Stenturia: An unusual manifestation of spontaneous ureteral stent fragmentation

Urol Int. 1999;62(2):114-6. doi: 10.1159/000030370.

Abstract

Two patients presented with passage of worm-like stent fragments in the urine. The first had undergone attempted percutaneous removal of left renal calculus and ureteral stenting 4 months prior to presentation. The second had left-sided stent placement for obstructive anuria on account of bilateral renal calculi 3 months earlier. The stents had fragmented into multiple pieces over a mean indwelling time of only 3.5 months. Apart from calculus disease, both patients had documented urinary tract infection. Stent fragmentation is a relatively rare (0.3%) but major complication. However, spontaneous excretion of these fragments has not been hitherto reported. These cases of rapid stent disintegration highlight the need for closer monitoring of the indwelling stents, especially in patients with calculus disease and associated persistent infection. In such patients the stent should probably be changed within 3 months.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anuria / etiology*
  • Equipment Failure
  • Follow-Up Studies
  • Foreign Bodies / etiology*
  • Foreign Bodies / urine*
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / surgery
  • Foreign-Body Migration / urine
  • Humans
  • Kidney Calculi / complications
  • Kidney Calculi / surgery
  • Male
  • Middle Aged
  • Radiography
  • Stents / adverse effects*
  • Treatment Outcome
  • Ureter / diagnostic imaging
  • Ureter / surgery*
  • Ureteral Obstruction / etiology
  • Ureteral Obstruction / surgery
  • Urologic Surgical Procedures, Male / instrumentation*
  • Urologic Surgical Procedures, Male / methods