double J ureteric stent, is it still a faithful friend to urologists?

ABSTRACT

To assess the side effects and long term complications of double-J ureteric stents .The records of all patients who were stented by using double-J-Ureteric stents to relieve ureteric obstruction or in the course of endourological management of urolithiasis - were reviewed 50 patients with morbidity and complication due to the D.J. Stents [35 Males, 15 Females] were followed up with plain x-ray, ultrasound. 20 patients were found to complain of fever, symptoms of bladder irritability and flank pain, treated with antibiotics, analgesics and antispasmodics. 8 patients had migration of the stent, 6 with proximal migration, 2 with distal migration, 2 with spontaneous fragmentation of the stent, 20 patients had encrustations and stones formed around the double J stents and treated accordingly. The double J ureteric stents are of great importance and helpful to urologists but may have side effects and complications that may add to the patient's morbidity. So follow up regularly and early interference is mandatory to prevent these complications