Part of the Solution and Part of the Problem-Report on the Ureteric Stent Use in a Tertiary Referral Center in AustraliaVictor George ILIE1* and Vlad Ionut ILIE2
- *Corresponding Author:
- Victor George ILIE
Conjoint Lecturer Urology, St Vincent Hospital
Tel: 61 2 8382 1111
E-mail: [email protected]
Received date: May 14, 2017; Accepted date: May 26, 2017; Published date: June 02, 2017
Citation: George VILIE, Ionut VILIE (2017) Part of the Solution and Part of the Problem-Report on the Ureteric Stent Use in a Tertiary Referral Center in Australia. Med Sur Urol 6:186. doi: 10.4172/2168-9857.1000186
Copyright: © 2017 George VILIE, et al. This is an open-access article distributed under the terms of the creative commons attribution license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: The aim of the study is to comprehensively report on a single tertiary referral centre experience with the use of ureteric stents, assess complication burden and determine risk factors to further inform institutional practice. Materials and methods: The retrospectively analysed cohorts include 529 patients treated over a 12 months period. Data regarding details of the index pathology, stent characteristics and complications were collected retrospectively. Results: Most stents (58.9%) were used in the context of stone surgery. Stent encrustation occurred in 14.5% of patients and sepsis in 4.3%. There was a statistically significant difference be-tween the complications of the stents removed after 90 days (76.3% of encrustations, 26.8% positive urine cultures) and the rest of the cohort. Overall, 7.6% of patients re-presented to the emergency department due to stent related complications (pain, haematuria, sepsis) and 2.4% required early stent removal. At our institution, we managed to avoid forgotten stents and catastrophic complications. Conclusions: Stent complications are the complex outcome of interplay between the foreign body and the collecting system environment, influenced by the nature and timing of surgery. Longer stent dwelling times are associated with increased complications rates. Planning definitive management and stent extraction needs to take into account the statistically significant differences between the subgroups with significant co-morbidities.