Vogt Benoît
Department of Urology, Polyclinique de Blois, 1 rue Robert Debré, 41260, La Chaussée Saint-Victor, France.
Urol Case Rep. 2018 Jul 29;20:100-101. doi: 10.1016/j.eucr.2018.07.025. eCollection 2018 Sep.
Ureteral stent obstruction is a significant cause of morbidity and mortality from renal failure. Alternative options for decompression include tandem ureteral stents but the amount of material in the bladder may severely impair the quality of life. Following recurrent stent obstruction, a patient was fitted with tandem ureteral stent on both sides with a new nonrefluxing silicone end piece. After this procedure, renal function was improved with normal serum creatinine. The design of the new stent demonstrates the feasibility of the procedure. This new stent currently under prospective evaluation with tolerance questionnaire has demonstrated quite promising results in 10 patients.
输尿管支架梗阻是肾衰竭导致发病和死亡的重要原因。减压的替代选择包括串联输尿管支架,但膀胱内的材料量可能会严重损害生活质量。在反复出现支架梗阻后,一名患者双侧安装了带有新型无反流硅胶末端的串联输尿管支架。此手术后,肾功能得到改善,血清肌酐正常。新型支架的设计证明了该手术的可行性。目前正在通过耐受性问卷对这种新型支架进行前瞻性评估,已在10名患者中取得了相当可观的结果。