Ureteral stents are useful devices for urological management in pregnancy. However, stent encrustation occurs in up to 13% of patients and is related to increased indwelling time. Stent encrustation can be harmful for both the mother and the fetus, increasing their morbidity and mortality. Thus, whether prevention or cure is more cost effective is pertinent.
References
Chan, K. et al. Management of urolithiasis in pregnancy. Curr. Urol. 17, 1–6 (2023).
Ngai, H.-Y., Salih, H. Q., Albeer, A., Aghaways, I. & Buchholz, N. Double-J ureteric stenting in pregnancy: a single-centre experience from Iraq. Arab J. Urol. 11, 148–151 (2013).
Kawahara, T., Ito, H., Terao, H., Yoshida, M. & Matsuzaki, J. Ureteral stent encrustation, incrustation, and coloring: morbidity related to indwelling times. J. Endourol. 26, 178–182 (2012).
Staubli, S. E. L. et al. Economic aspects of morbidity caused by ureteral stents. Urol Int. 97, 91–97 (2016).
Juliebø-Jones, P., Beisland, C., Gjengstø, P., Baug, S. & Ulvik, Ø. Ureteroscopy during pregnancy: outcomes and lessons learned over 4 decades at a tertiary center in Norway. Curr Urol. 17, 7–12 (2023).
Ghani, K. R., Rojanasarot, S., Cutone, B., Bhattacharyya, S. K. & Krambeck, A. E. Economic burden of complicated ureteral stent removal in patients with kidney stone disease in the USA. J. Comp. Eff. Res. 11, 1253–1261 (2022).
Tan, S.-T., Chen, X., Sun, M. & Wu, B. The comparation of effects and security of double-J stent retention and ureteroscopy lithotripsy in the treatment of symptomatic ureteral calculi during pregnancy. Eur. J. Obstet. Gynecol. Reprod. Biol. 227, 32–34 (2018).
Rae, M., Cox, C. & Dingel, H. Health costs associated with pregnancy, childbirth, and postpartum care. Peterson-KFF Health System Tracker https://www.healthsystemtracker.org/brief/health-costs-associated-with-pregnancy-childbirth-and-postpartum-care/ (2022).
López-Huertas, H. L., Polcari, A. J., Acosta-Miranda, A. & Turk, T. M. T. Metallic ureteral stents: a cost-effective method of managing benign upper tract obstruction. J. Endourol. 24, 483–485 (2010).
Wang, W. et al. Metal stent for the ureteral stricture after surgery and/or radiation treatment for malignancy. BMC Urol. 21, 146 (2021).
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Di Bello, F., Califano, G., Ruvolo, C.C. et al. Management and cost of stent encrustation in pregnancy. Nat Rev Urol 21, 3–4 (2024). https://doi.org/10.1038/s41585-023-00841-z
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DOI: https://doi.org/10.1038/s41585-023-00841-z
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