Methods of ureteric stent placement and removal: experience with 200 patients

ABSTRACT

Objective To study the advantages of ureteric stents in management of ureteric obstruction, injury or surgery. Methods Ureteric stents were inserted in 200 patients by endoscopic, percutaneous or open operation approach. Local anaesthesia, sedoanalgesia and general anaesthesia was used according to requirement of the patient. Removal of the stens was also endoscopic or in complicated cases by exploration. Results Ureteric stents were placed endoscopically in 190, by open operation in 6 and percutaneous approach in 4 cases. Conclusion Ureteral stent for managing ureteral injury is a safe and simple procedure in modern urology practice. Local anaesthesia was used in 143, analgesia in 31 and general anaesthesia in 26 patients. Endoscopic removal of stents was possible in 177 cases whereas 23 patients had to undergo open surgery due to fractured or upward migrated stents. Local anaesthesia was used in 150 analgesia in 21 and general anaesthesia in 29 cases