Top

Published in:

Open Access 01-02-2021 | Original Paper

Surface analysis of ureteral stent before and after implantation in the bodies of child patients

Authors: Katarzyna Arkusz, Kamila Pasik, Andrzej Halinski, Adam Halinski

Published in: Urolithiasis | Issue 1/2021

Abstract

The aim of this work was to determine which part of a double-J ureteral stent (DJ stents) showed the highest tendency to crystal, calculi, and biofilm deposition after ureterorenoscopic-lithotripsy procedure (URS-L) to treat calcium oxalate stones. Additionally, the mechanical strength and the stiffness of DJ stents were evaluated before and after exposure to urine. Obtained results indicated that the proximal (renal pelvis) and distal (urinary bladder) part is the most susceptible for post-URS-L fragments and urea salt deposition. Both, the outer and inner surfaces of the DJ ureteral stents were completely covered even after 7 days of implantation. Encrustation of DJ stents during a 31-day period results in reducing the Young’s modulus by 27–30%, which confirms the loss of DJ stent elasticity and increased probability of cracks or interruption. Performed analysis pointed to the need to use an antibacterial coating in the above-mentioned part of the ureteral stent to prolong its usage time and to prevent urinary tract infection.

Aleling T, Petros B (2018) Kidney stone disease: an update on current concepts. Adv Urol. https://doi.org/10.1155/2018/3068365CrossRef

Schwaderer AL, Raina R, Anshika K, Fayez S, Sharon MM, Kusumi K (2019) Comparison of risk factors for pediatric kidney stone formation: the effects of sex. Front Pediatr 7:1–32. https://doi.org/10.3389/fped.2019.00032CrossRef

Milicevic S, Bijelic R, Jakovljevic B (2015) Encrustation of the ureteral double J stent in patients with a solitary functional kidney—a case report. Med Arch 69(4):265–268. https://doi.org/10.5455/medarh.2015.69.265-268CrossRefPubMedPubMedCentral

Halinski A, Halinski A, Zaniew M, Kudliński B, Soltysiak J, Sobolewski B, Steyaert H (2019) Interest of URS-L in the treatment of ureterolithiasis in preschool children. Front Pediatr 7:324. https://doi.org/10.3389/fped.2019.00324CrossRefPubMedPubMedCentral

Lawrence EL, Turner IG (2005) Materials for urinary catheters: a review of their history and development in the UK. Med Eng Phys 27(6):443–453. https://doi.org/10.1016/j.medengphy.2004.12.013CrossRefPubMed

Yin K, Divakar P, Wegst UG (2019) Freeze-casting porous chitosan ureteral stents for improved drainage. Acta Biomater 84:231–41. https://doi.org/10.1016/j.actbio.2018.11.005CrossRefPubMed

Singha P, Locklin J, Handa H (2017) A review of the recent advances in antimicrobial coatings for urinary catheters. Acta Biomater 50:20–40. https://doi.org/10.1016/j.actbio.2016.11.070CrossRefPubMed

Tunney M, Gorman S (2002) Evaluation of a poly(vinyl pyrollidone)-coated biomaterial for urological use. Biomaterials 23(23):4601–4608. https://doi.org/10.1016/s0142-9612(02)00206-5CrossRefPubMed

Tunney MM, Keane PF, Jones DS, Gorman SP (1996) Comparative assessment of ureteral stent biomaterial encrustation. Biomaterials 17(15):1541–1546. https://doi.org/10.1016/0142-9612(96)89780-8CrossRefPubMed

10.

Roupret M, Daudon M, Hupertan V (2005) Can ureteral stent encrustation analysis predict urinary stone composition? Urology 66:246–251. https://doi.org/10.1016/j.urology.2005.03.054CrossRefPubMed

11.

Scarneciu I et al (2018) The risk factors and chemical composition of encrustation of ureteral double J stents in patients with urolithiasis. Rev Chim 69(12):3406–3409. https://doi.org/10.37358/RC.18.12.6759CrossRef

12.

Flores-Mireles AL, Walker JN, Caparon M, Hultgren SJ (2015) Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nat Rev Microbiol 13(5):269–284. https://doi.org/10.1038/nrmicro3432CrossRefPubMedPubMedCentral

13.

Shabeen AKS, Bhargava R, Manzoor MAP, Mujeeburahiman M (2018) Characteristics of bacterial colonization after indwelling double-J ureteral stents for different time duration. Urol Ann 10(1):71–75. https://doi.org/10.4103/UA.UA_158_17CrossRef

14.

Nycz M, Paradowska E, Arkusz K, Kudlinski B, Krasicka-Cydzik E (2018) Surface analysis of long-term hemodialysis catheters made of carbothane (poly(carbonate)urethane) before and after implantation in the patients’ bodies. Acta Bioeng Biomech 20(2):47–53PubMed

15.

