Lost in the shadows: shedding light on forgotten ureteral stent syndrome

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dc.contributor.authorGawali, Ameyen_US
dc.contributor.authorSinghania, Piyushen_US
dc.contributor.authorPatil, Ajinkyaen_US
dc.contributor.authorVishwakarma, Kapilen_US
dc.contributor.authorKulkarni, Sharangen_US
dc.date.accessioned2024-12-02T10:08:12Z
dc.date.available2024-12-02T10:08:12Z
dc.date.issued2024-07
dc.description.abstractUreteral stents have been essential in urology for over four decades, yet the challenge of retained or forgotten stents persists. This syndrome occurs when a DJ stent remains beyond its recommended removal time, typically more than 2 weeks, leading to complications like migration, fragmentation, and encrustation. We present a case of a 50-year-old woman with a two-month history of right flank pain, burning urination, and intermittent fever. She had undergone right stent lithotripsy 3 years prior. Imaging revealed a fractured double J stent with significant renal and bladder stones, extensive ureteral encrustation, and a large retroperitoneal collection. The right kidney showed cortical thinning and gross hydronephrosis. Initial management included broad-spectrum antibiotics, a pigtail catheter, and percutaneous nephrostomy. In a second session, mechanical cystolithotripsy and percutaneous nephrolithotomy removed the bladder and renal calculi, and the fractured stent ends. The patient recovered uneventfully. Forgotten ureteral stents often require staged endoscopic interventions due to encrustation. Timely stent removal is critical and often overlooked due to inadequate counseling. Establishing a stent registry and an automated reminder system via a mobile app could help prevent these occurrences.en_US
dc.identifier.affiliationsDepartment of Urology, MGM Medical College and Hospital, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Urology, MGM Medical College and Hospital, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Urology, MGM Medical College and Hospital, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Urology, MGM Medical College and Hospital, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Urology, MGM Medical College and Hospital, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationGawali Amey, Singhania Piyush, Patil Ajinkya, Vishwakarma Kapil, Kulkarni Sharang. Lost in the shadows: shedding light on forgotten ureteral stent syndrome. MGM Journal of Medical Sciences. 2024 Jul; 11(3): 572-575en_US
dc.identifier.issn2347-7946
dc.identifier.issn2347-7962
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/239737
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber3en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.4103/mgmj.mgmj_181_24en_US
dc.subjectAbscessen_US
dc.subjectendoscopyen_US
dc.subjectretained DJ stenten_US
dc.subjectstent registryen_US
dc.titleLost in the shadows: shedding light on forgotten ureteral stent syndromeen_US
dc.typeJournal Articleen_US
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