Ureteral stent complications: Difference between revisions

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==Background==
==Background==
*Placed to open up blockages related to kidney stones as well as those related to trauma, strictures, tumors
*Placed to relieve obstructions related to nephrolithiasis as well as those related to trauma, strictures, tumors


==Complications and Considerations==
==Complications and Considerations==
*[[UTI]]
*[[UTI]]
**PO antibiotics  
**PO antibiotics  
*[[Pyelonephritis]]
*[[Pyelonephritis]]
**IV antibiotics, call urology, obtain imaging to look at the stent and urinary tract
**IV antibiotics, call urology, obtain imaging to look at the stent and urinary tract
*Incidental [[microscopic hematuria]]  
*Incidental microscopic [[hematuria]]  
**Microscopic hematuria is usually expected
**Microscopic hematuria is usually expected
*[[Gross hematuria]]
*Gross [[hematuria]]
**Call urology
**Call urology
*Dysuria, urgency, frequency, MILD flank and abdominal pain
*[[Dysuria]], urgency, frequency, MILD [[flank pain|flank]] and [[abdominal pain]]
**Pain control, rule out UTI and other processes, consider anticholinergics like [[oxybutynin]]
**Pain control, rule out [[UTI]] and other processes, consider anticholinergics like [[oxybutynin]]
*Migration, malfunctioning, malpositioning and/or fragmentation of the stent
*Migration, malfunctioning, malpositioning and/or fragmentation of the stent
**Imaging, call urology  
**Imaging, call urology  
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==References==
==References==
Tintinalli, 8th ed
<references/>


[[Category:Renal]]
[[Category:Renal]]
[[Category:ID]]
[[Category:Urology]]
[[Category:Urology]]

Latest revision as of 15:58, 18 August 2019

Background

  • Placed to relieve obstructions related to nephrolithiasis as well as those related to trauma, strictures, tumors

Complications and Considerations

  • UTI
    • PO antibiotics
  • Pyelonephritis
    • IV antibiotics, call urology, obtain imaging to look at the stent and urinary tract
  • Incidental microscopic hematuria
    • Microscopic hematuria is usually expected
  • Gross hematuria
    • Call urology
  • Dysuria, urgency, frequency, MILD flank and abdominal pain
    • Pain control, rule out UTI and other processes, consider anticholinergics like oxybutynin
  • Migration, malfunctioning, malpositioning and/or fragmentation of the stent
    • Imaging, call urology
  • Erosion of urinary tract and vascular-ureter fistula, retroperitoneal hematoma
    • Resuscitation, call urology

See Also

References