Complication and Outcome of Double J Stenting of Ureter in Urological Practice in Alhussain Teaching Hospital

Hussein Ali Al-Hamdani

Authors

Hussein Ali Al-Hamdani Department of Surgery, College of Medicine, Al-Muthanna University

Keywords:

Double-J ureteral stent, Ureteral stent complications, Lower urinary tract symptoms (LUTS) Urolithiasi, Stent indwelling duration

Abstract

Background: Urology regularly relies upon Double-J stenting as a key device in a wide variety of urological procedures. However, complications from stent placement continue to create problems for clinicians despite the high frequency of use. The purpose of this study was to analyze a large cohort of patients with ureteric stents, identify the complications associated with ureteric stents and investigate the correlation to the duration of the double-J stents in situ. Furthermore, we sought to determine if a relationship exists between the complication rates and the diameter and makeup of the Double-J stent used. Patients and methods: This study was done in Al-Hussein teaching hospital, Al-Muthanna province from the period of 23 November 2023 to 1 April of 2024. We evaluate 34 case (13 females, 21 male) who undergoing through procedure of JJ stent placement for variable durations, They aged between 4-85 years(those who are younger than 12 year old, their condition was reported by their parents) age distribution shows a mean of (37.26) with a standard deviation of (19.2). Results : The indications of stenting for were noted (kidney stones as the most prevalent 68% (9% of it are post ESWL),ureteric stone at 24%, while bladder stones, congenital ureteric obstruction(UPJ), and ureteric stenosis each comprising 2.6%, and the total number of complications was 30. We encountered 19 cases (53%) of hematuria, we found 24 cases (71%) of Dysuria and frequency in 24 cases (71%). The Flank pain was found in 21 cases (62%) while Fever is present in 18 cases (53%), Urgency is noted as positive in 14 of cases (41%). For UTI, 11 cases (32%) yield positive state. Regarding the collecated data of JJ stent size, duration among symptoms distribution and along with GUE various parameters there was no significant association with any symptom. Conclusion: Double-J stent is an important tool to prevent and relieve obstruction but Irritative urinary symptoms can result from Its presence in more than half of cases despite patient`s gender, age and DJ stent staying duration. The potential correlation between JJ stent diameter and tube length and symptom Incidence, is indicating the importance of considering tube dimensions in the management and treatment of urological conditions.

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