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Ureteric stenting 25 years on: routine or risky?
Nathan Lawrentschuk1, John M Russell
1University of Melbourne, Departments of Surgery and Urology, Austin Hospital, Melbourne, Victoria, Australia.
ANZ Journal of Surgery
|March 27, 2004
Summary
Ureteric stents are common in urology for stone and non-stone issues. Despite routine use, potential complications like stent syndrome and forgotten stents necessitate careful risk management for optimal patient outcomes.
Area of Science:
- Urology
- Medical Devices
Background:
- Ureteric stents have been utilized in urological practice for over two decades.
- Their application has become a near-routine procedure in many clinical scenarios.
Purpose of the Study:
- To review the diverse applications of ureteric stents.
- To elucidate the complications associated with ureteric stent placement.
- To discuss risk management strategies pertinent to ureteric stent use.
Main Methods:
- Comprehensive literature review of ureteric stent usage.
- Synthesis of existing knowledge and clinical experience.
Main Results:
- Indications for stenting encompass both stone-related and non-stone-related conditions.
- Complications range from the 'stent syndrome' to the issue of 'forgotten stents'.
- Effective risk management is crucial for minimizing complications and ensuring best practice.
Conclusions:
- Ureteric stenting, while common, carries significant complications.
- Risk management considerations are paramount and should not be overlooked in clinical practice.