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COMMENTARY
Year : 2012  |  Volume : 4  |  Issue : 2  |  Page : 107  

Commentary


Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

Date of Web Publication3-May-2012

Correspondence Address:
Ramen Kumar Baishya
Resident, Department of Urology, Muljibhai Patel Urological Hospital, Dr. V. V. Desai Road, Nadiad, Gujarat
India
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PMID: 22629008

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How to cite this article:
Baishya RK. Commentary. Urol Ann 2012;4:107

How to cite this URL:
Baishya RK. Commentary. Urol Ann [serial online] 2012 [cited 2020 Jan 20];4:107. Available from: http://www.urologyannals.com/text.asp?2012/4/2/107/95558

Knotted ureteral stent is a rare phenomenon. Only 13 cases have been reported so far. [1] Queck et al., were the first to report the formation of a knot in the mid portion of a stent in a lady. [2] Although they were unsure of the mechanism of how it formed, the probable explanation was that the patient had significant cystocele. According to them, displacement of the bladder with postural changes from the cystocele allowed the stent to buckle and ultimately to knot in the middle. Also, stent movement was likely involved since the proximal end had migrated down by the time the patient underwent lithotripsy for a pelviureteric junction stone. It is really interesting to think how the knot formed in this patient. The only probable explanation I could think of is that a loose knot formed in the proximal part of the stent in the pelvis during insertion and it came down to mid-ureter with peristalsis of the ureter. The learning pearls from this paper are individualization of stent length, always place the stent under fluoroscopy and be vigilant for this complication during stent removal to avoid ureteric injury.

 
   References Top

1.Picozzi S, Carmignani L. A knotted ureteral stent: A case report and review of the literature. Urol Ann 2010;2:80-2.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Quek ML, Dunn MD. Knot formation at the mid portion of an indwelling ureteral stent. J Urol 2002;168:1497.  Back to cited text no. 2
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