FORGOTTEN DJ STENTS AND THEIR MANAGEMENT: A PERSPECTIVE FROM A TERTIARY CARE CENTRE.”

Dr Sunirmal Choudhury, Dr Paragmani Talukdar, Dr Rohit Kumar, Dr Ankit Kayal, Tapas Kr Majhi, Tapan Kr Mandal

Abstract


Objective : To elaborate various factors , their presentation , complication and management of forgotten DJ stents
Methods : From August 2013 to August 2018 , 47 patients were presented with forgotten DJ stent at our institute.Investigations including blood
biochemistry, X-rays, ultrasonography, IVU and / or CT scan were done. According to site, size of stone burden, complications and functional
status of ipsilateral kidney, standard treatment were given.
Results : All patients had DJ stent for > 6 months. In 25 patients DJ were encrusted, 6 were fragmented , 2 were migrated and 2 presented with
pyonephrosis , one with non-functioning kidney and one with renal failure . Rest 10 patients presented with recurrent urinary tract infection.
Standard procedures were done to make patient symptom free.
Conclusion : DJ stenting most commonly done procedure in urology. The best way to avoid forgotten DJ is prevention by means of standard
protocol and preset reminders.


Keywords


Forgotten Dj Stent, Polyurethane, Encrustations, Migration

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References


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