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[Double-J ureteral catheter: a method without complications?].

R de Pétriconi1, G Egghardt, D Frohneberg

  • 1Urologische Abteilung Universität, Ulm, RFA.

Journal D'Urologie
|January 1, 1987
PubMed
Summary
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Double-J ureteral stents effectively relieve hydronephrosis but carry an 11% complication rate, including stones and infection. Percutaneous nephrostomy is preferred for long-term cases or post-radiotherapy to mitigate risks.

Area of Science:

  • Urology
  • Nephrology
  • Medical Devices

Context:

  • Ureteral obstruction leading to hydronephrosis requires effective management.
  • Indwelling double-J ureteral stents have been utilized since 1978 for this condition.
  • Treatment duration varies from temporary relief to permanent palliative measures.

Purpose:

  • To evaluate the efficacy and complication rates of indwelling double-J ureteral stents in patients with hydronephrosis.
  • To assess the safety and long-term outcomes of ureteral stenting.
  • To compare ureteral stenting with alternative urinary diversion methods.

Summary:

  • A study of 90 patients (104 units) treated with double-J ureteral stents for hydronephrosis showed an 11% complication rate.
  • Complications included kidney stone formation (6 cases), sepsis with pyonephrosis (3 cases), and severe hemorrhage post-radiotherapy (2 cases).

Related Experiment Videos

  • While generally effective, long-term stenting and post-radiotherapy use necessitate careful indication due to potential risks.

    • Impact:

    • Indwelling ureteral stents provide effective relief from ureteral obstruction in most cases.
    • An 11% complication rate highlights the need for careful patient selection, especially for long-term use or after pelvic radiotherapy.
    • Percutaneous nephrostomy emerges as a preferred alternative to mitigate the disadvantages associated with indwelling ureteral stents.