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Ureteral stent displacement associated with deep massage
1Emergency Department, Columbia Hospital, Medical College of Wisconsin, Milwaukee, USA.
WMJ : Official Publication of the State Medical Society of Wisconsin
|January 20, 1998
Summary
Deep body massage, specifically Rolfing, can cause ureteral double J stent displacement in patients with ureteral stenosis. This complication led to severe flank pain and incontinence, resolving after stent repositioning.
Area of Science:
- Urology
- Physical Therapy
- Medical Complications
Background:
- Patients with ureteral stenosis and calculi often require ureteral double J stents for treatment.
- Deep body massage techniques, such as Rolfing, involve significant pressure application.
- Potential risks associated with physical manipulation in patients with indwelling medical devices are not fully understood.
Observation:
- A 51-year-old woman experienced severe left flank pain during a Rolfing massage session.
- The patient had a history of ureteral stenosis and calculi, with an indwelling left ureteral double J stent.
- Emergency department evaluation revealed displacement of the ureteral stent.
Findings:
- The severe flank pain and associated urinary incontinence were directly linked to the displaced ureteral stent.
- Successful repositioning of the double J stent led to the resolution of the patient's symptoms.
- Forceful massage pressures were identified as the likely cause of the stent displacement.
Implications:
- Physical therapists and massage practitioners should exercise caution when performing deep tissue massage on patients with ureteral stents.
- Awareness of this potential complication is crucial for preventing patient discomfort and iatrogenic injury.
- Further research may be warranted to establish guidelines for massage therapy in patients with indwelling ureteral devices.