Metallic Full-Length Ureteral Stents: Does Urinary Tract Infection Cause Obstruction?

Autor: James A. Brown, Christopher L. Powell, Kristopher R. Carlson
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: The Scientific World Journal, Vol 10, Pp 1566-1573 (2010)
Druh dokumentu: article
ISSN: 1537-744X
DOI: 10.1100/tsw.2010.162
Popis: Metallic ureteral stents promise to offer superior upper urinary tract drainage with extended exchange intervals and freedom from extrinsic compression in patients with advanced malignancy or other significant obstructing retroperitoneal or pelvic processes. Existing literature indicates a variable experience with these relatively new devices, with some investigators reporting excellent results and long problem-free intervals, and others reporting less enthusiastic outcomes. We report a retrospective review of a series of five sequential patients undergoing placement of Resonance® (Cook Medical, Bloomington, IN) metallic ureteral stents for extrinsic ureteral compression refractory to placement of traditional (polymer) ureteral stents. Of five patients reviewed, three (60%) required additional operative intervention for stent migration or malposition. Four patients (80%) died of their primary malignancy
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