Application of resonance metallic stents for ureteral obstruction.

HJ Wang, TY Lee, HL Luo, Chih-Hung Chen, YC Shen, YC Chuang, PH Chiang

Research output: Contribution to journalJournal Article peer-review

72 Scopus citations

Abstract

• Nineteen patients with extrinsic malignant ureteral obstruction (n= 15) and benign stricture (n= 4) were retrospectively evaluated. • All patients had received Resonance stent insertion through antegrade or cystoscopic retrograde approaches. The pre-insertion and follow-up interventions included image studies and biochemical tests. The insertion success rate, obstruction patency rate and complications were reviewed. • For categorical variables, the chi-square test and Fisher's exact test were carried out to determine associations between variables. • The results of the present study demonstrated that malignant or benign ureteral obstruction could be treated safely and sufficiently with the Resonance metallic stent. • Careful patient selection is critical to achieve successful results. • For malignant ureteral obstruction, previous radiation therapy is a risk factor for stent failure. • The technical success rate of stent insertion was 84.6%. The mean follow-up was 5 months (range 1-10.5 months). • Five stents failed to alleviate the obstruction, and the patency rate was 77.3% (17/22). • Patients who had had previous radiation therapy had a lower ureter patency rate in comparison with non-radiation patients (50% vs 92.3% respectively, P= 0.039). • The 6- and 9-month patency rates were 81.0% with 11 stents and 27.0% with 3 stents, respectively. • To determine the effectiveness of the Resonance ureteral stent and clarify the risk factors that lead to stent failure. In the present study, we review our clinical experiences using Resonance stent in treating malignant and benign ureteral obstruction.
Original languageAmerican English
Pages (from-to)428-432
JournalBJU International
Volume108
Issue number3
DOIs
StatePublished - 2011

Keywords

  • Aged
  • Female
  • Graft Survival
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Metals/therapeutic use
  • Middle Aged
  • Neoplasms/complications
  • Patient Selection
  • Prosthesis Failure
  • Radiotherapy/adverse effects
  • Retrospective Studies
  • Risk Factors
  • Stents
  • Treatment Outcome
  • Ureteral Obstruction/etiology
  • Ureteral Obstruction/surgery

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