Abstract:
PURPOSE:To review the management approach to and results of severely encrusted retained ureteral stents and analyze predictive risk factors. PATIENTS AND METHODS:Medical records from January 1996 to March 2006 were reviewed for Double-J stent complications and their final outcome. A total of 876 stents were inserted in 784 patients for treatment of renal calculi with extracorporeal shockwave lithotripsy, ureteral calculi, after percutaneous nephrolithotomy, pyeloplasty, or injury to the ureter and kidney. Of these stents, 95 (10.84%) were found to be encrusted, and 26 (2.96%) were not only encrusted but retained as well. These patients, 21 men and 5 women with a mean age of 34 years (range 18-69 years), underwent one or more of the following procedures: cystolitholapaxy, retrograde ureteroscopic manipulation, intracorporeal or extracorporeal lithotripsy, percutaneous nephrolithotomy, and open surgical removal to make them stent free. RESULTS:The average duration of stent placement was 14 months (range 5 months-9 years). The encrustation was confined to the upper coil in 4 and the upper coil and body in 5. The lower coil and body in 8 and 9, respectively, were totally encrusted, of which 2 were fragmented as well. A total of 62 sessions of auxiliary procedures were required to render patients stent free. Four patients required percutaneous nephrolithotomy and one open removal. CONCLUSION:Encrustation and retention of a ureteral stent is a serious complication. Successful management of encrusted retained stents requires multimodality procedures along with proper record keeping of stent insertion and removal and patient counseling.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Rana AM,Sabooh Adoi
10.1089/end.2006.0250subject
Has Abstractpub_date
2007-06-01 00:00:00pages
628-32issue
6eissn
0892-7790issn
1557-900Xjournal_volume
21pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for the management of complete staghorn calculi in children journal_title:Journal of endourology pub_type: 杂志文章 doi:10.1089/end.2005.19.968 更新日期:2005-10-01 00:00:00
abstract:INTRODUCTION:Open nephrectomy is associated with significant morbidity. For several years, minimally invasive alternatives have been developed such as laparoscopic nephrectomy or transarterial renal ablation. This paper focuses on the different principles of vaso-occlusion and further improvements of the technique such...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9826
更新日期:2008-04-01 00:00:00
abstract::Abstract Since the first description of percutaneous nephrolithotripsy (PNL) over 30 years ago, the indications for this procedure in the management of upper tract urinary stones has greatly expanded. Despite recent advances in shock wave lithotripsy and ureteroscopic technologies, PNL maintains a dominant role in the...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2009.1518
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The use of bipolar electrocautery has proven advantages over monopolar energy during transurethral surgery by limiting hyponatremia and its clinical sequelae. Percutaneous ablation of caliceal diverticula and parapelvic renal cysts has been shown to be an effective surgical approach for the manag...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0525
更新日期:2011-05-01 00:00:00
abstract::Seminal vesicle cysts associated with other genitourologic abnormalities are rare. We describe the first known robot-assisted excision of a cystic seminal vesicle associated with ipsilateral renal agenesis in a symptomatic pediatric patient. The patient was discharged home on postoperative day 1 and remains symptom fr...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0279
更新日期:2007-07-01 00:00:00
abstract::Flexible cystoscopy is well established in urological practice. We present a unique image obtained during bladder inspection, illustrating visual refractive distortion, which highlights the potential difficulty in optical interpretation. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0320
更新日期:2010-02-01 00:00:00
abstract::Laparoscopy has become the essential surgical approach to the adrenal gland at many institutions, including ours. At the Cleveland Clinic, laparoscopic adrenalectomy for benign and malignant adrenal neoplasms can be performed by either the transperitoneal or the retroperitoneal approach. Herein, we present our techniq...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901750299302
更新日期:2001-06-01 00:00:00
abstract:PURPOSE:To assess the long-term survival and prognostic factors in patients with renal-cell carcinoma (RCC) who were treated with radiofrequency ablation (RFA). PATIENTS AND METHODS:A retrospective review of the records of all patients who underwent RFA of biopsy-proven RCC from February 2006 to December 2010 was perf...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0454
更新日期:2016-01-01 00:00:00
abstract:: Purpose: Several case series have demonstrated the safety and feasibility of outpatient robot-assisted radical prostatectomy (RARP) in well-selected patients; however, the patient perspective of this practice has not been well explored. In this study, we explored patients'...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0796
更新日期:2020-04-01 00:00:00
abstract::Technique for apical dissection and control of the dorsal vein complex (DVC) during robot-assisted laparoscopic radical prostatectomy (RALP) affects blood loss, apical positive margins, and recovery of urinary control. Over the past 7 years, our technique for apical dissection has been spurred by the overarching goal ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0415
更新日期:2012-12-01 00:00:00
abstract:: Introduction and Objectives: After transurethral prostatectomy, erectile dysfunction and ejaculatory dysfunction are significant concerns for patients. We compared ejaculatory hood-sparing technique in patients who underwent photoselective vaporization of the prostate usin...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0558
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:To evaluate the suitability of a bioabsorbable stent as a partial internal catheter after percutaneous endopyelotomy in ureteropelvic junction (UPJ) obstruction therapy. PATIENT AND METHODS:The material for the helical spiral stents was a copolymer of polylactide and glycolide (PLGA; L:G ratio 80/20). The self...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902760102785
更新日期:2002-06-01 00:00:00
abstract:INTRODUCTION:Irreversible electroporation (IRE) is a non-thermal minimally invasive technique that is used to treat small renal masses (SRMs). Prior work has demonstrated greater narcotic requirements after radiofrequency ablation (RFA) for tumors that are closer to body-wall musculature. We hypothesized that pain afte...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0201
更新日期:2017-08-01 00:00:00
