Urological Research

, Volume 40, Issue 4, pp 317–325 | Cite as

Treatment of forgotten ureteral stents: how much does it really cost? A cost-effectiveness study in 27 patients

  • Ahmet Ali Sancaktutar
  • Haluk Söylemez
  • Yasar Bozkurt
  • Necmettin Penbegül
  • Murat Atar
Original Paper

Abstract

Aim of study was to present costs of forgotten ureteral stents extraction so as to distract attentions of the urologists on this issue. Medical files of 27 accessible patients who referred to our clinics between 2001 and 2010 because of forgotten ureteral stent were retrospectively analyzed. The indwelling time of double-j stents (DJS) was calculated from the time of its insertion. Costs related to radiological investigations, all invasive, and noninvasive interventions, duration of hospital stay, and medical treatments used were calculated. These estimations were based on 2010 prices determined by Turkey Ministry of Health. Mean age of the patients was 31.2 (8–86 years) years. Mean indwelling time of ureteral DJSs was 36.7 months (14–84 months). Seventy-one [extracorporeal shock wave lithotripsy (ESWL), n = 26; invasive/noninvasive interventions, n = 32] procedures were applied for 27 patients. In six patients without incrustation, after a single session of ESWL DJSs could be removed cystoscopically. A various combination of a multimodal therapy was used for other 21 patients. Total financial burden of 27 patients was US $ 34,300. Cost of treatment was estimated to be 6.9-fold (1.8- to 21-fold) higher than an average timely stent extraction. Financial burden of the treatments increased in parallel with the duration of the stent retention (p = 0.001). Management of forgotten DJS is time consuming, difficult, complicated, risky, and costly. Therefore; financial burden, increased labour loss, and impaired quality of life brought by the application of these modalities must not be forgotten.

Keywords

Forgotten ureteral stent Lithiasis Management Cost affectivity 

Abbreviations

DJS

Double-J stents

FUSs

Forgotten double-J stents

KÜB

Kidney üreter bladder graphy

US

Urinary ultrasound

ESWL

Extracorporeal shock wave lithotripsy

SCSR

Simple cystoscopic stent retrieval

EnCL

Endoscopic cystolithotripsy

Pccl

Percutaneous cystolithotripsy

URS

Ureteroscopy

URS-SE

Urteroscopic-stone extraction

PCNL

Percutaneous nephrolithotomy

PcN

Percutaneous nephrostomies

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Ahmet Ali Sancaktutar
    • 1
  • Haluk Söylemez
    • 1
  • Yasar Bozkurt
    • 1
  • Necmettin Penbegül
    • 1
  • Murat Atar
    • 1
  1. 1.Department of UrologyUniversity of DicleDiyarbakırTurkey

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