Subscribe to RSS
DOI: 10.1055/s-0031-1271671
© Georg Thieme Verlag KG Stuttgart · New York
Ureteric Catheter Encrustation 6 Weeks Following Paediatric Laparoscopic Pyeloplasty: A Case Report and Review of the Literature
Publication History
Publication Date:
18 February 2011 (online)
Introduction
The use of indwelling ureteric catheters following laparoscopic pyeloplasty is well established. Multiple complications have been described in the paediatric population including urinary tract and wound infections, urine leaks, bladder spasms and pain. In this report, we describe the first known case of acute stent encrustation 6 weeks following laparoscopic pyeloplasty. This complication precluded removal of the ureteric catheter at the 6 week time-point. Multiple interventions were required including endoscopy, laser lithotripsy and extracorporeal shockwave lithotripsy (ESWL) before removal was possible.
References
- 1 Brown T, Mandell J, Lebowitz RL. Neonatal hydronephrosis in the era of sonography. AJR Am J Roentgenol. 1987; 148 (5) 959-963
- 2 Anderson JC, Hynes W. Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation. Br J Urol. 1949; 21 (3) 209-214
- 3 Kavoussi LR, Peters CA. Laparoscopic pyeloplasty. J Urol. 1993; 150 (6) 1891-1894
- 4 Tan HL, Roberts J. Laparoscopic dismembered pyeloplasty in children: Preliminary studies. Br J Urol. 1996; 77 909-913
- 5 Metzelder ML, Schier F, Petersen C. et al . Laparoscopic transabdominal pyeloplasty in children is feasible irrespective of age. J Urol. 2006; 175 (2) 688-691
- 6 Szavay PO, Luithle T, Seitz G. et al . Functional outcome after laparoscopic dismembered pyeloplasty in children. J Pediatr Urol. 2010; 6 (4) 359-363
- 7 Smith KE, Holmes N, Lieb JI. et al . Stented versus nonstented pediatric pyeloplasty: a modern series and review of the literature. J Urol. 2002; 168 (3) 1127-1130
- 8 Braga LH, Lorenzo AJ, Farhat WA. et al . Outcome analysis and cost comparison between externalized pyeloureteral and standard stents in 470 consecutive open pyeloplasties. J Urol. 2008; 180 (4 Suppl) 1693-1698; discussion 1698–1699
- 9 McMullin N, Khor T, King P. Internal ureteric stenting following pyeloplasty reduces length of hospital stay in children. Br J Urol. 1993; 72 (3) 370-372
- 10 Hussain S, Frank JD. Complications and length of hospital stay following stented and unstented paediatric pyeloplasties. Br J Urol. 1994; 73 (1) 87-89
- 11 Stapleton FB. Childhood stones. Endocrinol Metab Clin North Am. 2002; 31 (4) 1001-1015, ix
- 12 Sas DJ, Hulsey TC, Shatat IF. et al . Increasing incidence of kidney stones in children evaluated in the emergency department. J Pediatr. 2010; 157 (1) 132-137
- 13 Stapleton FB. Clinical approach to children with urolithiasis. Semin Nephrol. 1996; 16 (5) 389-397
- 14 Bartosh SM. Medical management of pediatric stone disease. Urol Clin North Am. 2004; 31 (3) 575-587, x–xi
- 15 Vanderbrink BA, Rastinehad AR, Ost MC. et al . Encrusted urinary stents: evaluation and endourologic management. J Endourol. 2008; 22 (5) 905-912
- 16 Haleblian G, Kijvikai K, de la Rosette J. et al . Ureteral stenting and urinary stone management: a systematic review. J Urol. 2008; 179 (2) 424-430
- 17 Dave S, Khoury AE, Braga L. et al . Single-institutional study on role of ureteroscopy and retrograde intrarenal surgery in treatment of pediatric renal calculi. Urology. 2008; 72 (5) 1018-1021
- 18 Jarrett TW, Chan DY, Charambura TC. et al . Laparoscopic pyeloplasty: the first 100 cases. J Urol. 2002; 167 (3) 1253-1256
- 19 El-Ghoneimi A, Farhat W, Bolduc S. et al . Laparoscopic dismembered pyeloplasty by a retroperitoneal approach in children. BJU Int. 2003; 92 (1) 104-108; discussion 108
- 20 Sukumar S, Nair B, Sanjeevan KV. et al . Laparoscopic assisted dismembered pyeloplasty in children: intermediate results. Pediatr Surg Int. 2008; 24 (4) 403-406
- 21 Yucel S, Samuelson ML, Nguyen MT. et al . Usefulness of a short-term retrievable ureteral stent in pediatric laparoscopic pyeloplasty. J Urol. 2007; 177 (2) 720-725
Correspondence
Dr. Jason Ronald KovacMSc, MD, PhD
C/o Dr. Luis Braga
McMaster University
Division of Pediatric Urology
L8N3Z5 Hamilton
Canada
Email: kovacj4@mcmaster.ca
Email: lhpbraga@gmail.com