Extracorporeal shockwave lithotripsy in the treatment of encrusted ureteral stents

Introduction. Forgotten, encrusted ureteral stents represent a difficult problem for urologists, and a consensus on the best therapeutic approach is lacking. Material and methods. We present a case of a female patient who was treated for an encrusted ureteral stent using extracorporeal shockwave lithotripsy. Conclusion. Successful management of encrusted ureteral stents requires careful planning and may entail a combination of endourologic approaches. It is imperative to avoid using significant force, which can result in severe ureteral injury or breakage of the stent. We believe in treating the distal component prior to managing any proximal or ureteral components and extracorporeal shockwave lithotripsy is the first choice to choose. extracorporeal shockwave lithotripsy in the treatment of encrusted ureteral stents Catalin pricop1, James C. Williams Jr2, Catalin Ciuta1, dan Mischianu3 1University of Medicine and Pharmacy “Gr T Popa“ Iasi, Clinical Hospital “Dr. CI Parhon” Iasi, Clinic of Urology and Renal Transplantation, lasi, Romania 2Department of Anatomy and Cell Biology, University of Indiana, USA 3University of Medicine and Pharmacy Bucharest, Clinic of Urology, Central Military Hospital, Bucharest, Romania fig. 1. Plain abdominal radiography – encrusted ureteral double J stent.