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The forgotten ureteral stent in children: from diagnosis to treatment

Ahmet Ali Sancaktutar1, Şenol Adanur, Berkan Reşorlu

  • 1Department of Urology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey. aasancaktutar@gmail.com

The Journal of Urology
|October 2, 2012
PubMed

Insights

Pediatric ureteral stents left in situ for over 21 months were successfully managed using combined endourological techniques. Routine preprocedural tomography is recommended for children with forgotten ureteral stents.

Area of Science:

  • Pediatric Urology
  • Endourology
  • Ureteral Stent Management

Background:

  • Forgotten ureteral stents can lead to encrustation and complications.
  • Management strategies for pediatric patients with long-term retained ureteral stents are not well-established.

Purpose of the Study:

  • To evaluate the outcomes of managing unintentionally retained ureteral stents in pediatric patients.
  • To assess the efficacy and safety of combined endourological techniques for encrusted ureteral stents in children.

Main Methods:

  • A multicenter study included 22 pediatric patients with encrusted Double-J® ureteral stents left in situ.
  • Stone burden was assessed using plain radiography and computerized tomography.
  • Treatment decisions were based on clinical, radiological findings, and stone burden.

Main Results:

  • The mean indwelling time was 21.7 months.
  • Mean stent stone burden differed significantly between plain radiography (184 mm²) and CT (247 mm²).
  • A mean of 1.5 interventions and 4.4 hospital days were required per stent removal, utilizing various endoscopic procedures.

Conclusions:

  • Combined endourological techniques offer successful and safe management for forgotten ureteral stents in pediatric patients at experienced centers.
  • Routine preprocedural tomography is essential for evaluating children with forgotten ureteral stents to accurately assess stone burden.
Abstract

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