Use of cystourethroscopy to remove an indwelling double‑J ureteral stent 6 years following simultaneous radical sigmoid colon cancer and partial bladder resection: A case report

Gu,Yan; Zhang,Jing; Wang,Guozeng

doi:10.3892/etm.2016.3192

Use of cystourethroscopy to remove an indwelling double‑J ureteral stent 6 years following simultaneous radical sigmoid colon cancer and partial bladder resection: A case report

Authors:
- Yan Gu
- Jing Zhang
- Guozeng Wang
View Affiliations

Affiliations: Department of Urology, Pudong New Area Gongli Hospital, Shanghai 200135, P.R. China
Published online on: March 24, 2016 https://doi.org/10.3892/etm.2016.3192
Pages: 2467-2469

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Ureteral stents are widely used to ensure good urinary drainage and to relieve obstruction, pain and infection during urologic procedures. However, long‑term indwelling ureteral stents can cause various complications, such as encrustation, hematuria and infection. Here, the case of an 88‑year‑old man who had undergone simultaneous radical resection of sigmoid colon cancer and partial resection of the bladder 6 years prior is presented. The patient complained of urinary frequency and urgency, dysuria and intermittent fever. A kidney ureter bladder X‑ray examination revealed the presence of an entire coiled double‑J stent with calculi from the kidney to the bladder. A computed tomography scan revealed mild hydronephrosis of the left kidney and one J end of the stent in the bladder. The stent was removed successfully by cystourethroscopy and holmium laser lithotripsy. This report describes the clinical experience of the removal of a long‑term stent by endoscopic manipulation.

View Figures

View References

1	Elsamra SE, Leavitt DA, Motato HA, Friedlander JI, Siev M, Keheila M, Hoenig DM, Smith AD and Okeke Z: Stenting for malignant ureteral obstruction: Tandem, metal or metal-mesh stents. Int J Urol. 22:629–636. 2015. View Article : Google Scholar : PubMed/NCBI
2	Fiuk J, Bao Y, Calleary JG, Schwartz BF and Denstedt JD: The use of internal stents in chronic ureteral obstruction. J Urol. 193:1092–1100. 2015. View Article : Google Scholar : PubMed/NCBI
3	Haleblian G, Kijvikai K, de la Rosette J and Preminger G: Ureteral stenting and urinary stone management: A systematic review. J Urol. 179:424–430. 2008. View Article : Google Scholar : PubMed/NCBI
4	Xu C, Tang H, Gao X, Gao X, Yang B and Sun Y: Management of forgotten ureteral stents with holmium laser. Lasers Med Sci. 24:140–143. 2009. View Article : Google Scholar : PubMed/NCBI
5	Olvera-Posada D, Suárez-Santos M, Castillejos-Molina R, Gabilondo-Navarro F and Méndez-Probst CE: Validation of the Spanish version of Ureteral Stent Symptom Questionnaire: Prevalence of symptoms in a tertiary care center in Mexico. J Endourol. 28:377–382. 2014. View Article : Google Scholar : PubMed/NCBI
6	Murthy KV, Reddy SJ and Prasad DV: Endourological management of forgotten encrusted ureteral stents. Int Braz J Urol. 36:420–429. 2010. View Article : Google Scholar : PubMed/NCBI
7	Bostanci Y, Ozden E, Atac F, Yakupoglu YK, Yilmaz AF and Sarikaya S: Single session removal of forgotten encrusted ureteral stents: Combined endourological approach. Urol Res. 40:523–529. 2012. View Article : Google Scholar : PubMed/NCBI
8	Hunt L, Gupta-Wright A, Simms V, Tamba F, Knott V, Tamba K, Heisenberg-Mansaray S, Tamba E, Sheriff A, Conteh S, et al: Clinical presentation, biochemical, and haematological parameters and their association with outcome in patients with Ebola virus disease: an observational cohort study. Lancet Infect Dis. 15:1292–1299. 2015. View Article : Google Scholar : PubMed/NCBI
9	Lumma PP, Schneider P, Strauss A, Plothe KD, Thelen P, Ringert RH and Loertzer H: Impact of ureteral stenting prior to ureterorenoscopy on stone-free rates and complications. World J Urol. 31:855–859. 2013. View Article : Google Scholar : PubMed/NCBI
10	Matani YS, Al-Ghazo MA, Al-azab RS, Bani-hani O and Rabadi DK: Emergency double-J stent insertion following uncomplicated Ureteroscopy: Risk-factor analysis and recommendations. Int Braz J Urol. 39:203–208. 2013.PubMed/NCBI
11	Ringel A, Richter S, Shalev M and Nissenkorn I: Late complications of ureteral stents. Eur Urol. 38:41–44. 2000. View Article : Google Scholar : PubMed/NCBI
12	Bhuiyan ZH, Bhuiyan NI, Khan SA, Tawhid MH and Islam MF: Forgotten urological stent. Mymensingh Med J. 20:632–639. 2011.PubMed/NCBI
13	Wani B, Upadhey R, Rathod V and Bhole A: Forgotten long-term indwelling doubl' J stent. Saudi J Kidney Dis Transpl. 23:1043–1045. 2012. View Article : Google Scholar : PubMed/NCBI
14	Pengfei S, Yutao L, Jie Y, Wuran W, Yi D, Hao Z and Jia W: The results of ureteral stenting after ureteroscopic lithotripsy for ureteral calculi: A systematic review and meta-analysis. J Urol. 186:1904–1909. 2011. View Article : Google Scholar : PubMed/NCBI
15	Aydin HR, Irkilata L, Aydin M, Gorgun S, Demirel HC, Adanur S, Keles M, Atilla A and Atilla MK: Incidence of bacterial colonisation after indwelling of double-J ureteral stent. Arch Ital Urol Androl. 87:291–294. 2016. View Article : Google Scholar : PubMed/NCBI
16	Soyupek S, Oksay T and Koşar A: Fragmentation of a forgotten double J stent and excreted with urine: Case report. Int Urol Nephrol. 35:91–92. 2003. View Article : Google Scholar : PubMed/NCBI
17	Tsai CC, Shen JT, Huang SP, Chang SF, Tsai LJ, Wu WJ and Huang CH: Use of a holmium laser to treat a forgotten double-J stent with whole stent encrustations: A case report. Kaohsiung J Med Sci. 25:567–571. 2009. View Article : Google Scholar : PubMed/NCBI
18	Ignjatovic I and Stojkovic I: Trapping of the double-J stent in the urinary tract eight years after extracorporeal shock wave lithotripsy. Int Urol Nephrol. 32:29–31. 2000. View Article : Google Scholar : PubMed/NCBI
19	Singh V, Srinivastava A, Kapoor R and Kumar A: Can the complicated forgotten indwelling ureteric stents be lethal? Int Urol Nephrol. 37:541–546. 2005. View Article : Google Scholar : PubMed/NCBI
20	Borboroglu PG and Kane CJ: Current management of severely encrusted ureteral stents with a large associated stone burden. J Urol. 164:648–650. 2000. View Article : Google Scholar : PubMed/NCBI
21	Bultitude MF, Tiptaft RC, Glass JM and Dasgupta P: Management of encrusted ureteral stents impacted in upper tract. Urology. 62:622–626. 2003. View Article : Google Scholar : PubMed/NCBI
22	Lam JS and Gupta M: Tips and tricks for the management of retained ureteral stents. J Endourol. 16:733–741. 2002. View Article : Google Scholar : PubMed/NCBI