Resonance metallic ureteral stents do not successfully treat ureteroenteric strictures. J Endourol 2009 Jul;23(7):1199-201; discussion 1202
Date
06/18/2009Pubmed ID
19530950DOI
10.1089/end.2008.0454Scopus ID
2-s2.0-67650783484 (requires institutional sign-in at Scopus site) 30 CitationsAbstract
PURPOSE: To report the outcomes of patients with ureteroenteric strictures after ileal conduit urinary diversion that were managed with Resonance metallic ureteral stents.
PATIENTS AND METHODS: Ten ureteroenteric strictures in patients with ileal conduits that were managed with metallic ureteral stenting were retrospectively identified. Charts were examined for patient age, anastomosis type, stricture cause, stricture laterality, complications, and follow-up.
RESULTS: Nine of 10 (90%) cases resulted in distal stent migration. Mean time to stent migration was 21 days (range 3-60 d).
CONCLUSIONS: Placement of Resonance metallic stents in patients with ileal conduits is ineffective for management of ureteroenteric strictures because of the high rate of distal migration.
Author List
Garg T, Guralnick ML, Langenstroer P, See WA, Hieb RA, Rilling WS, Sudakoff GS, O'Connor RCAuthors
Michael Guralnick MD Professor in the Urologic Surgery department at Medical College of WisconsinRobert A. Hieb MD, RVT, FSIR Professor in the Radiology department at Medical College of Wisconsin
Robert Corey O'Connor MD Professor in the Urologic Surgery department at Medical College of Wisconsin
William S. Rilling MD, FSIR Vice Chair, Professor in the Radiology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AbdomenAged
Aged, 80 and over
Constriction, Pathologic
Fluoroscopy
Humans
Metals
Stents
Tomography, X-Ray Computed
Treatment Failure
Ureter
Ureteral Obstruction