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Updated: Sep 7, 2025

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
An endourological management of 4-year-old bilateral neglected and encrusted ureteral stents
Wissam Kamal1, Omar Buksh2, Mohammed Abuzenada1
1Department of Urology, King Fahad Hospital, Jeddah, Saudi Arabia.
Abstract:
Double-J (DJ) stents are integral tools in the hands of urologists. Nonetheless, it might be associated with significant complications. Forgotten DJ stent is a commonly encountered problem. Herein, we present a case of a 42-year-old female patient who presented with extensively encrusted bilateral DJ stents, with bulky stones and encrustations at the entire course of the DJ stents on both sides. They were inserted 4 years ago with no follow-up. Multimodal endourological techniques were tailored to manage this difficult case. Cystolithotripsy, endoscopic combined intrarenal surgeries, and spontaneous bilateral endoscopic surgery were required to render her stone free.
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