Ureteric stents: Overview of current clinical applications and economic implications

Int J Urol. 2020 Jan;27(1):7-15. doi: 10.1111/iju.14119. Epub 2019 Sep 23.

Abstract

Ureteric stents are one of the most crucial tools used for various clinical conditions in the urological field. Placement of a ureteric stent, for short- or long-term use, remains one of the commonest urological interventional procedures. In the past few decades, ureteral stents have undergone notable technological advancements. However, an ideal stent without significant side-effects is yet to be engineered. Indwelling ureteric stents are often accompanied by physical distress to the patient and clinical complications, such as bacterial adhesion, encrustation, malpositioning, stent fracture and forgotten stent syndrome, that influence patients' health-related quality of life. In the market, different stent types are available, designed to reduce infections, and improve patient symptoms and tolerance. In this review, we have emphasized the recent developments that have taken place in stent design, size, materials and coating. This overview looks at current practices and problems related to stents, along with clinical and economic considerations. Few trial studies have been enumerated in the context of utilization of a ureteral stent symptom questionnaire and various stent models to compare their effects in patients.

Keywords: Ureteral Stent Symptom Questionnaire; complications; economic; morbidity; ureteric stents.

Publication types

  • Review

MeSH terms

  • Humans
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Prosthesis Design
  • Stents / adverse effects
  • Stents / economics*
  • Ureter / surgery*