Paradowska E, Nycz M, Arkusz K, Kudlinski B, Krasicka-Cydzik E (2019) Impedimetric method to monitor biological layer formation on central venous catheters for hemodialysis made of carbothane. In: Arkusz K, Bedzinski R, Klekiel T, Piszczatowski S (eds) Biomechanics in medicine and biology. BIOMECHANICS, (2018) advances in intelligent systems and computing, vol 831. Springer, Cham

16.

Jacobsen SM, Shirtliff ME (2011) Proteus mirabilisbiofilms and catheter-associated urinary tract infections. Virulence 2(5):460–465. https://doi.org/10.4161/viru.2.5.17783CrossRefPubMed

17.

Arkusz K, Krasicka-Cydzik E (2018) The effect of phosphates and fluorides, included in TiO2 nanotube layers, on the performance of hydrogen peroxide detection. Arch Metall Mater 63(2):765–772

18.

Jacobsen SM, Stickler DJ, Mobley HLT, Shirtliff ME (2008) Complicated catheter-associated urinary tract infections due to Escherichia coli and Proteus mirabilis. Clin Microbiol Rev 21(1):26–59. https://doi.org/10.1128/cmr.00019-07CrossRefPubMedPubMedCentral

19.

Lo J, Lange D, Chew B (2014) Ureteral stents and foley catheters-associated urinary tract infections: the role of coatings and materials in infection prevention. Antibiotics 3(1):87–97. https://doi.org/10.3390/antibiotics3010087CrossRefPubMedPubMedCentral

20.

Nycz M, Arkusz K, Pijanowska DG (2019) Influence of the silver nanoparticles (AgNPs) formation conditions onto titanium dioxide (TiO2) nanotubes based electrodes on their impedimetric response. Nanomaterials 9(8):1072. https://doi.org/10.3390/nano9081072CrossRefPubMedCentral

21.

Paradowska E, Arkusz K, Pijanowska DG (2019) The influence of the parameters of a gold nanoparticle deposition method on titanium dioxide nanotubes, their electrochemical response, and protein adsorption. Biosensors 9(4):138. https://doi.org/10.3390/bios9040138CrossRefPubMedCentral

22.

Kotaskova I, Obrucova H, Malisova B, Videnska P, Zwinsova B, Peroutkova T, Freiberger T (2019) Molecular techniques complement culture-based assessment of bacteria composition in mixed biofilms of urinary tract catheter-related samples. Front Microbiol. https://doi.org/10.3389/fmicb.2019.00462CrossRefPubMedPubMedCentral

23.

Zelichenko G, Steinberg D, Lorber G, Friedman M, Zaks B, Lavy E, Duvdevani M (2013) Prevention of initial biofilm formation on ureteral stents using a sustained releasing varnish containing chlorhexidine. Vitro study. J Endourol 27(3):333–337. https://doi.org/10.1089/end.2012.0193CrossRefPubMed

24.

Diaz Blanco C, Ortner A, Dimitrov R, Navarro A, Mendoza E, Tzanov T (2014) Building an antifouling zwitterionic coating on urinary catheters using an enzymatically triggered bottom-up approach. ACS Appl Mater Interfaces 6(14):11385–11393. https://doi.org/10.1021/am501961bCrossRefPubMed

25.

Fisher LE, Hook AL, Ashraf W, Yousef A, Barrett DA, Scurr DJ, Bayston R (2015) Biomaterial modification of urinary catheters with antimicrobials to give long-term broadspectrum antibiofilm activity. J Control Release 202:57–64. https://doi.org/10.1016/j.jconrel.2015.01.037CrossRefPubMed

26.

Hendlin K, Dockendorf K, Horn C, Pshon N, Lund B, Monga M (2006) Ureteral stents: coil strength and durometer. Urology 68(1):42–45. https://doi.org/10.1016/j.urology.2006.01.062CrossRefPubMed

27.

Joshi HB, Chitale SV, Nagarajan M, Irving SO, Browning AJ, Biyani CS (2005) A prospective randomized single-blind comparison of ureteral stents composed of firm and soft polymer. J Urol 174(6):2303–2306. https://doi.org/10.1097/01.ju.0000181815.63998.5fCrossRefPubMed

28.

Venkatesan N, Shroff S, Jayachandran K, Doble M (2010) Polymers as ureteral stents. J Endourol 24(2):191–198. https://doi.org/10.1089/end.2009.0516CrossRefPubMed

29.

Beiko DT, Knudsen BE, Denstedt JD (2003) Reviews in endourology-advances in ureteral stent design. J Endourol 17(4):195–199. https://doi.org/10.1089/089277903765444294CrossRefPubMed

30.

