Open AccessAntegrade removal of a knotted ureteric stent: Case report and review of literature
Author(s) -
Jennifer Bradshaw,
Atif Khan,
Ese Adiotomre,
Simon Burbidge,
Chandra Shekhar Biyani
Publication year - 2020
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/ua.ua_172_18
Subject(s) - medicine , stent , ureter , surgery , ureteroscopy , extracorporeal shock wave lithotripsy , complication , lithotripsy
Ureteral stents are routinely used in urological practice for many indications including obstruction of ureter, ureteral stricture, prior to treatment with extracorporeal shock wave lithotripsy, and to promote healing following ureteral injury. Complications reported with ureteric stents include stent migration, stent rupture, encrustation, ureteral perforation, erosion, and fistulation. Knotting of an indwelling ureteral stent is a very rare complication, with fewer than 30 cases reported in the literature. Techniques for managing this complication include using a holmium laser to cut the knot, percutaneous antegrade removal, and gentle traction. We describe the case of a knotted stent and its removal along with a comprehensive literature review.