Long-term complications of JJ stent and its management: A 5 years review
Objectives: To assess the long term complications of JJ stent, the management of complications and the role of endoscopic approach to manage these complications. Materials and Methods: Nineteen patients with indwelling JJ stent for a duration of more than 6 months were included in this study. Patie...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=1;spage=41;epage=45;aulast=Ray |
| _version_ | 1819231913910468608 |
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| author | Rajendra Prasad Ray Rajkumar Singha Mahapatra Partha Pratim Mondal Dilip Kumar Pal |
| author_facet | Rajendra Prasad Ray Rajkumar Singha Mahapatra Partha Pratim Mondal Dilip Kumar Pal |
| author_sort | Rajendra Prasad Ray |
| collection | DOAJ |
| description | Objectives: To assess the long term complications of JJ stent, the management of complications and the role of endoscopic approach to manage these complications.
Materials and Methods: Nineteen patients with indwelling JJ stent for a duration of more than 6 months were included in this study. Patients were assessed with X-ray KUB, USG KUB, blood urea, creatinine and DTPA renogram. Data were analyzed by Microsoft excel 2007 .
Results: Out of 19 patients 12 (63.16%) were male and 7 (36.84%) were female. The mean age was 39.78 ± 13.69 years., Mean duration for which the stent was in situ was 29.56 months. The most common complication was broken stent, in 11 cases (57.89%). Other complications were migration in 5 (26.32%), encrustation in 2 (10.52%) and 1 case of (5.26%) stone formation. Eighteen cases were managed by endoscopic approaches. A total of 22 procedures were performed to treat the complications. Eleven cases were managed by a single procedure and 8 patients required multiple procedures. All were managed successfully with no death reported. Post-operative complications were seen in eight cases (42.11%).
Conclusions: JJ stent related long-term complications are not uncommon and are usually seen after 6 months of indwelling time. Endourological procedure should be the initial approach with a high success rate. Coordinated use multimodality and technology helps in management of difficult cases. Open surgery is rarely required. Prevention of the complication by judicious use and early removal is the cornerstone. |
| first_indexed | 2024-12-23T11:52:31Z |
| format | Article |
| id | doaj.art-8bee2f9a251e4edd81c2daced569c832 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-12-23T11:52:31Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-8bee2f9a251e4edd81c2daced569c8322022-12-21T17:48:10ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342015-01-0171414510.4103/0974-7796.148599Long-term complications of JJ stent and its management: A 5 years reviewRajendra Prasad RayRajkumar Singha MahapatraPartha Pratim MondalDilip Kumar PalObjectives: To assess the long term complications of JJ stent, the management of complications and the role of endoscopic approach to manage these complications. Materials and Methods: Nineteen patients with indwelling JJ stent for a duration of more than 6 months were included in this study. Patients were assessed with X-ray KUB, USG KUB, blood urea, creatinine and DTPA renogram. Data were analyzed by Microsoft excel 2007 . Results: Out of 19 patients 12 (63.16%) were male and 7 (36.84%) were female. The mean age was 39.78 ± 13.69 years., Mean duration for which the stent was in situ was 29.56 months. The most common complication was broken stent, in 11 cases (57.89%). Other complications were migration in 5 (26.32%), encrustation in 2 (10.52%) and 1 case of (5.26%) stone formation. Eighteen cases were managed by endoscopic approaches. A total of 22 procedures were performed to treat the complications. Eleven cases were managed by a single procedure and 8 patients required multiple procedures. All were managed successfully with no death reported. Post-operative complications were seen in eight cases (42.11%). Conclusions: JJ stent related long-term complications are not uncommon and are usually seen after 6 months of indwelling time. Endourological procedure should be the initial approach with a high success rate. Coordinated use multimodality and technology helps in management of difficult cases. Open surgery is rarely required. Prevention of the complication by judicious use and early removal is the cornerstone.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=1;spage=41;epage=45;aulast=RayComplicationJJ stentmanagementprevention |
| spellingShingle | Rajendra Prasad Ray Rajkumar Singha Mahapatra Partha Pratim Mondal Dilip Kumar Pal Long-term complications of JJ stent and its management: A 5 years review Urology Annals Complication JJ stent management prevention |
| title | Long-term complications of JJ stent and its management: A 5 years review |
| title_full | Long-term complications of JJ stent and its management: A 5 years review |
| title_fullStr | Long-term complications of JJ stent and its management: A 5 years review |
| title_full_unstemmed | Long-term complications of JJ stent and its management: A 5 years review |
| title_short | Long-term complications of JJ stent and its management: A 5 years review |
| title_sort | long term complications of jj stent and its management a 5 years review |
| topic | Complication JJ stent management prevention |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=1;spage=41;epage=45;aulast=Ray |
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