Ureteric stenting / edited by Ravi Kulkarni.

Format:

Book

Author/Creator:

Kulkarni, Ravi, 1953- author.

Contributor:

Kulkarni, Ravi, 1953- editor.

Language:

English

Subjects (All):

Stents (Surgery).

Ureters--Surgery.

Ureters.

Physical Description:

1 online resource (320 pages) : illustrations (some color)

Edition:

1st ed.

Place of Publication:

Chichester, West Sussex, England : Wiley Blackwell, 2017.

Summary:

The only book dedicated to this important area of urology, Ureteric Stenting comprehensively reviews the entire topic, providing highly specialized advice to enable outstanding clinical management of patients. All aspects of ureteric stenting are covered, from basic to complex, giving urologists, nephrologists and trainees an authoritative and up-to-date guide on best clinical practice.

Contents:

Intro

Title Page

Copyright Page

Contents

List of Contributors

Foreword

Preface

Chapter 1 Anatomy of the Human Ureter

1.1 Structure

1.2 Blood Supply

1.3 Nerves

1.4 Embryology

1.5 Congenital Variations

1.5.2 Duplex

1.5.3 PUJ Obstruction

1.5.4 Ectopic Ureteric Orifice

1.5.5 Ureterocoeles

1.5.6 Mega-Ureter

1.5.7 Ureteric Diverticulae

1.6 Clinical Significance

References

Chapter 2 Anatomic Variations of the Ureter

2.1 Horseshoe Kidney

2.2 Duplex Ureter

2.3 Megaureter

2.4 Ectopic Ureter

2.5 Ureterocele

Chapter 3 The Pathophysiology of Upper Tract Obstruction

3.1 Introduction

3.2 Aetiology

3.3 Presentation

3.4 Diagnosis

3.4.1 Anatomical Imaging

3.4.2 Functional Studies

3.5 Consequences of Obstruction

3.5.1 Obstructive Uropathy

3.5.2 Obstructive Nephropathy

3.6 Post-Obstructive Outcomes

3.6.1 Parenchymal Damage and Functional Loss

3.6.2 Post Obstructive Diuresis

3.7 Summary

Chapter 4 Physiology of the Human Ureter

4.1 Historical Introduction

4.2 The Pain and Myths of Ureteric Colic

4.3 Anatomical and Functional Studies

4.4 Ureteric Transport Mechanisms

4.5 Physiological and Pharmacological Properties of Human Ureteric Muscle

4.6 The Effect of Metoclopramide and Glucagon

4.7 The Effect of Prostaglandin Synthetase Inhibitors

4.8 The Effect of Acid‐Base Changes Upon Ureteric Contractility

4.9 The Effects of Stents Upon Ureteric Function

Chapter 5 Etiology of Ureteric Obstruction

5.1 Congenital Causes

5.1.1 Ureterocele and Ureterovesical Reflux

5.1.2 Ureteric Valve

5.1.3 Ectopic and Retrocaval Kidney

5.1.4 Prune Belly Syndrome

5.2 Metabolic Causes

5.2.1 Ureterolithiasis

5.3 Neoplastic Causes

5.3.1 Primary Carcinoma of the Ureter.

5.3.2 Non-Urologic Malignancies

5.4 Inflammatory Causes

5.4.1 Stricture

5.4.2 Endometriosis and Tuberculosis

5.5 Miscellaneous Causes

5.5.1 Retroperitoneal Fibrosis

5.5.2 Pregnancy

5.6 Conclusion

Chapter 6 The Role of the Interventional Radiologist in Managing Ureteric Obstruction