Kim KW, Kim HH, Choi YH, Lee SB, Baba Y (2020) Urine flow analysis using double J stents of various sizes in in vitro ureter models. Int J Numer Methods Biomed Eng 36:e3294. https://doi.org/10.1002/cnm.3294CrossRef

31.

Nestler S, Witte B, Schilchegger L (2019) Size does matter: ureteral stents with a smaller diameter show advantages regarding urinary symptoms, pain levels and general health. World J Urol. https://doi.org/10.1007/s00345-019-02829-0CrossRefPubMed

32.

Mosayyebi A, Manes C, Carugo D (2018) Advances in ureteral stent design and materials. Curr Urol Rep 19:35. https://doi.org/10.1007/s11934-018-0779-yCrossRefPubMedPubMedCentral

33.

Buhmann MT, Abt D, Nolte O, Neu TR, Strempel S, Albrich WC, Betschart P, Zumstein V, Neels A, Maniura-Weber K, Ren Q (2019) Encrustations on ureteral stents from patients without urinary tract infection reveal distinct urotypes and a low bacterial load. Microbiome 7(1):60. https://doi.org/10.1186/s40168-019-0674-xCrossRefPubMedPubMedCentral

34.

Dutta Choudhury M, Dutta T, Tarafdar S (2015) Growth kinetics of NaCl crystals in a drying drop of gelatin: transition from faceted to dendritic growth. Soft Matter 11(35):6938–6947. https://doi.org/10.1039/c5sm00742aCrossRefPubMed

35.

Mosayyebi A, Vijayakumar A, Yue QY, Bres-Niewada E, Manes C, Carugo D, Somani BK (2017) Engineering solutions to ureteral stents: material, coating and design. Cent Eur J Urol 70:270–274. https://doi.org/10.5173/ceju.2017.1520CrossRef

36.

Sali GM, Joshi HB (2019) Ureteric stents: overview of current clinical applications and economic implications. Int J Urol. https://doi.org/10.1111/iju.14119CrossRefPubMed

37.

Lojanapiwat B, Muttarak M (2004) Noninvasive assessment of patency of internal ureteral stent: role of colour doppler ultrasound. Asian J Surg 27(4):317–320. https://doi.org/10.1016/s1015-9584(09)60059-2CrossRefPubMed

38.

Cummings LJ, Waters SL, Wattis JAD, Graham SJ (2004) The effect of ureteric stents on urine flow: reflux. J Math Biol. https://doi.org/10.1007/s00285-003-0252-4CrossRefPubMed

39.

Pedro RN, Hendlin K, Kriedberg C, Monga M (2007) Wire-based ureteral stents: impact on tensile strength and compression. Urology 70(6):1057–1059. https://doi.org/10.1016/j.urology.2007.08.007CrossRefPubMed

40.

Gorman SP, Jones DS, Bonner MC, Akay M, Keane PF (1997) Mechanical performance of polyurethane ureteral stents in vitro and ex vivo. Biomaterials 18(20):1379–1383. https://doi.org/10.1016/s0142-9612(97)00070-7CrossRefPubMed

41.

Tomaszewski M, Sybilski K, Baranowski P, Malachowski J (2020) Experimental and numerical flow analysis through arteries with stent using particle image velocimetry and computational fluid dynamics method. Biocybern Biomed Eng. https://doi.org/10.1016/j.bbe.2020.02.010CrossRef

Title: Surface analysis of ureteral stent before and after implantation in the bodies of child patients
Authors: Katarzyna Arkusz
Kamila Pasik
Andrzej Halinski
Adam Halinski
Publication date: 01-02-2021
Publisher: Springer Berlin Heidelberg
Published in: Urolithiasis / Issue 1/2021
Print ISSN: 2194-7228
Electronic ISSN: 2194-7236
DOI: https://doi.org/10.1007/s00240-020-01211-9

2024 ASCO Annual Meeting

Springer Medicine

Surface analysis of ureteral stent before and after implantation in the bodies of child patients

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2021

Does the renal parenchymal thickness affect the efficacy of the retrograde intrarenal surgery? A prospective cohort study

Characteristics of the genotype and phenotype in Chinese primary hyperoxaluria type 1 populations

Urine and stone analysis for the investigation of the renal stone former: a consensus conference

Factors affecting success in the treatment of proximal ureteral stones larger than 1 cm with extracorporeal shockwave lithotripsy in adult patients

Correction to: Is health‑related quality of life of patients after single‑use flexible ureteroscopy superior to extracorporeal shock wave lithotripsy? A randomised prospective study

Differentiation of distal ureteral stones and pelvic phleboliths using a convolutional neural network