Spontaneous fracture of indwelling polyurethane ureteral stents: A case series and review of literature
DOI:
https://doi.org/10.5489/cuaj.21Abstract
Polyurethane, due to its low cost, high versatility and availability,
it commonly used for ureteral stents. Spontaneous fracture of these
stents is rare, and the most dreaded complication. We present four
cases of spontaneous fracture of indwelling polyurethane ureteral
stents and review the literature to identify potential factors and
preventive strategies.
Downloads
References
Zimskind PD, Kelter TR, Wilkerson SL. Clinical use of long-term indwelling silicone rubber ureteral splints
inserted cystoscopically. J Urol 1967;97:840-4.
Liu JS, Hrebinko RL. The use of two ipsilateral ureteral stents for relief of ureteral obstruction from extrinsic
compression. J Urol 1998;159:179-81. http://dx.doi.org/10.1016/S0022-5347(01)64050-3
Damiano R. Olivia A, Espositio C, et al. Early and late complications of double pigtail ureteral stent. Urol
Int 2002;69:136-40. http://dx.doi.org/10.1159/000065563
Kuyumcuoglu U, Eryildirim B, Tuncer M, et al. Effectiveness of medical treatment in overcoming the ureteral
double-J stent related symptoms. Can Urol Assoc J 2011;Sep 8:1-4 Epub ahead of print.
EI-Faqih SR, Shamsuddin AB, Chakrabarti A, et al. Polyurethane internal ureteral stents in treatment of
stone patients: Morbidity related to indwelling times. J Urol 1991;146:1487.
Schulze KA, Wettlaufer JN, Oldani G. Encrustation and stone formation: complication of indwelling ureteral
stents. Urology 1985;25:616-9. http://dx.doi.org/10.1016/0090-4295(85)90293-6
Ilker Y, Turkeri L, Dillioglugil O, et al. Spontaneous fracture of indwelling ureteral stents in patients treated
with extracorporeal shock wave lithotripsy: two case reports. Int Urol Nephrol 1996;28:15-9. http://
dx.doi.org/10.1007/BF02550132
Zisman A, Siegel YI, Siegmann A, et al. Spontaneous ureteral stent fragmentation. J Urol 1995;153:718-
http://dx.doi.org/10.1016/S0022-5347(01)67697-3
Kilciler M, Erdemir F, Bedir S, et al. Spontaneous ureteral stent fragmentation: a case report and
review of the literature. Kaohsiung J Med Sci 2006;22:363-6. http://dx.doi.org/10.1016/S1607-
X(09)70324-9
Mardis HK, Kroeger RM. Ureteral stents. Materials. Urol Clin North Am 1988;15:471-9.
Kumar M, Aron M, Agarwal AK, et al. Stenturia: an unusual manifestation of spontaneous ureteral stent
fragmentation. Urol Int 1999;62:114-6. http://dx.doi.org/10.1159/000030370
Monga M, Klein E, Castañeda-Zúñiga WR, et al. The forgotten indwelling ureteral stent: a urological
dilemma. J Urol 1995;153:1817-9. http://dx.doi.org/10.1016/S0022-5347(01)67319-1
Singh V, Gupta A. Stenuria: A Rare Complication of Indwelling Ureteral Stent. Urol J 2009;6:226-7
.
Adsan O, Guner E, Ozturk B, et al. Spontaneus Fragmentation of a Double J Stent. Int Urol and Nephrol
;29:307-11. http://dx.doi.org/10.1007/BF02550927
Gupta R, Modi P, Rizvi J. Vanishing Shaft of a Double –J stent. Urol J 2008;5:277-9.
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation
in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205-13. http://dx.doi.
org/10.1097/01.sla.0000133083.54934.ae
Ahallal Y, Khallouk A, El Fassi MJ, et al. Risk Factor Analysis and Management of Ureteral Double-J Stent
Complications. Rev Urol 2010;12:e147-e151.
Arshad M, Shah SS, Abbasi MH. Applications and complications of polyurethane stenting in urology. J
Ayub Med Coll Abbottabad 2006;18:69-72.
Beiko DT, Knudsen BE, Watterson JD, et al. Urinary tract biomaterials. J Urol 2004;171:2438-44. http://
dx.doi.org/10.1097/01.ju.0000125001.56045.6c
Gorman SP, Jones DS, Bonner MC, et al. Mechanical Performance of polyurethrane ureteral stents in vitro
and ex vivo. Biomaterials 1997;18:1379-83. http://dx.doi.org/10.1016/S0142-9612(97)00070-7
Somers W. Management of forgotten retained indwelling ureteral stents. Urology 1996;47:431-5. http://
dx.doi.org/10.1016/S0090-4295(99)80468-3
Singh I, Gupta NP, Hemal AK, et al. Severely encrusted polyurethane ureteral stents: management
and analysis of potential risk factors. Urology 2001;58:526-31. http://dx.doi.org/10.1016/S0090-
(01)01317-6
Richter S, Ringel A, Shalev M, et al. The indwelling ureteric stent: a ‘friendly’ procedure with unfriendly
high morbidity. BJU Int 2000;85:408-11. http://dx.doi.org/10.1046/j.1464-410x.1998.00543.x-i1
el-Sherif A. Fracture of polyurethrane double pigtail stents: an in vivo retrospective and prospective
fluoroscopic study. Br J Urol 2008;76:108-14.
Lam JS, Gupta M. Tips and Tricks for the management of retained ureteral stents. J Endourol 2002;16:733-
http://dx.doi.org/10.1089/08927790260472881
Ather MH, Talati J, Biyabani R. Physician Responsibility for removal of implants: The case for a computerized
program for tracking overdue double J stents. Techn Urol 2000;6:189-92.
Downloads
Published
How to Cite
Issue
Section
License
You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association. This means that you may not, without the prior written permission of the CUA:
- Post the Article on any Web site
- Translate or authorize a translation of the Article
- Copy or otherwise reproduce the Article, in any format, beyond what is permitted under Canadian copyright law, or authorize others to do so
- Copy or otherwise reproduce portions of the Article, including tables and figures, beyond what is permitted under Canadian copyright law, or authorize others to do so.
The CUA encourages use for non-commercial educational purposes and will not unreasonably deny any such permission request.
You retain your moral rights in and to the Article. This means that the CUA may not assert its copyright in such a way that would negatively reflect on your reputation or your right to be associated with the Article.
The CUA also requires you to warrant the following:
- That you are the Author(s) and sole owner(s), that the Article is original and unpublished and that you have not previously assigned copyright or granted a licence to any other third party;
- That all individuals who have made a substantive contribution to the article are acknowledged;
- That the Article does not infringe any proprietary right of any third party and that you have received the permissions necessary to include the work of others in the Article; and
- That the Article does not libel or violate the privacy rights of any third party.