PURPOSE: To describe our experience in the management of retained encrusted ureteral stents using a single session combined endourological approach. MATERIALS AND METHODS: Patients with retained encrusted ureteral stents who had been submitted to a single session combined endourological approach from June 2010 to June 2018 were prospectively evaluated. Patients were divided according to the Forgotten-Encrusted-Calcified (FECal) classification. The stone burden, surgical intervention, number of interventions until stone free status, operation time, hospital stay, complications, stone analysis, and stone-free rate were compared between groups. ANOVA was used to compare numerical variables, and the Mann-Whitney or Chi-square test to compare categorical variables between groups. RESULTS: We evaluated 50 patients with a mean follow-up of 2.9±1.4 years (mean±SD). The groups were comparable in terms of age, sex, laterality, BMI, comorbidities, ASA, reason for stent passage, and indwelling time. The stone burden was higher for grades IV and V (p=0.027). Percutaneous nephrolithotomy was the most common procedure (p=0.004) for grades IV and V. The number of procedures until the patients were stone-free was 1.92±1.40, and the hospital stay (4.2±2.5 days), complications (22%), and stone analysis (66% calcium oxalate) were similar between groups. The stone-free rate was lower in grades III to V (60%, 54.5%, and 50%). CONCLUSIONS: The endoscopic combined approach in the supine position is a safe and feasible technique that allows removal of retained and encrusted stents in a single procedure. The FECal classification seems to be useful for surgical planning. Copyright® by the International Brazilian Journal of Urology.
PURPOSE: To describe our experience in the management of retained encrusted ureteral stents using a single session combined endourological approach. MATERIALS AND METHODS:Patients with retained encrusted ureteral stents who had been submitted to a single session combined endourological approach from June 2010 to June 2018 were prospectively evaluated. Patients were divided according to the Forgotten-Encrusted-Calcified (FECal) classification. The stone burden, surgical intervention, number of interventions until stone free status, operation time, hospital stay, complications, stone analysis, and stone-free rate were compared between groups. ANOVA was used to compare numerical variables, and the Mann-Whitney or Chi-square test to compare categorical variables between groups. RESULTS: We evaluated 50 patients with a mean follow-up of 2.9±1.4 years (mean±SD). The groups were comparable in terms of age, sex, laterality, BMI, comorbidities, ASA, reason for stent passage, and indwelling time. The stone burden was higher for grades IV and V (p=0.027). Percutaneous nephrolithotomy was the most common procedure (p=0.004) for grades IV and V. The number of procedures until the patients were stone-free was 1.92±1.40, and the hospital stay (4.2±2.5 days), complications (22%), and stone analysis (66% calcium oxalate) were similar between groups. The stone-free rate was lower in grades III to V (60%, 54.5%, and 50%). CONCLUSIONS: The endoscopic combined approach in the supine position is a safe and feasible technique that allows removal of retained and encrusted stents in a single procedure. The FECal classification seems to be useful for surgical planning. Copyright® by the International Brazilian Journal of Urology.
Authors: Javier L Arenas; Jim K Shen; Mohamed Keheila; Samuel R Abourbih; Albert Lee; Philip K Stokes; Roger Li; Muhannad Alsyouf; Michelle A Lightfoot; D Duane Baldwin Journal: Urology Date: 2016-07-12 Impact factor: 2.649
Authors: Jean J M C H de la Rosette; Dedan Opondo; Francisco P J Daels; Guido Giusti; Alvaro Serrano; Sangam V Kandasami; J Stuart Wolf; Magnus Grabe; Stavros Gravas Journal: Eur Urol Date: 2012-04-04 Impact factor: 20.096
Authors: Fabio C Vicentini; Fabio C M Torricelli; Eduardo Mazzucchi; Marcelo Hisano; Claudio B Murta; Alexandre Danilovic; Joaquim F A Claro; Miguel Srougi Journal: J Endourol Date: 2013-06-08 Impact factor: 2.942
Authors: Vernon M Pais; Ben Chew; Ojas Shaw; Elias S Hyams; Brian Matlaga; Ramakrishna Venkatesh; Jay Page; Ryan F Paterson; Olga Arsovska; Michael Kurtz; Brian H Eisner Journal: J Endourol Date: 2014-06-05 Impact factor: 2.942
Authors: J G Valdivia Uría; J Valle Gerhold; J A López López; S Villarroya Rodriguez; C Ambroj Navarro; M Ramirez Fabián; J M Rodriguez Bazalo; M A Sánchez Elipe Journal: J Urol Date: 1998-12 Impact factor: 7.450
Authors: Hasan El-Tatawy; Ahmed S El-Abd; Tarek A Gameel; Ahmed R Ramadan; Mohamed O Abo Farha; Magdy A Sabaa; Shawky A El-Abd Journal: Arab J Urol Date: 2019-05-15