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Lower urinary tract effects of ureteral stent length and intravesical position

Caner Isbir1, Şener Çolak2, Lara Taşan2

  • 1Faculty of Medicine, Department of Pediatric Surgery, Mersin University, Mersin, Turkey. caner.isbir@gmail.com.

Pediatric Surgery International
|August 31, 2023
PubMed

Insights

Optimizing ureteral stent length and intravesical position in children can reduce lower urinary tract symptoms and infections. Careful placement minimizes discomfort and urinary tract infections in pediatric patients.

Area of Science:

  • Pediatric Urology
  • Urological Devices
  • Lower Urinary Tract Symptoms

Background:

  • Ureteral stents are crucial post-urological procedures but can cause lower urinary tract issues.
  • Stent-related irritative symptoms and urinary tract infections are common complications.

Purpose of the Study:

  • To investigate the impact of ureteral stent length and intravesical position on lower urinary tract effects in pediatric patients.
  • To identify factors influencing stent-related symptoms and infections in children.

Main Methods:

  • Retrospective analysis of 47 pediatric patients undergoing double-J stenting.
  • Assessment of age, irritative symptoms, urinary tract infections, stent length, and intravesical stent position (cross-trigonal vs. ipsilateral).

Main Results:

  • Cross-trigonal stent position correlated with increased urgency, suprapubic pain, and younger age.
  • Longer-than-recommended stents and cross-trigonal positions were associated with higher rates of urinary tract infections.

Conclusions:

  • Appropriate ureteral stent sizing and strategic intravesical positioning are key to mitigating stent-related complications.
  • Tailoring stent characteristics can significantly improve patient outcomes and reduce adverse events in pediatric urology.
Abstract

Keywords:
ChildStent lengthStent positionUreteral stent

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