6.1 Introduction

6.2 Indications for Antegrade Stenting

6.3 Patient Preparation for Antegrade Stent Insertion

6.3.1 Pre-Procedure

6.3.2 Contra-Indications

6.3.3 Procedure

6.3.4 Complications

6.4 Stent Design

6.5 The One-Stage Antegrade Stent

6.6 The Rendezvous Procedure

6.7 Summary

Chapter 7 Emergency Management of Ureteric Obstruction

7.1 Introduction

7.2 Identifying Patients with Obstructive Pyelonephritis

7.3 Outcomes by Drainage Modality

7.4 Comparative Effectiveness

7.5 Quality of Life (QOL)

7.6 Conclusions

Chapter 8 The History and Evolution of Ureteral Stents

8.1 Introduction

8.2 History and Evolution of Stent Nomenclature

8.3 Ancient History

8.4 Recent History

8.5 Further Advances in Ureteral Stent Technology

Chapter 9 Ureteral Stent Materials: Past, Present, and Future

9.1 Introduction

9.2 Materials

9.2.1 Silicone and Silitek

9.2.2 Polyurethane

9.2.3 Modified Polyurethanes and Proprietary Materials

9.2.4 Metallic Stents

9.2.5 Coatings

9.2.6 Future Directions: Biodegradable Materials and Changes in Design

9.2.7 Autologous and Engineered Tissue

Chapter 10 Physical Characteristics of Stents

10.1 Introduction

10.2 History

10.3 Standard

10.4 Long-Term Use (Metal)

10.5 Comfort/Convenience

10.6 Dissolvable Stent

10.7 Drainage

10.8 Anti-Reflux

10.9 Self-Expanding

10.10 Thermo-Expanding

10.11 Spiral Stent

10.12 Film-Anchoring Stent.

10.12.1 Infection/Biofilm

10.13 Future Directions

Chapter 11 Coated and Drug-Eluting Stents

11.1 Introduction

11.2 Stent Coatings

11.2.1 Hydrophilic Coatings

11.2.2 Phosphorylcholine

11.2.3 Diamond-Like Carbon

11.2.4 Glycosaminoglycans

11.2.5 Antibiotic Coatings

11.2.6 MPEG-DOPA

11.3 Drug-Eluting Stents

11.3.1 Triclosan

11.3.2 Ketorolac

11.3.3 Chlorhexidine

11.3.4 Metal Drug-Eluting Stents

11.4 Conclusion

Chapter 12 Coated and Drug-Eluting Ureteric Stents

12.1 Introduction

12.2 Drug-Eluting Metal Stents

12.2.1 The Concept of Drug-Eluting Stents

12.2.2 Design and Structure of Drug-Eluting Stents

12.3 Pharmaceutical Substances

12.4 Drug-Eluting Stents in Urology

12.5 Coated Metallic Stents

12.5.1 The Concept of Coated Metal Stents

12.5.2 Coated Metal Stents in Urology

12.6 Conclusions

Chapter 13 Ureteric Stents: A Perspective from the Developing World

13.1 Introduction

13.2 Pattern of JJ Stent Usage in India

13.2.1 Common Indication of Usage

13.2.2 Stent Placement

13.3 Stent Types and Economics

13.4 Stent Tracking and Removal

13.5 Stent Register

13.6 Forgotten JJ Stents (Figures 13.1-13.3)

13.7 Why the Forgotten Stent is a Major Problem in India?

13.8 Trends in Management of Forgotten Stent

13.9 JJ Stents Outside the Ureter and Pelvicalyceal System

13.10 Tips and Tricks for the Management of Migrated and Misplaced Stents

13.11 Recommended Protocol for the Repositioning of Incorrectly Placed Stents

Chapter 14 Ethical Issues in Ureteric Stenting

14.1 Clinical Presentation

14.2 Salvage Therapy Options

14.3 Patient Desire

14.4 Patient Status, Family and Social Issues

14.5 Ethical Issues in Benign Ureteric Obstruction

14.6 Role of Palliative Care Teams.

14.7 A Multidisciplinary Approach

14.8 Other Considerations

14.9 Summary

Chapter 15 Equipment and Technical Considerations During Ureteric Stenting

15.1 Introduction

15.2 Equipment

15.2.1 Cystoscope

15.2.2 Fluoroscopy Guidance

15.2.3 Guidewires

