Ahallal Youness, Khallouk Abdelhak, El Fassi Mohammed Jamal, Farih Moulay Hassan
Department of Urology, CHU Hassan II Fez, Morocco.
Rev Urol. 2010 Spring;12(2-3):e147-51.
Double-J ureteral stents are commonly used to manage urinary obstructions. Pain, bladder irritative symptoms, and fever are usually signs of early complications related to double-J stents; late complications are more troublesome. We review 4 cases that highlight a variety of late complications with double-J stents (encrustation, migration, and fragmentation). Following a review of the literature, guidelines are established for monitoring potential risk factors as well as management strategies for prevention of possible complications when using double-J stents.
双J型输尿管支架常用于处理尿路梗阻。疼痛、膀胱刺激症状和发热通常是与双J型支架相关的早期并发症的迹象;晚期并发症则更棘手。我们回顾了4例突出显示双J型支架各种晚期并发症(结痂、移位和断裂)的病例。在回顾文献之后,制定了监测潜在风险因素的指南以及使用双J型支架时预防可能并发症的管理策略。