattison, Erik; Eisner, Brian H.; Pais, Vernon M.; Steinberg, Peter L.

doi:10.1016/j.juro.2014.02.692

Cited by 1 publication

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“…Other methods are biodegradable stents, stents with magnetic tip and stent with strings. [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52] Novel biodegradable ureteral stents were manufactured using Uriprene to improve urine drainage, provide good biocompatibility and avoid traditional removal. 37 The issues with these stents included axial rigidity leading to difficult placement, non-uniform degradation and the biodegrading time of 10 weeks which was longer than typical indwelling stents.…”

Section: Variations In Stent Removalmentioning

confidence: 99%

“…A systematic review by Oliver et al concluded that the majority of patients were able to remove the stents at home safely with reduced incidence of morbidity. 38,48 However, there is some evidence of increased lower urinary tract symptoms (LUTS) due to string irritation, stent dislodgement, infection, stent retention and broken strings. Up to 10% of these stents are expelled spontaneously.…”

Section: Stent Removal Issuesmentioning

confidence: 99%

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<p>Strategies to Improve Patient Outcomes and QOL: Current Complications of the Design and Placements of Ureteric Stents</p>

Ramachandra

Mosayyebi²,

Carugo³

et al. 2020

RRU

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Ureteric stents have played a vital role in relieving urinary obstruction in many urological conditions. Although they are extremely successful, stents have been associated with complications and reduced patients' health-related quality of life (HRQoL). There are many factors that may affect the quality and longevity of stents. In this review, we have highlighted the journey and innovation of ureteric stents through the modern day. A literature review was conducted to identify relevant articles over the last 20 years. There is a plethora of evidence with various indications for the use of ureteral stents and how they affect QoL. There is still ongoing research to develop the ideal stent with reduced encrustation, one that resists infection and is also comfortable for the patients. Stents made from metal alloys, polymers and biodegradable materials have unique properties in their own right but also have certain deficiencies. These have been discussed along with an overview of newly developed stents. Certain pharmacological adjuncts have also been highlighted that may be useful to improve patient's tolerance to stents. In summary, this paper describes the features of the different types of stents and the problems that are frequently encountered, including effect on patients' HRQoL and financial burden to healthcare providers.

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