FECal Stent” forgotten, encrusted, calcified double-j ureteral stent related complications in urology and management strategies

Author: 
Shivendra Agrawal, Srinath, Prathivi, Sreedhar Reddy, Laksmi N. Raju, Deepak Bolbandi, Vishal Naik, Sreeniketh Reddy and Prudhvi Reddy

Background- Double-J (DJ) stents have become fundamental and widely employed instruments in urology across various procedures, tracing back to their initial introduction in 1967 by Zimskind et al. The typical lifespan of a DJ stent after which it necessitates replacement or removal to prevent potential complications. Despite this, instances of stent negligence are not uncommon. Objective & Method- In this retrospective studyconducted at the Department of Urology, RRMCH, over a period of 20 months,we report our experience in the management of forgotten stents and steps taken by us in preventing DJ stent-relatedmorbidity. Result- A total of 7 patients were enrolled in this study. The mean duration of theindwelling stent in situ was 28.7 months (8-60 months). 71.4% patients forgot about their stent, and in 28.6% patients, there was an inadequate counseling done byurologist. A total of 85.7% patients had encrustations.Some patients required multimodality approach whenneeded with few patients requiring more than 2 proceduresfor removal of indwelling stents. Several complications were noted during or afterforgotten stent. Conclusion- Forgotten DJ stent is still a common problem in developingworld, and it also brings lot of morbidity and financialburden to patient. Proper education and counselingof patients and relatives before and after procedure andmaintaining stent register may help in reducing incidenceof forgotten DJ stent.

Paper No: 
4973