Significant Bilateral Calcification over a Neglected Ureteral Stent: About a Case Managed Endoscopically
Asian Journal of Research and Reports in Urology,
Ureteral stents are integral parts of many procedures in endo-urology. Neglected stents can be associated with significant complications like serious encrustations, stone formation, recurrent urinary tract infections and hematuria. One of the known complications that poses a huge challenge to the urologist to manage is Calcification. The main risk factors for calcification of this stent are low education, time of use, sepsis, pyelonephritis, chronic kidney disease, recurrent or residual kidney stones, congenital and metabolic abnormalities, and malignant ureteral obstruction due to hyperuricosuria and chemotherapy. When removal by cystoscopy is not possible due to calcification, another procedure is required. We are reporting a case of significant bilateral double J-stent calcification in a 33-year-old patient who had kept bilateral double J stents placed for lithiasis for 3 years. Bilateral low back pain associated with hematuria was the main presenting complaints. biologically the renal function was normal. The CT scan revealed calcified bilateral double J probes along their entire length. The management was endoscopic in two sessions consisting of laser fragmentation of the calcifications and removal of the fragmented ureteral stent. Post-operative follow-up was simple.
- double J ureteral stent
How to Cite
Damiano R, Oliva A, Esposito C, De Sio M, Autorino R, D’Armiento M. Early and late complications of double pigtail ureteral stent. Urologia Internationalis. 2002;69(2): 136-140.
Pais Jr VM, Chew B, Shaw O, Hyams ES, Matlaga B, Venkatesh R, et al. Percutaneous nephrolithotomy for removal of encrusted ureteral stents: A multicenter study. Journal of Endourology. 2014;28(10):1188-1191.
Polat H, Yücel MÖ, Utangaç MM, Benlioğlu C, Gök A, Çift A, et al. Management of forgotten ureteral stents: Relationship between indwelling time and required treatment approaches. Balkan Medical Journal. 2017;34(4): 301.
Polotto PP, Fantin JPP, Padilha TL, Arruda JG, Arruda PF, Gatti M, et al. Computerized system for online control of ureteral catheters hosted on google drive: An alert tool. International Journal of Sciences. 2017; 3(09):79-81.
Singh I, Gupta NP, Hemal AK, Aron M, Seth A, Dogra, PN. Severely encrusted polyurethane ureteral stents: Management and analysis of potential risk factors. Urology. 2001;58(4): 526-531.
Vanderbrink BA, Rastinehad AR, Ost MC, Smith AD. Encrusted urinary stents: Evaluation and endourologic management. Journal of Endourology. 2008;22(5):905- 912.
Ray RP, Mahapatra RS, Mondal PP, Pal DK. Long-term complications of JJ stent and its management: A 5 years review. Urology Annals. 2015; 7(1):41.
Kandemir A, Sönmez MG. Treatment of fragmented and severely encrusted ureteral double-J stent forgotten for 11 years through multimodal endourological methods. Urology Annals. 2019;11(3):310.
Abstract View: 125 times
PDF Download: 119 times