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Problems associated with Gibbons ureteral catheter

R E Schneider, A P DePauw, J E Montie

    Urology
    |September 1, 1976
    PubMed
    Summary
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    Benign retroperitoneal fibrosis causing bilateral ureteral obstruction can complicate treatment with Gibbons ureteral catheters. Issues like inadequate length and encrustation necessitate careful management and alternative strategies for these patients.

    Area of Science:

    • Urology
    • Nephrology
    • Surgical Complications

    Background:

    • Benign retroperitoneal fibrosis (BRF) is a rare condition that can lead to bilateral ureteral obstruction.
    • Ureteral stents are often employed to manage such obstructions, with Gibbons indwelling ureteral catheters being one option.

    Observation:

    • Two cases of BRF with bilateral ureteral obstruction were initially managed with Gibbons indwelling ureteral catheters.
    • These cases highlighted several complications associated with the indwelling catheters.

    Findings:

    • Complications observed included inadequate catheter length, the formation of calyceal stones, significant catheter encrustation, and distal migration of the devices.
    • These issues underscore the challenges in maintaining effective urinary drainage in the presence of BRF and indwelling ureteral catheters.

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    Implications:

    • The findings suggest that while Gibbons catheters may be used initially, their limitations in BRF cases require careful monitoring and potential early revision or alternative treatment.
    • Further research into optimal long-term management strategies for ureteral obstruction secondary to BRF is warranted.