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Related Experiment Videos

Metallic ureteric stents: early experience

S S Pandian1, J K Hussey, S McClinton

  • 1Department of Urology, Aberdeen Royal Hospitals NHS Trust, UK.

British Journal of Urology
|January 12, 1999
PubMed
Summary

Metallic self-expanding stents safely and effectively palliate ureteric obstruction in advanced pelvic malignancy, improving quality of life and preserving renal function. This palliative treatment offers a mean stent patency of 9 months.

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Area of Science:

  • Urology
  • Oncology
  • Palliative Care

Background:

  • Ureteric obstruction is a common complication of advanced pelvic malignancy.
  • Palliative management aims to relieve symptoms and improve quality of life.

Purpose of the Study:

  • To evaluate the efficacy and safety of metallic self-expanding stents for palliative ureteric obstruction in pelvic malignancy.

Main Methods:

  • Seven patients with advanced pelvic malignancy underwent antegrade deployment of metallic Memotherm stents.
  • Patients were monitored for renal function and survival over a mean of 9 months.

Main Results:

  • All patients experienced good palliation, with improved quality of life and reduced loin pain.
  • Renal function was preserved, with a significant decrease in mean serum creatinine levels post-stenting.
  • Mean stent patency was 9 months; recurrent renal failure occurred in only two of five deceased patients.

Conclusions:

  • Metallic self-expanding stents are a safe and effective palliative treatment for ureteric obstruction due to advanced pelvic malignancy.
  • This intervention improves patient outcomes and quality of life.

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