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Urolithiasis

, Volume 42, Issue 3, pp 203–207 | Cite as

In vitro encrustation of a semi-permanent polymer-covered nitinol ureter stent: an artificial urine model

  • Tabassum Shaheen
  • Thiaga Edirisinghe
  • Melissa Gabriel
  • Andreas Bourdoumis
  • Noor BuchholzEmail author
  • Martin Knight
Original Paper

Abstract

Purpose

To measure and compare the percentage of surface and luminal thickness of encrustation in Allium and conventional double J ureteric stents after exposure for 6 weeks to an accelerated encrustation model.

Material and Methods

An artificial urine solution was prepared and three stents were immersed into each of six containers allocated to each stent type, representing each week of encrustation. Slight agitation was accomplished by placing a magnetic stirrer at the bottom of each container. Images were obtained by examination under a stereomicroscope and analyzed with the aid of specialized image analysis software (Image J).

Results

By week 2, nearly 100 % of the stent surface was covered by a thin layer of encrustation, gradually increasing in thickness through weeks 3–6. On completion of 6 weeks of encrustation, the 10 mm length double J stent specimens did not show visible encrustation, while the 60 mm long Allium stents showed 100 % surface coverage. This was most evident in the mid-section of the stents compared to the ends, suggesting a correlation between stent length and encrustation formation. There was also no blockage of the lumen of either stents between weeks 1–6.

Conclusion

The designed accelerated encrustation model was successful and showed 80 % surface coverage after 6 weeks. In our study, there appears to be a slightly reduced level of surface encrustation to that of earlier reports. A correlation between stent length and geometry was suggested. This model may be used to compare encrustation for a variety of polymeric stent materials.

Keywords

Ureter Stent Nitinol Polymer Encrustation Artificial urine Allium stent 

Notes

Conflict of interest

No competing financial interests are declared for all authors.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Tabassum Shaheen
    • 1
  • Thiaga Edirisinghe
    • 2
  • Melissa Gabriel
    • 2
  • Andreas Bourdoumis
    • 1
  • Noor Buchholz
    • 1
    Email author
  • Martin Knight
    • 2
  1. 1.Endourology and Stone ServicesThe Royal London Hospital, Bartshealth NHS TrustLondonUK
  2. 2.School of Engineering and Materials ScienceQueen Mary University LondonLondonUK

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