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Published in: Pediatric Surgery International 1/2023

01-12-2023 | Urinary Tract Infection | Original Article

Lower urinary tract effects of ureteral stent length and intravesical position

Authors: Caner Isbir, Şener Çolak, Lara Taşan, Hakan Taşkınlar

Published in: Pediatric Surgery International | Issue 1/2023

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Abstract

Purpose

Ureteral stents can cause lower urinary tract problems such as stent-related irritative symptoms and urinary tract infections. This study aimed to determine the lower urinary tract effects of ureteral stent length and intravesical position in children.

Methods

Patients who underwent double-J stenting after urological procedures between January 2017 and January 2022 were included in the study. The patients were assessed in terms of age, irritative symptoms, urinary tract infections, and stent length. The intravesical position of the ureteral stents was grouped as cross-trigonal and ipsilateral. The distribution of irritative symptoms, frequency of urinary tract infections and stent length were analyzed according to intravesical location.

Results

A total of 47 patients were included in the study. The median age was 5 years (range: 1–16). Cross-trigonal stent position was significantly associated with symptoms of urgency (p = 0.046), suprapubic pain (p = 0.002), and lower mean age (p = 0.004). Urinary tract infections were more frequent in patients whose placed stents were longer than recommended (p < 0.001) or were in cross-trigonal position (p = 0.043).

Conclusion

Our results suggest that stent-related irritative symptoms and urinary tract infections can be reduced in pediatric patients using a suitably sized ureteral stent and considering its intravesical position.
Literature
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go back to reference Betschart P, Piller A, Zumstein V, Schmid HP, Engeler DS, Güsewell S, Pratsinis M, Abt D (2021) Reduction of stent-associated morbidity by minimizing stent material: a prospective, randomized, single-blind superiority trial assessing a customized ‘suture stent.’ BJU Int 127:596–605. https://doi.org/10.1111/bju.15290CrossRefPubMed Betschart P, Piller A, Zumstein V, Schmid HP, Engeler DS, Güsewell S, Pratsinis M, Abt D (2021) Reduction of stent-associated morbidity by minimizing stent material: a prospective, randomized, single-blind superiority trial assessing a customized ‘suture stent.’ BJU Int 127:596–605. https://​doi.​org/​10.​1111/​bju.​15290CrossRefPubMed
Metadata
Title
Lower urinary tract effects of ureteral stent length and intravesical position
Authors
Caner Isbir
Şener Çolak
Lara Taşan
Hakan Taşkınlar
Publication date
01-12-2023
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Surgery International / Issue 1/2023
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-023-05542-7

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