Difficult DJ stent Removal - Our Experience and Evolution of Institutional Protocol for Management of Stuck DJ stent
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Introduction :Stent removal is a routinely done urological procedure and at times we encounter difficulty in stent removals. It is important to follow careful plan of action to avoid complication. Our objective is to make a simple stepwise protocol for their management and to present our series of patients with difficult stent removals and various management options that we had used. Methods: We collected data of all the patients who had come to us for stent removal from 2013 to 2015 .Total of 596 stent removals were performed and 31 patients had difficult stent removal in patients who had undergone stenting after URS, ESWL, Infected hydronephrosis and others . Results: Using the simple stepwise protocol we could manage all our patients without any complications. All Patients underwent 3D NCCT KUB reconstruction to delineate the encrustations and were managed accordingly as per the location in the protocol .Upper tract encrustations received ESWL, lower tract received cystolitholapaxy/tripsy ,and ureteric encrustations were managed by URSL. PCNL was done for failed ESWL (Large hard encrustations, PCN was placed). Conclusions: D-J stents have been widely used since many years and this has corresponded to the increase in possible complications including stent migration, encrustation, stone formation, and stent fracture . We have come up with a management protocol that is simple to follow and easy to execute and helps to avoid disastrous complications.
Authors and Affiliations
Dr. M. Nazar, M Dr Vikram Nimboor, Dr Tony T, Dr Aby Madan, Dr Shankar Ram HS, Dr Rahul Raveendran, Dr Jithender . , Dr Nityanand .
Keywords
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- EP ID EP592496
- DOI 10.9790/0853-1603022124
- Views 48
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