15.2.4 Ureteral Catheters

15.2.5 Coaxial Dilators

15.2.6 Dual‐Lumen Catheter

15.2.7 Contrast

15.2.8 High-Pressure Catheters and Balloon Dilators

15.2.9 "Hockey Stick" KMP or Imager II Catheters

15.2.10 Ureteral Stent

15.3 Tips and Tricks

15.4 Conclusion

Chapter 16 Extra-Anatomic Stent Urinary Bypass

16.1 Introduction

16.2 Indications

16.3 Contraindications

16.4 The Paterson Forrester Stent

16.5 Stent Placement

16.6 Top End Aspect of Stent Insertion Procedure (Kidney Aspect)

16.7 Tunneling Procedure

16.8 Lower Aspect of Stent Insertion Procedure (Bladder Puncture)

16.9 The Technique of Stent Changes

16.10 Complications and How to Deal With Them

16.10.1 Early Issues

16.10.2 Late Issues

16.11 Future Developments

Chapter 17 Detour Extra-Anatomical Ureteric Stent

17.1 Introduction

17.2 The Need for an Extra‐Anatomic Drainage

17.3 Prerequisites for Extra‐Anatomic Stenting

17.4 Experience with the Extra‐Anatomic JJ Stent

17.5 Experience With the Detour Stent

17.6 Personal Experience with Detour Stent

17.7 The Technique

17.8 Alternative Techniques

17.9 Complications

17.9.1 Infection

17.9.2 Recurrent Obstruction

17.9.3 An Algorithm

17.9.4 Summary

Chapter 18 Tandem Ureteral Stents

18.1 Introduction

18.2 Mechanism of Ureteral Stent Failure and Corrective Measures

18.3 Tandem Ureteral Stents

18.4 Technique

18.5 Limited Evidence

18.6 Cost Considerations

18.7 Conclusion

References.

Chapter 19 Biodegradable Ureteric Stents

19.1 Introduction

19.2 Material

19.3 Research

19.4 Temporary Ureteral Drainage StentTM

19.5 UripreneTM

19.6 Future Directions

19.7 Conclusion

Chapter 20 Metallic Ureteric Stents

20.1 Introduction

20.2 Which Metal?

20.3 Other Metallic Ureteric Stents

20.3.1 Memotherm

20.3.2 Memokath 051

20.3.3 Resonance

20.3.4 Allium

20.3.5 Uventa

20.3.6 Other Metallic Stents

20.4 Results

20.4.1 Migration of Metallic Stents

20.4.2 Encrustation

20.4.3 Endothelial Hyperplasia

20.4.4 Impacted Metallic Stents

20.5 Cost

20.6 Current Status

Chapter 21 Removal of Ureteric Stents

21.1 Introduction

21.2 The Technique of JJ Stent Removal

21.3 String on the Stent

21.4 Removal of Segmental and Metallic Stents

21.4.1 Memokath Stent

21.4.2 UVENTA Stent

21.4.3 Allium

21.4.4 Resonance Stent

21.5 Other Stents

21.6 Technical Considerations

21.7 Removal of Migrated Ureteric Stents

21.8 Removal of Encrusted Stents

21.9 Ileal Conduit Stents

21.10 Antibiotic Prophylaxis

21.11 Other Considerations

Chapter 22 Encrustation of Indwelling Urinary Devices

22.1 Bacterial-Associated Encrustation

22.2 Non-Bacterial Causes of Encrustation

22.3 Non-Bacterial Based Indwelling Device Encrustation

22.4 Preventing Encrustation of Indwelling Urinary Devices

22.5 Stent Coatings

22.6 Conclusions

Chapter 23 Stent Migration

23.1 Introduction

23.2 Why Stents Migrate?

23.3 Where Do Stents Migrate?

23.4 Stent Length and Migration

23.5 Which Stents Migrate?

23.5.1 Stent Diameter, Material and Risk of Migration

23.5.2 Segmental Stents and Migration

23.6 Etiology of Ureteric Stricture and Migration

23.7 Detection of Stent Migration.

23.8 Management of Migrated Stents.

Notes:

Includes bibliographical references at the end of each chapters and index.

Description based on print version record.

ISBN:

9781119085706

1119085705

9781119085713

1119085713

OCLC:

973504814