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  • Home
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    • Dictations >
      • Circumcision
      • Cystoscopy >
        • Cysto-OR
        • Cysto, +/- RPG +/- stent >
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          • Cysto, L stent w/o RPG
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        • R U-scope (flex), RPG, (M)
        • L U-scope,semirigid laser, flex, RPG, stent removal, (F)
      • ESWL >
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Ureteral Stenting

OBSTRUCTION FROM MALIGNANCY
Median survival when obstructed from malignancy is 6-8mo. (2,3) Metallic stents can function for 1-3 years and are more cost effective in the long run; however, if patient prognosis is <1 year, there is no cost effectiveness. This article is a good review of the available metallic stents.  (1)

PAIN FROM URETERAL STENTING
A meta-analysis showed tamsulosin and solfenacin combined was superior for stent related complaints. (4)  A nonrefluxing ureteral stent without a curl in the bladder improved patient comfort and quality of life in a study. (6)

UROSEPSIS
​In one study 462 patients were evaluated, there was 17x risk of urosepsis if pos preop urine culture that was treated, and a higher rate of urosepsis if no preoperative stent was used. ()

​

  1. Khoo, Christopher C., et al. "Metallic Ureteric Stents in Malignant Ureteric Obstruction: A Systematic Review." Urology (2018).
  2. Wong LM, Cleeve LK, Milner AD, Pitman AG. Malignant ureteral obstruction: outcomes after intervention. Have things changed? J Urol. 2007;178:178-183.
  3. Izumi K, Mizokami A, Maeda Y, Koh E, Namiki M. Current outcome of patients with ureteral stents for the management of malignant ureteral obstruction. J Urol. 2011;185:556-561.
  4. Jian, Zhongyu, et al. "Combination of solifenacin and tamsulosin may provide additional beneficial effects for ureteral stent-related symptoms—outcomes from a network meta-analysis." World journal of urology (2018): 1-9.
  5. ​Blackmur, James P., et al. "Analysis of factors' association with risk of postoperative urosepsis in patients undergoing ureteroscopy for treatment of stone disease." Journal of endourology 30.9 (2016): 963-969.
  6. Benoît, V. O. G. T. "A New Customized Ureteral Stent with Non-Refluxing Silicone End-Piece to Alleviate Stent-Related Symptoms in Malignant Diseases." Urology (2019).
  7. Hernandez, Natalia, et al. "Cessation of ureteral colic does not necessarily mean that a ureteral stone has been expelled." The Journal of urology 199.4 (2018): 1011-1014.
    ​
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  • Home
  • Daily Tasks
    • Dictations >
      • Circumcision
      • Cystoscopy >
        • Cysto-OR
        • Cysto, +/- RPG +/- stent >
          • Cysto w/ b/l RPG
          • Cysto, L RPG
          • Cysto, R RPG
          • Cysto, L stent w/o RPG
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          • Cysto, R Stent w/o RPG
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        • Cysto Botox (F)
        • Individual parts of cystos
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        • Cysto and TRUS Prostate Biopsy (OR)
        • TRUS Prostate Biopsy (OR)
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        • MRI Fusion TRUS Prostate Biopsy
      • Robot Left Radical Nephrectomy
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      • Robot Radical Prostatectomy w/ PLND
      • TURBT (M)
      • Ureteroscopy >
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        • R U-scope (flex), RPG, (M)
        • L U-scope,semirigid laser, flex, RPG, stent removal, (F)
      • ESWL >
        • Left Proximal ESWL
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        • Right Renal ESWL
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        • Cephalosporins >
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        • Ciprofloxacin
        • Macrobid
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      • CKD/ESRD
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        • IPP
      • Female Urology
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      • Overactive Bladder
      • Trauma
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        • Choosing Therapy
        • Imaging
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      • Ureteroscopy
      • Ureteral Stenting
    • Female Surgery >
      • Interstim & PTNS
      • Midurethral Sling
      • Sacrocolpopexy
    • Nephrectomy
    • PCNL
    • Prostate Biopsy
    • Radical Prostatectomy
    • Suprapubic Tube (SPT)
    • Urethral Catheters
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    • Varicocelectomy
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