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Multimodal stone therapy for two forgotten and encrusted ureteral stents: a case report

机译:两种被遗忘和包埋的输尿管支架的多模式结石治疗:一例报告

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Introduction Ureteral stent placement is a common procedure in daily urologic practice. To manage the problems of forgotten stents for many years needs multimodal stone therapy. Case presentation We present a case of a 26-years-old Caucasian, white woman with two forgotten encrusted ureteral stents for 48 months. Multimodal stone therapy including extracorporeal shock wave (SWL), percutaneous nephrolithotomy (PCNL), ureterorenoscopy (URS), cystolithotripsy with Lithoclast, and open surgery was necessary to remove all the stones. Using the described combination of techniques, our patient was rendered stone and stent free. Urologists should bear in mind the presence of severe encrustations when they have to deal with a forgotten stent. Conclusion This case shows that combined urologic techniques can achieve successful and safe management of forgotten stents, but treatment should be tailored to the volume of encrustation and associated stone.
机译:引言输尿管支架置入是日常泌尿科实践中的常见程序。为了解决多年来遗忘的支架问题,需要采用多模式结石疗法。案例介绍我们为一个26岁的白人白人妇女提供了一个案例,其中有两个被遗忘的输尿管覆膜支架48个月。多模式结石疗法包括体外冲击波(SWL),经皮肾镜取石术(PCNL),输尿管镜检查(URS),使用碎石术的膀胱碎石术以及开腹手术以清除所有结石是必要的。使用所描述的技术组合,使我们的患者没有结石和支架。泌尿科医师在处理遗忘的支架时应牢记有严重的结垢。结论该病例表明,泌尿外科综合技术可以成功,安全地处理被遗忘的支架,但应根据结石和相关结石的量进行适当的治疗。

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