Complications of Long Term Indwelling Double J Stent and Their Management: A Single Centre Experience
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 8
Abstract
Abstract:Double J (DJ) stents “a foreign body” mostly a temporary measure for splintage of ureter. We know very well anything foreign to our body when stays beyond it purpose causes problem to treating doctor and patient. In the context of urology DJ stents are one of the most common foreign bodies. This study aims to analyze different complications and management of double J stents with indwelling time more than 6 months in a tertiary care hospital. In this prospective observational study we had included 23 patients who were operated elsewhere for any indication with DJ stent between august 2015 to June 2017. All cases were studied for their age, gender, duration of stent, presentation and surgical procedure performed. Among 23 patients, 15 were male and 8 were females. Total 11 patients (47.8%) presented with encrustation, 6(26.1%) with recurrent urinary tract infection, 3(13%) with stent migration. Regarding management 8 patient needed cystoscopic removal of stent, 5 patients were managed by ureteroscopic removal. Multiple procedures were required in 6 patients in which 3 needed extracorporeal shock wave lithotripsy (ESWL) followed by cystoscopic removal. Although DJ stent is an essential tool for urological armamentarium but its judicial use needed. As a surgeon’s prospective, management of forgotten DJ stents is important due to its medico-legal implications. Proper patient and their relatives counseling is of paramount importance. Keywords:double j stents, forgotten, jj stents, complication
Authors and Affiliations
Sandeep Gupta, Arun Kumar Maurya, Dilipkumar Pal
Keywords
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