Double JJ Ureteral Stenting: Encrustation and Tolerability
Lisa M Bibby1, Oliver J Wiseman1
1Addenbrooke's Hospital, Cambridge, UK.
European Urology Focus
|September 12, 2020
Summary
Minimize stent indwelling time and consider silicone stents for fewer complications. Alpha-blockers may help manage symptoms, and a stent register prevents forgotten devices.
Area of Science:
- Urology
- Medical Device Technology
Background:
- Urinary tract stenting is common for various conditions.
- Stent-related complications like encrustation and symptoms are significant concerns.
- Current management strategies require optimization.
Purpose of the Study:
- To review best practices for urinary stent management.
- To evaluate material and pharmacological options for reducing stent morbidity.
- To emphasize the importance of stent tracking.
Main Methods:
- Literature review of stent materials and indwelling times.
- Analysis of pharmacological interventions for stent symptom relief.
- Discussion of registry-based stent management.
Main Results:
- Minimizing stent indwelling time is crucial.
- Silicone stents demonstrate lower encrustation and symptom rates compared to other materials.
- Alpha-blockers show potential for off-label use in symptom management.
- Stent registers improve adherence to removal protocols.
Conclusions:
- Careful consideration of stenting indications and duration is essential.
- Silicone stents offer advantages in reducing stent-related morbidity.
- Pharmacological adjuncts and robust tracking systems can enhance patient outcomes.
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