Al-Hajjaj Maher, Alam Oula Abou, Abu-Hussein Bilal, Muhammad Al Husein Hasan Al
Department of Urology, Aleppo University Hospital, Aleppo, Syria.
Jordan University of Science & Technology, Irbid, Jordan.
Ann Med Surg (Lond). 2022 Jul 31;80:104223. doi: 10.1016/j.amsu.2022.104223. eCollection 2022 Aug.
Double-J (DJ) ureteral stents are considered basic and common in daily urological practice. We aim to share our experience of managing 25 cases of forgotten double-J (DJ) stents in our tertiary care center.
We did a retrospective analysis of cases with forgotten DJ stent for a period of one year spanning from February 2021 to February 2022. Detailed information like age, sex, the indication for insertion of the double-J, the period of insertion, presenting symptoms, and the definite procedure performed to remove the double-J.
The total number of cases was 25. We had 60% of patients underwent previous procedure in our hospital and the rest 40% were in other centers. The mean age was 38.44 years. The mean duration of the indwelling stent was 20.36 months, and the duration ranged from 13 months to 33 months.Most common indications for stenting were URS (64%). Presenting complaints were dysuria (n = 19; 76%), hematuria (n = 13, 52%), flank pain (n = 9; 36%), storage lower urinary tract symptoms ( 8; 32%), and recurrent urinary tract infection ( 5; 20%).Several complications were noted during or after forgotten stent removal like stent fragmentation (20%), fever (16%), sepsis (8%), and hematuria requiring transfusion (4%).
Forgotten double-J ureteral stents are a source for morbidity. Patients should be educated about the complications of the forgotten double-J. Creating a scheduled program for notifying patients with double-J stent is another good way.
双J（DJ）输尿管支架在日常泌尿外科实践中被认为是基础且常见的。我们旨在分享在我们的三级医疗中心处理25例遗忘双J（DJ）支架病例的经验。
我们对2021年2月至2022年2月这一年期间遗忘DJ支架的病例进行了回顾性分析。收集了详细信息，如年龄、性别、双J支架置入指征、置入时间、出现的症状以及取出双J支架所进行的具体操作。
病例总数为25例。60%的患者曾在我们医院接受过先前的手术，其余40%在其他中心。平均年龄为38.44岁。留置支架的平均时长为20.36个月，时长范围为13个月至33个月。最常见的支架置入指征是输尿管镜检查（URS，64%）。出现的症状有排尿困难（n = 19；76%）、血尿（n = 13，52%）、胁腹疼痛（n = 9；36%）、下尿路储尿期症状（n = 8；32%）以及反复尿路感染（n = 5；20%）。在遗忘支架取出期间或之后发现了几种并发症，如支架断裂（20%）、发热（16%）、脓毒症（8%）以及需要输血的血尿（4%）。
遗忘的双J输尿管支架是发病的一个原因。应告知患者遗忘双J支架的并发症。为通知带双J支架的患者制定一个时间表计划是另一种好方法。
