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The indwelling ureteric stent: a 'friendly' procedure with unfriendly high morbidity
S Richter1, A Ringel, M Shalev
1Department of Urology, Sapir Medical Center, Kfar Sava, Sackler Faculty of Medicine, University of Tel Aviv, Israel. sanri@netvision.net.il
BJU International
|February 26, 2000
Summary
Ureteric stent insertion can cause complications like fever, bacteriuria, and stent migration. Careful consideration of indications and close patient follow-up are crucial for managing ureteric obstruction effectively.
Area of Science:
- Urology
- Nephrology
Context:
- Ureteric stents are commonly used to manage ureteric obstruction.
- Assessing stent-related morbidity and complications is essential for patient care.
Purpose:
- To review the morbidity and complications associated with ureteric stent insertion.
- To evaluate the impact of indwelling ureteric stents on hydronephrosis progression.
Summary:
- A prospective study evaluated 110 renal units in 90 patients undergoing ureteric stenting.
- Complications included fever, bacteriuria, stent fragmentation (10%), migration (8%), and flank pain.
- Hydronephrosis persisted or worsened in 24.5% of cases, indicating potential adverse effects.
Impact:
- Highlights the need for careful patient selection and consideration of stent indications.
- Emphasizes the importance of close monitoring for early detection and management of complications.
- Suggests timely stent removal or exchange to mitigate adverse outcomes.