Association of Complications in Retained Ureteral Stents

Introduction: One of the most frequent complicationof ureteral stent and difficult case management is stentencrustations resulting in morbidity and financial burdento patient. The primary aim of this study is to evaluatethe complications incidence associated to patients andunderstanding different management techniques and otherfactors includes stent insitu duration, patient literacy level andsocioeconomic level.Material and methods: In this study, there are 48 patientspresented with retained DJ stents to Urology Department,Sri Venkateswara Institute of Medical Sciences (SVIMS),Tirupati, Andhra Pradesh, India between August 2009 andJanuary 2016 were included.Results: The mean age of the patients in the cohort is 42.46years and with highest percentage (37.5%) of the patientsin age group of 40 to 50 years. Most of the patients in thecohort are from poor socio-economic status (66.7%) andilliterate (54.2%). Most of the patients (58.3%) are not awareof stent placement in their body and majority of the patients(83.3%) are unilateral cases. In this study, 31.2% of patientsexperienced multisite encrustations. Stents are placed mostcommonly for ureteric stones following the ureteroscopiclithotripsy and percutaneous nephrolithotomy proceduresin our study. Stone composition revealed predominantlyCalcium oxalate.Conclusion: Retained DJ stents results in morbidity andcomplications like encrustation and stone formation whichcan be treated using combined endo urological procedures.Our study stress the prominence of regular follow up, andexplaining patient about complications, prompt and timelystent removal and change of stent and proper documentation.Maintenance of stent register, is another important measure toavoid potential complications.

Analysis of Perioperative Complications Following Radical Cystectomy – Our Experience in a South Indian Tertiary Urology Centre

Introduction: Bladder cancer is one of the common urologicalmalignancy. The aim of this study was to analyze perioperativecomplications and mortality in our institute following radicalcystectomy and urinary diversion.Material and methods: Thirty four patients presented withmuscle invasive bladder cancer for radical cystectomy tourology department between August 2009 and December2011 was included in the study.Results: Patients mean age was 56.9 Years. There was higherpercentage of Male patients compared to Female patientswith ratio of 4.6:1 and most of the patients had ASA score <=2.0. Mean operating time and length of hospital stay was 4.2hours and 10.2 days respectively. Perioperative complicationswas observed in 32.35% of patient cohort and perioperativemortality rate of 2.94%. The most frequent complicationswere ileus (6 patients) followed by wound infection / wounddehiscence (4 patients). No preoperative factors predictedcomplications were found except for age.Conclusion: In our study, age was the only preoperativefactors predicted complication and mortality rate. With properselection of patients, and preoperative evaluation, surgicaltechnique and better postoperative care, Radical cystectomywith urinary diversion can be safely done in selected patientswith acceptable morbidity and mortality.