INDICATIONS AND COMPLICATIONS OF DOUBLE J URETERAL STENTING: OUR EXPERIENCE

Background: The indications for insertion of stents into the urinary tract have expanded significantly during the last decade. However their use is not free of complications and problems. The present study was designed as part of our internal surgical audit to observe indications and complications of indwelling double J ureteral stenting. Material Methods: Total number of 100 patients of who underwent JJ stenting for obstructive uropathies and following open or endoscopic procedures were included. The stent was inserted retrogradely by using cystoscope, under mild sedation or local anesthesia in patients with obstructive uropathies while under spinal or general anesthesia in patients who underwent definitive open or endoscopic procedures. Complications were noted in immediate post-operative period and on follow up. Minimum follow up period was 1 month and maximum 3 months. Results: Majority of the patients 40.0% were between 36 to 50 years of age with male to female ratio was 2.6:1. In 80 patients, DJ Stenting was done due to upper obstructive uropathy while in 20 patients, DJ Stent was placed post-operatively. The most common cause of obstructive uropathy was stone disease. Complications like painful trigone irritation, septicemia, haematuria and stent encrustation was seen in 13.0%, 8.0%, 11.0% and 5.0% patients respectively. In our study, overall success rate was 83.0%. Conclusion: Retrograde stenting is an easy and effective procedure for the management of obstructive uropathy and even can be performed under local anesthesia