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Ureteral Stent Encrustation: Epidemiology, Pathophysiology, Management and Current Technology.
Tomer, Nir; Garden, Evan; Small, Alexander; Palese, Michael.
Afiliación
  • Tomer N; Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Garden E; Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Small A; Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Palese M; Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York.
J Urol ; 205(1): 68-77, 2021 Jan.
Article en En | MEDLINE | ID: mdl-32856981
PURPOSE: Encrustation is a common phenomenon that can occur following placement of a ureteral stent into the urinary tract, and it can lead to serious complications. The following review addresses the mechanism of encrustation, the management of these stents and the newest technology developed to mitigate this issue. MATERIALS AND METHODS: We performed a comprehensive literature search on stent encrustation including peer-reviewed publications, public product listings, and material on current and future stent technology. RESULTS: The mechanism of encrustation is complex and multifaceted, including dwell time, patient specific risk factors, conditioning film formation, biofilm formation and mineral deposition. Several technological developments in stent materials and coatings may have a role in reducing the risk of stent encrustation. It is important to identify the extent of stent encrustation and plan treatment strategies accordingly. We propose a novel treatment algorithm for the management encrusted ureteral stents. CONCLUSIONS: The ubiquity of ureteral stents in urology practice mandates updated knowledge about the prevention of stent encrustation, identification of high risk patients and preparedness for removal using multimodal techniques.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Uréter / Calcinosis / Stents / Remoción de Dispositivos Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Humans / Male Idioma: En Revista: J Urol Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Uréter / Calcinosis / Stents / Remoción de Dispositivos Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Humans / Male Idioma: En Revista: J Urol Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos