Dataset Information

Upward migration of a double J ureteral stent in a boy: A rare case report.

ABSTRACT:

Introduction

Inserting double j ureteral stents is considered a common practice in the urology field. With the wide range of use, many complications were reported.

Case presentation

We are presenting a rare case of five years old boy that had a right renal stone with moderate hydronephrosis. Inserting a double j stent was the first procedure to relieve the obstruction. Metabolic studies were negative. Twelve days later, the double j stent migrated upward. As a result, we performed an open surgery to remove the stone and the double j. During surgery, we inserted a new double j stent that was removed six weeks later. Follow-up showed no complaints.

Discussion

Upward migration of a double j ureteral stent in a child is considered a rare entity. We performed open surgery to remove the ureteral stent and the stone. Such complication in a child has not been reported widely.

Conclusion

We aim to report an upward migration double j ureteral stent in a boy and how we dealt with it.

SUBMITTER: Al-Hajjaj M

PROVIDER: S-EPMC9577489 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Upward migration of a double J ureteral stent in a boy: A rare case report.

Al-Hajjaj Maher M

Annals of medicine and surgery (2012) 20220909

<h4>Introduction</h4>Inserting double j ureteral stents is considered a common practice in the urology field. With the wide range of use, many complications were reported.<h4>Case presentation</h4>We are presenting a rare case of five years old boy that had a right renal stone with moderate hydronephrosis. Inserting a double j stent was the first procedure to relieve the obstruction. Metabolic studies were negative. Twelve days later, the double j stent migrated upward. As a result, we performed ...[more]

PMID: 36268339

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Project description:BackgroundMost patients suffer from ureteral stent-related symptoms (USRS) caused by indwelling ureteral stents. Nevertheless, various medications to alleviate discomfort as well as novel stents are continually being developed, and in recent years, some researchers have believed that proper intravesical stent placement can relieve USRS.ObjectiveTo determine appropriate intravesical ureteral stent position may alleviate USRS.MethodsUp to May 1, 2022, the PubMed, Embase, Scopus and Web of Science databases were thoroughly searched, and two independent reviewers included relevant studies that met the PICO (Patient, Intervention, Comparison, Outcome) criteria. Studies methodological quality were assessed by ROB2 and ROBINS-I. Ureteral stent symptom questionnaire (USSQ), international prostate symptom score (IPSS) and quality of life (QoL) was used to quantify the USRS. According to intravesical ureteral stent position, Group A was defined as the contralateral group, that is distal end of ureteral stent crossed the bladder midline, whereas Group B was classified as ipsilateral group, meaning stent end did not cross the midline.ResultsSix studies incorporating a total of 590 patients were eligible. In terms of USSQ score, the meta-analysis showed that contralateral group was associated with a significant increase in USSQ total (MD, 17.55; 95% CI, 12.04 to 23.07; P < 0.001), urinary symptoms (MD, 2.74; 95% CI, 0.48 to 5.01; P = 0.02), general health (MD, 4.04; 95% CI, 2.66 to 5.42; P < 0.001), work performance (MD, 1.36; 95% CI, 0.75 to 1.98; P < 0.001) and additional problems (MD, 0.89; 95% CI, 0.47 to 1.32; P < 0.001) scores while not associated with a significant increase in body pain (MD, 3.13; 95% CI, -0.19 to 6.44; P = 0.06) and sexual matters (MD, 1.01; 95% CI, -0.03 to 2.06; P = 0.06). As for IPSS, although no significant differences in IPSS total (MD, 2.65; 95% CI, -0.24 to 5.54; P = 0.07) or voiding symptoms (MD, -0.84; 95% CI, -3.16 to 1.48; P = 0.48) scores were found, ipsilateral group was associated with a significant decrease in storage symptoms (MD, 1.92; 95% CI, 0.91 to 2.93; P = 0.0002). Furthermore, ipsilateral group was linked to a significant decrease in QoL score (MD, 1.00; 95% CI, 0.18 to 1.82; P = 0.02).ConclusionThis meta-analysis proven that correct intravesical stent position was critical, and patients with stents crossing the midline experienced more severe USRS than those who did not. Further high-quality randomized controlled trials are needed to corroborate our findings.

Dataset Information

Upward migration of a double J ureteral stent in a boy: A rare case report.

Introduction

Case presentation

Discussion

Conclusion

Publications

Upward migration of a double J ureteral stent in a boy: A rare case report.

Similar Datasets

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