Top

Published in:

2022 | OriginalPaper | Chapter

The Influence of Polyurethane Double-J Stent of Various Diameters on Urological Encrustation

Author : Kamila Pasik

Published in: Biomechanics in Medicine, Sport and Biology

Publisher: Springer International Publishing

Activate our intelligent search to find suitable subject content or patents.

search-config

AI-assisted search

Off

Abstract

Double-J ureteral stents (DJ stents) are commonly used in urology. The most troublesome difficulty in their application is stent encrustation, stent breakage, and recurrent urinary tract infections. This work aimed was to determine the causes of a double-J stent complication.

The analysis of DJ stents included microscopic analysis, mechanical strength testing, and surface roughness measurements. The analysis was performed on the brand new ureteral stents and ureteral stents implanted after the ureterorenoscopic-lithotripsy (URSL) to treat calcium oxalate stone. Performed analysis of the polyurethane DJ stents concentrated on elaborating the influence of ureteral stent diameter (1.00; 1.33; 1.66 mm) on the affinity to stent encrustation and/or breakage.

The comparison of DJ stents with different diameters confirmed that the risk of encrustation increases with the lower diameter of the ureteral stent. Remaining post-URSL kidney stone fragments deposited on the surface of the DJ stents formed a multilayer structure creating a risk of obstruction or blockage of ureteral stents and block the urine flow. Additionally, a decrease in mechanical strength of the DJ stent related to the implantation time was determined. DJ stent implantation caused an increase in surface roughness.

The performed analysis indicates the need for further exploration of the biomaterials used in DJ stents and modification of their surfaces. This may allow to eliminate the phenomenon of encrustation of urinary stone fragments and NaCl crystals on the surface of implanted stents.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

über 102.000 Bücher
über 537 Zeitschriften

aus folgenden Fachgebieten:

Automobil + Motoren
Bauwesen + Immobilien
Business IT + Informatik
Elektrotechnik + Elektronik
Energie + Nachhaltigkeit
Finance + Banking
Management + Führung
Marketing + Vertrieb
Maschinenbau + Werkstoffe
Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

inform now

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

über 67.000 Bücher
über 390 Zeitschriften

aus folgenden Fachgebieten:

Automobil + Motoren
Bauwesen + Immobilien
Business IT + Informatik
Elektrotechnik + Elektronik
Energie + Nachhaltigkeit
Maschinenbau + Werkstoffe

Jetzt Wissensvorsprung sichern!

inform now

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

über 67.000 Bücher
über 340 Zeitschriften

aus folgenden Fachgebieten:

Bauwesen + Immobilien
Business IT + Informatik
Finance + Banking
Management + Führung
Marketing + Vertrieb
Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

inform now

previous chapter Characteristics of Nerve Roots Mechanical Properties Exposed to Uniaxial Stretching Tests

next chapter Standardisation Procedure of Infra-red Imaging in Biomechanics

Halinski, A., et al.: Interest of URS-L in the treatment of ureterolithiasis in preschool children. Front. Pediatr (2019). https://doi.org/10.3389/fped.2019.00324CrossRef

Duława, J.: Czynniki rozwoju kamicy nerkowej. Forum Nefrologiczne 2(3), 184–188 (2009)

Bochniewska, V., Jung, A., Jurkiewicz, B., Jobs, K.: Metody zabiegowe w leczeniu kamicy układu moczowego u dzieci. Pediatr. Med. Rodz. 6(4), 309–314 (2010)

Kupajski, M., Tkocz, M., Ziaja, D.: Modern management of stone disease in patients with a solitary kidney. Videosurg. Other Miniinvas. Tech. 1, 1–7 (2012). https://doi.org/10.5114/wiitm.2011.25641CrossRef

Arkusz, K., Pasik, K., Halinski, A., Halinski, A.: Surface analysis of ureteral stent before and after implantation in the bodies of child patients. Urolithiasis 49(1), 83–92 (2020). https://doi.org/10.1007/s00240-020-01211-9CrossRef

Arkusz, K., Krasicka-Cydzik, E.: The effect of phosphates and fluorides, included in TiO₂ nanotube layers, on the performance of hydrogen peroxide detection. Arch. Metall. Mater. 63(2), 765–772 (2018)

Kim, K.-W., Kim, H.-H., Choi, Y.H., Lee, S.B., Baba, Y., Suh, S.-H.: Arrangement of side holes in a double J stent for high urine flow in a stented ureter. J. Mech. Sci. Technol. 34(2), 949–954 (2020). https://doi.org/10.1007/s12206-020-0144-1CrossRef

Mosayyebi, A., et al.: Reducing deposition of encrustation in ureteric stents by changing the stent architecture: a microfluidic-based investigation. Biomicrofluidics 13(1), 014101 (2019). https://doi.org/10.1063/1.5059370CrossRef

Kim, K., Kim, H., Choi, Y.H., Lee, S.B., Baba, Y.: Urine flow analysis using double J stents of various sizes in in vitro ureter models. Int. J. Num. Methods Biomed. Eng. 36(2), 1–12 (2020). https://doi.org/10.1002/cnm.3294CrossRef

10.

