LONG-TERM RESULTS OF THE USE OF STENTS MADE OF NITI WITH THE STRICTURES OF THE URETERS OF VARIOUS LOCATION ‒ OWN EXPERIENCE
https://doi.org/10.21886/2308-6424-2016-0-1-12-23
Abstract
Long-term results of the use of stents made of niti with the strictures of the ureters of various localization-own experience of 6 years offollow-up. For the period from April 2009 to March 2011 completed installation of 20 stents of Nickel titanium in 15 patients. Of them 6 women, 9 men from 28 to 80 years, mean age was 54 years. The stents used included with the delivery device produced by Meath Russia. Of the 15 patients 5 patients (33.3%), the stent was removed due to complications, the remaining 10 patients (66,6%) are observed to the present time with a stent without complications.
The study conclusions:
1. The study of remote results of treatment of patients with obstructions of the ureter through the stent made of niti showed a positive result in 66% of cases, indicating the effectiveness of this minimally invasive method of treatment.
2. Installation stents of Nickel titanium in the field of vesicoureteral anastomosis after the TOUR can be a method of temporary extended drainage, which requires careful clinical observation and does not constitutea radical method of treatment.
3. The stent for the purpose of removal of obstruction caused by the deviation of the ureter may lead to migration of the stent and requires further research in this direction.
4. When established strictures of ureteral calculi of any localization stent made of niti is the method of choice of effective and minimally invasive treatment, especially in somatically complicated patients.
About the Authors
S. Y. YarovoyRussian Federation
Moscow
V. A. Maximov
Russian Federation
Moscow
E. V. Medvedev
Russian Federation
Moscow
Z. O. Achba
Russian Federation
Sukhumi
A. B. Shouа
Russian Federation
Sukhumi
S. V. Markaryan
Russian Federation
Sukhumi
References
1. Mang, C. Ureteral Strictures - GU Reconstruction December 2011; 29.
2. Richard, B. Strategies for Open Reconstruction of Upper Ureteral Strictures Knight/ Steven J. Hudak, М. Allen F. Morey – Urol Clin North Am 2013 Aug 18;40(3):351-61.
3. Mufarrij, PW. Robotic dismembered pyeloplasty: a 6-year multi-institutional experience/ M. Woods, O.D. Shah- J Urol. 2008;180:1391.
4. Kogan, M.I. Directions and perspectives of the urological stent development (literature review)/ S.V. Shkodkin, A.V. Lyubushkin, O.V. Miroshnichenko- G. Endourologi №4, 64-69.
5. Коган, М.И. Эффективность использования стентов с наноструктурным покрытием при трансплантации почки (предварительные результаты) /М.И. Коган, Я.Г. Мойсюк, С.В. Шкодкин и др. - Урология. – 2015. –№ 1. – С. 58-61.
6. Коган, М.И. Качество жизни пациентов с внутренними мочеточниковыми стентами / С.В. Шкодкин, Ю.Б. Идашкин и др. - Медицинский вестник Башкортостана. – 2013. – № 2. – С. 98-100.
7. Дорончук, Д.Н. Оценка качества жизни больных мочекаменной болезнью в зависимости от метода дренирования верхних мочевыводящих путей/ М.Ф. Трапезникова, В.В. Дутов- Урология. 2010. N 2. С. 14.
8. Мартов, А.Г. Улучшение качества жизни пациентов с внутренними стентами путем изменения их формы. / Ергаков Д.В., Корниенко С.И., Абоян И.А., и др.-Урология. 2011. N 2. С. 7-13.
9. Al-Kandari, A.M. Effects of proximal and distal ends of double J ureteral stent position on postprocedural symptoms and quality of life: a randomized clinical trial/ T.F Al-Shaiji, H. Shaaban, H.M. Ibrahim, and other- J Endourol. 2007. Vol. 21, N 7. P. 698-702.
10. KOMIAKOV, B.K. Ureter replacement/ B.G. GULIEV, A.M. ZAGAZEJEVEndosk Hir 2010; 6: 50
11. Pauer, W. Metallic Wallstents: a new therapy for extrinsic ureteral obstruction/ H.Lugmayr-J Urol 1992; 148: 281—84.
12. Комяков, Б.К. Внутреннее дренирование верхних мочевыводящих путей при опухолевых обструкциях мочеточников/ Б.Г. Гулиев- Онкоурология. 2010. N 2. С. 78-84.
13. Chung, H.H. Multicenter experience of the newly designed covered metallic ureteral stent for malignant ureteral occlusion: comparison with double J stent insertion/ Kim MD, Won JY, Won JH, and other- Cardiovasc Intervent Radiol. 2014. Vol. 37, N 2. P. 463-470.
14. Ernesto, M. Novel Type of Ureteral Stents in the Treatment of a Bilateral Iatrogenic Transaction of the Ureters, Case Reports/F. Mondaini, D. Abdulcadir, C. Raspanti, and other- Urology - 4, Volume 2013 (2013), Article ID 302351, 5 pages.
15. Bonniol, R. The thermoformable spiral metallic stents in the treatment of localized ureteral stenosis: an alternative to JJ stent? Prospective multicenter study/ P. Meria, A. Safsaf, B. Albouy, L. Sibert- Prog Urol. 2011. Vol. 21, N 6. P. 397-404.
16. Шкодкин, С.В. Сравнительный анализ эффективности использования полиуретанового и наноструктурного стентов при дренировании верхних мочевых путей в эксперименте/ Коган М.И., Идашкин Ю.Б., Кобякова Ю. Н., и др.- Вестник трансплантологии и искусственных органов. 2012. Т. 14, N 4. С. 65-73.
17. Глыбочко, П.В. Стенты мемокат (MEMOKATH) в лечении обструктивных заболеваний мочевых путей/ Аляев Ю.Г., Газимиев М.А., Григорьев Н.А., и др.- Медицинский вестник Башкортостана. 2011. Т. 6, N 2.С. 227-231.
18. Borin, J.F. Initial experience with full-length metal stent to relieve malignant ureteral obstruction/ O. Melamud, R.V. Clayman- J Endourol. 2006. Vol. 20, N 5. P. 300-304.
19. Шкуратов, С.И. Временные и постоянные никелид-титановые стенты при перкутанных операциях по поводу стриктур лоханочно-мочеточникового сегмента / И.В. Феофилов, В.Э. Гюнтер, В.И. Исаенко -Урология. 2007. N 4. С. 31-34.
20. Liatsikos, E.N. Ureteral metal stents: 10-year experience with malignant ureteral obstruction treatment/ Karnabatidis D, Katsanos K, Kallidonis P, and other- J Urol. 2009. Vol. 182, N 6. P. 2613-2617.
21. Daskalopoulos, G. Intraureteral metallic endoprosthesis in the treatment of ureteral strictures/ A. Hatzidakis, T. Triantafyllou- European Journal of Radiology, vol. 39, no. 3, pp. 194–200, 2001.
Review
For citations:
Yarovoy S.Y., Maximov V.A., Medvedev E.V., Achba Z.O., Shouа A.B., Markaryan S.V. LONG-TERM RESULTS OF THE USE OF STENTS MADE OF NITI WITH THE STRICTURES OF THE URETERS OF VARIOUS LOCATION ‒ OWN EXPERIENCE. Urology Herald. 2016;(1):12-23. (In Russ.) https://doi.org/10.21886/2308-6424-2016-0-1-12-23