Table 1.
Case 1 | Case 2 | Case 3 | Case 4 | |
---|---|---|---|---|
Age/Sex | 31/F | 62/M | 41/M | 48/F |
Prior indication for insertion of stent | Promote ureteral healing post ureterolithotomy | Relief of ureteral edema | Bypass of ureteral obstruction sec to ureterolithiasis | Bypass extrinsic ureteral compression |
Biomaterial stent composition | Tecoflex Polyurethane | Tecoflex Polyurethane | Tecoflex Polyurethane | Tecoflex Polyurethane |
Ureteral stent calibre and length | Fr 6 × 26 cm #2 | Fr 6 × 24 cm | Fr 6 × 24 cm | Fr 7 × 24 cm # 2 |
Indwelling period of time | 5 months | 6 months | 11 months | 5 months |
Presenting symptoms | Stenturia, gross hematuria, flank pain, dysuria | Dysuria, flank pain | Hematuria, flank pain | Stenturia,* gross hematuria, dysuria, low back pain |
Physical exam findings | Low grade fever, right CVA tenderness | Left CVA tenderness | Mild right CVA tenderness | Bilateral CVA tenderness |
Remarkable laboratories | UTI on urinalysis, Enterococcus sp on urine Culture | UTI on urinalysis, E. Coli on urine CS | UTI on urinalysis, E. Coli on urine CS | E. Coli on Urine CS |
Mode of stent retrieval | Ureteroscopy, foreign body grasper | Ureteroscopy,foreign body grasper | Ureteroscopy, foreign body grasper | Ureteroscopy, foreign body grasper and endonephroscopy percutaneous |
Stent findings | Moderately encrusted, breakage line along stent side hole at proximal renal end, right, weak point line on the left distal bladder end side hole | Moderately encrusted, breakage line along stent side hole at proximal renal end | Severely encrusted, breakage line along stent side hole at distal bladder end | Slightly encrusted with breakage lines along stent side holes, right renal proximal end and left distal bladder end |
M: male; F: female; CVA: costovertebral angle; UTI: urinary tract infection; CS: culture & sensitivity. Stenturia: excretion of stent fragments in the urine.