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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 06
Forgotten DJ Stent: A Challenge of Awareness and Burden of Morbidity
Dr. Arshad Hasan, Dr. Faizul Haque, Dr. Anunay Suresh Singh, Dr. Sabyasachi Panda, Dr. Samir Swain, Dr. Gyan Prakash Singh, Dr. Datteswar Hota
Published: June 30, 2019 | 47 52
DOI: 10.36347/sjams.2019.v07i06.043
Pages: 2245-2249
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Abstract
Introduction and objective:-In today’s digital era and person`s busy life, forgotten and retained Double J stents are becoming common problem in our society.DJ stents are applied in the management of various urological disease but forgotten and retained stents causes another significant morbidity. This study focus on Proper education and public awareness to avoid complication. Early and universal introduction of absorbable dj stent can tackle this challenge. Methods:-We retrospectively analysed the records of patients presented to the department with forgotten or long term retention of DJ stents from January 2016 to December 2018. All cases were reviewed for age, gender, clinical features & surgical procedures performed. Results: During this period, total 14 patients reported to our department with history of forgotten DJ stents. . Out of which 11(78.6%) were male and 03(21.4%) were females. Age ranged from 15 years to 60 years. Duration with stent in situ ranged from 6 months to 4 years. Presenting complaints of flank pain 87.5%, dysurea 50%, haematuria 35.7% LUTS 35.7% and renal failure in 14.7% were noted. A combination of stent removal under local anaesthesia, cystolithotripsy, percutaneous nephrolithotripsy ( PCNL), ureteroscopy and open surgeries were done to clear the stones and extract the DJ stent. Conclusion: Forgotten or retained dj stent is a source of severe morbidity due to its complications. It increases psychological and financial burden of the patients.