The perils of Double-J stent placement: What radiologists must know

Abstract

The use of ureteral stents has seen a substantial rise in modern urological practice, serving as an indispensable tool in the management of urinary tract obstructions, stone disease, and postoperative drainage. However, their widespread application is accompanied by a high incidence of complications, each with potentially devastating consequences if left unrecognized. Encrustation and stone formation may result in obstruction, necessitating complex retrieval procedures. Stent migration can lead to severe discomfort, infection, and compromised renal function. Infection and pyelonephritis, if undetected, may progress to urosepsis, a life-threatening condition. Additionally, stent fracture and ureteral perforation can precipitate extensive morbidity, sometimes requiring surgical intervention. Given the critical nature of these complications, early detection through imaging is paramount. Radiologists play a pivotal role in diagnosing and characterizing these complications, ensuring timely management. By providing meticulous reporting of stent positioning, encrustation, migration, and associated pathologies, radiologists contribute to preventing severe adverse outcomes. A collaborative approach between urologists and radiologists is essential for optimizing patient care and mitigating the risks associated with prolonged stent placement.