abstract:: Introduction: Double-J ureteral stents are subject to encrustation. Studies have shown that the encrustation onset is linked with indwelling time. In prevention, it is admitted that the Double-J stent indwelt for medium or long term should be replaced periodically. However...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0254
更新日期:2021-01-01 00:00:00
abstract:PURPOSE:Standard laparoscopy has undergone many recent advances with the advent of three-dimensional visual systems and robotic surgical systems. In evaluating the usefulness of these new systems, it is difficult to objectively measure their advantages in the operating room. Therefore, we designed a trial using three d...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0241
更新日期:2008-03-01 00:00:00
abstract:PURPOSE:The purpose of this study was to assess the extent of the increased intracranial pressure (ICP) resulting from CO2 pneumoperitoneum and steep Trendelenburg positioning using ultrasonographic measurement of optic nerve sheath diameter (ONSD) in patients undergoing robot-assisted laparoscopic radical prostatectom...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0019
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Nucleation, growth, and aggregation are considered to be the principal crystallization mechanisms in stone development. It is important to understand their relative significance so that appropriate experimental models can be used, and to identify the best therapeutic targets. The aim of this stud...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.605
更新日期:1999-11-01 00:00:00
abstract:PURPOSE:Since the holmium:yttrium-aluminum-garnet (Ho:YAG) laser is the flexible lithotrite of choice for ureteral stones, its application to ureteral strictures associated with ureteral calculi is convenient. The results of Ho:YAG laser endoureterotomy in this specific setting have not been defined. We report our expe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0387
更新日期:2008-11-01 00:00:00
abstract::Four techniques of intracorporeal lithotripsy are now available: ballistic, ultrasonic, electrohydraulic, and laser. Their therapeutic efficacies have generally been evaluated and compared, but very few data have been available on their relative risks of iatrogenic trauma to the urothelial wall. We conducted a compara...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.293
更新日期:1994-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Surgical outcomes depend on patient and disease-related factors, as well as the technical skill of the surgeon. Various distractions in the operating room (OR) environment have been shown to negatively impact a surgeon's performance. A survey was conducted with the objective to evaluate and chara...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0704
更新日期:2013-09-01 00:00:00
abstract:: Introduction: Nephrolithiasis is a known risk factor for chronic kidney disease (CKD); however, it is unknown how CKD affects urinary parameters related to stone risk. The purpose of this study was to assess the relationship of diminishing glomerular filtration rate (GFR) ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0403
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To determine whether the overall ureteral flow through an obstructed ureter using the 3F MicroStent™ that uses a novel film occlusion anchoring mechanism is comparable to the flow using a conventional 3F and 4.7F Double-J stent. MATERIALS AND METHODS:An in vitro silicone ureter model and an ex vivo porcine uri...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0722
更新日期:2011-06-01 00:00:00
abstract:INTRODUCTION:Laparoscopic trocars typically maintain pneumoperitoneum using trap door valves and silicone seals. However, valves and seals hinder passage of instruments, cause lens smudging, trap specimens and needles being removed from the abdominal cavity, and lose their seal with repeated instrument exchange. AIM:T...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0376
更新日期:2009-09-01 00:00:00
abstract::We describe what appears to be the first case of a port-site hernia at the site of insertion of a 10-mm non-bladed trocar, which was discovered 4 days after laparoscopic live-donor nephrectomy. We now close all 10-mm port sites in adults and all 5-mm port sites in children; this can be done easily using the Carter-Tho...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903769013649
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Whereas ureteroscopic lithotripsy is more efficacious than SWL in treating lower-ureteral stones, the same has not been universally said of its ability to treat proximal ureteral stones. Because failed proximal lithotripsy is often attributable to the complications associated with stone migration...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.862
更新日期:2004-11-01 00:00:00
abstract:PURPOSE:To assess the effectiveness of periurethral microballoon implantation for management of female urinary incontinence. PATIENTS AND METHODS:A total of 45 women with urinary incontinence (age range 47-88 years) were treated between May 2000 and June 2001. Microballoons were placed in the proximal periurethral tis...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.901
更新日期:2004-11-01 00:00:00
abstract:PURPOSE:Excessive bulking force during ureteral access sheath (UAS) placement may induce injury. The sliding friction between surfaces can be reduced with the application of ultrasonic vibration. We investigated the efficacy and safety of an ultrasonic vibration transducing device for reducing the maximal ureteral acce...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2018.0772
更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION:Clinical studies have shown beneficial role of oral alpha-blockers for ureteral stent-related morbidity. However, the in vivo effects of oral alpha-blockers on a stented ureter are unclear. We evaluated the effects of alpha-blockade on ureteral dynamics in a stented porcine ureter. METHODS:Twenty-seven fe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0251
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:To assess the frequency of minimally invasive radical cystectomy (MIRC) conversion to open surgery, what factors influence conversion, whether or not the benefits of MIRC vs open radical cystectomy (ORC) persist after conversion, and compare ORC and MIRC outcomes. MATERIALS AND METHODS:We performed a retrosp...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0079
更新日期:2018-06-01 00:00:00
abstract::The tissue effects of a laser are responsible for the therapeutic value as well as the potential for complications. Within certain constraints, the type and depth of energy effect can be controlled by the selection of the wavelength as well as of appropriate energy parameters. In a clinical endoscopic setting, however...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1993.7.389
更新日期:1993-10-01 00:00:00