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Forgotten/retained double J ureteric stents: A source of severe morbidity in children

Rajendra B Nerli1, Prasad V Magdum1, Vikas Sharma1

  • 1Department of Urology, KLES Kidney Foundation, KLE University's JN Medical College, KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, Karnataka, India.

African Journal of Paediatric Surgery : AJPS
|June 3, 2016
PubMed

Insights

Forgotten double J (DJ) ureteral stents in children lead to severe complications, prolonged hospital stays, and increased costs. Prompt removal is crucial to mitigate these adverse outcomes.

Area of Science:

  • Pediatric Urology
  • Ureteral Stent Management

Background:

  • Double J (DJ) ureteral stents are increasingly used for various urinary tract conditions.
  • Familiarity with DJ stent consequences and potential complications is essential.
  • Forgotten or retained DJ stents can lead to severe patient morbidity.

Purpose of the Study:

  • To review the clinical outcomes of children with forgotten/retained DJ ureteral stents.
  • To identify complications and management strategies for retained DJ stents in pediatric patients.

Main Methods:

  • Retrospective review of hospital records for patients under 18 years old.
  • Analysis of data including age, gender, stent insertion indications, duration, and removal procedures.
  • Included patients who underwent removal of forgotten/retained DJ ureteral stents over a 15-year period.

Main Results:

  • A total of 14 children required removal of forgotten/retained DJ ureteral stents between January 2000 and December 2014.
  • Interventions for stent removal included extracorporeal shock wave lithotripsy, cystolitholapaxy, and percutaneous nephrolithotomy.

Conclusions:

  • Forgotten/retained DJ stents in children result in significant morbidity.
  • These retained stents necessitate additional hospitalizations and incur financial burdens.
  • Management of forgotten DJ stents in pediatric patients requires careful consideration due to potential severe outcomes.
Abstract

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