Management of Forgotten Ureteral Double J Stents: Causes and Management

  • Muhammad Shahzad Anwar Associate Professor, Urology, Khawaja Muhammad Safdar Medical College, Sialkot
  • Muhammad Farooq Assistant Professor, Urology SIMS / Services Hospital, Lahore
  • Muhammad Ayub Assistant Professor, Urology SIMS / Services Hospital, Lahore
  • Asad Ali Shah Assistant Professor, Urology SIMS / Services Hospital, Lahore
  • Syed Hasan Akhter Assistant Professor, Urology, Khawaja Muhammad Safdar Medical College, Sialkot
  • Abdul Mannan Qureshi Professor of Urology SIMS / Services Hospital, Lahore
Keywords: Forgotten DJS, causes, management

Abstract

Introduction: Double J stent (DJS) is a basic and valuable tool in urological practice. A forgotten DJS is not uncommon and is associated with significant morbidity and mortality. The presenting complaints may range from UTI to renal failure.  Therefore, this study has been carried out to assess the clinical spectrum of this entity in our setting. Objective: To describe the clinical presentation, complications and management of forgotten DJS. Methods: This retrospective descriptive study was done at the Department of Urology, Services Institute of Medical Sciences, Lahore (SIMS) from August 2015 to December 2016. Sixteen patients with forgotten DJS were included. Each patient was studied for age, gender, presenting complains, indication of DJS, duration of stent insertion and management performed. The data was recorded on a proforma and analyzed using SPSS version 20. Results: 16 patients 68.8% (n=11) male and 31.2% (n=5) female patients were included in study. The average age was 46.38 ± 13.58 (23-65 years). The mean indwelling time of DJS was 16.31 ± 32 months. 50% of patient’s had obstructive uropathy due to stones. Most patients had UTI (37.5%) at presentation while mild encrustation was the major complication encountered (43.8%). Majority of patients were not compliant to the advice for DJS removal. Conclusion: Forgotten DJS leads to multiple complications, if not intervened timely. They can be successfully removed employing least invasive endourologic techniques. Proper counseling of patient/relatives is needed to get it removed in the due time period.

Published
2017-06-12
How to Cite
Anwar, M. S., Farooq, M., Ayub, M., Shah, A. A., Akhter, S. H., & Qureshi, A. M. (2017). Management of Forgotten Ureteral Double J Stents: Causes and Management. Annals of Punjab Medical College, 11(3), 227-232. https://doi.org/10.29054/apmc/2017.201