Nestler, S., Witte, B., Schilchegger, L., Jones, J.: Size does matter: ureteral stents with a smaller diameter show advantages regarding urinary symptoms, pain levels and general health. World J. Urol. 38(4), 1059–1063 (2019). https://doi.org/10.1007/s00345-019-02829-0CrossRef

11.

Raisin, G., et al.: Does a small stent size increase the risk of post-operative complications following reconstructive robotic surgery in the pediatric population? J. Pediatr. Endosc. Surg. 2(1), 11–14 (2020). https://doi.org/10.1007/s42804-020-00040-2CrossRef

12.

Nycz, M., Paradowska, E., Arkusz, K., Kudlinski, B., Krasicka-Cydzik, E.: Surface analysis of long-term hemodialysis catheters made of carbothane (poly(carbonate)urethane) before and after implantation in the patients’ bodies. Acta Bioeng. Biomech. 20(2), 47–53 (2018)

13.

Lawrence, E.L., Turner, I.G.: Materials for urinary catheters: a review of their history and development in the UK. Med. Eng. Phys. 27(6), 443–453 (2005). https://doi.org/10.1016/j.medengphy.2004.12.013CrossRef

14.

Tunney, M., Gorman, S.: Evaluation of a poly(vinyl pyrollidone)-coated biomaterial for urological use. Biomaterials 23(23), 4601–4608 (2020). https://doi.org/10.1016/s0142-9612(02)00206-5CrossRef

15.

Scarneciu, I., et al.: The risk factors and chemical composition of encrustation of ureteral double j stents in patients with urolithiasis. Rev. Chim. 69(12), 3406–3409 (2018). https://doi.org/10.37358/RC.18.12.6759CrossRef

16.

Venkatesan, N., Shroff, S., Jeyachandran, K., Doble, M.: Effect of uropathogens on in vitro encrustation of polyurethane double J ureteral stents. Urol. Res. 39(1), 29–37 (2010). https://doi.org/10.1007/s00240-010-0280-7CrossRef

17.

Arkusz, K., Nycz, M., Paradowska, E., Pijanowska, D.G.: Electrochemical stability of TiO₂ nanotubes deposited with silver and gold nanoparticles in aqueous environment. Environ. Nanotechnol. Monitor. Manag. 15, 1–12 (2021). ISSN: 2215-1532

18.

Gorman, S.P., Jones, D.S., Bonner, M.C., Akay, M., Keane, P.F.: Mechanical performance of polyurethane ureteral stents in vitro and ex vivo. Biomaterials 18(20), 1379–1383 (1997). https://doi.org/10.1016/s0142-9612(97)00070-7CrossRef

19.

Sighinolfi, M.C., et al.: Chemical and mineralogical analysis of ureteral stent encrustation and associated risk factors. Urology 86(4), 703–706 (2015). https://doi.org/10.1016/j.urology.2015.05.015CrossRef

20.

Palka, L., Mazurek-Popczyk, J., Arkusz, K., Baldy-Chudzik, K.: Susceptibility to biofilm formation on 3D-printed titanium fixation plates used in the mandible: a preliminary study. J. Oral Microbiol. 12(1), 1838164 (2020). https://doi.org/10.1080/20002297.2020.1838164CrossRef

21.

Hendlin, K., Dockendorf, K., Horn, C., Pshon, N., Lund, B., Monga, M.: Ureteral stents: coil strength and durometer. Urology 68(1), 42–45 (2006). https://doi.org/10.1016/j.urology.2006.01.062CrossRef

22.

Pedro, R.N., Hendlin, K., Kriedberg, C., Monga, M.: Wirebased ureteral stents: impact on tensile strength and compression. Urology 70(6), 1057–1059 (2007). https://doi.org/10.1016/j.urology.2007.08.007CrossRef

23.

Kim, H.H., Kim, K., Choi, Y.H., Lee, S.B., Baba, Y.: Numerical analysis of urine flow with multiple sizes of double-J stents. Appl. Sci. 10(12), 4291 (2020). https://doi.org/10.3390/app10124291CrossRef

24.

Arkusz, K., Paradowska, E., Nycz, M., Mazurek-Popczyk, J., Baldy-Chudzik, K.: Evaluation of the antibacterial activity of Ag- and Au-nanoparticles loaded TiO₂ nanotubes. J. Biomed. Nanotechnol. 16(9), 1416–1425 (2020)CrossRef

25.

Nycz, M., Arkusz, K., Pijanowska, D.G.: Influence of the silver nanoparticles (AgNPs) formation conditions onto titanium dioxide (TiO₂) nanotubes based electrodes on their impedimetric response. Nanomaterials 9(8), 1072 (2019). ISSN: 2079-4991CrossRef

26.

Lo, J., Lange, D., Chew, B.: Ureteral stents and foley catheters-associated urinary tract infections: the role of coatings and materials in infection prevention. Antibiotics 3(1), 87–97 (2014). https://doi.org/10.3390/antibiotics3010087CrossRef

27.

Zelichenko, G., et al.: Prevention of initial bioflm formation on ureteral stents using a sustained releasing varnish containing chlorhexidine. Vitro study. J. Endourol. 27(3), 333–337 (2013). https://doi.org/10.1089/end.2012.0193CrossRef

28.

Kotaskova, I., et al.: Molecular techniques complement culture-based assessment of bacteria composition in mixed biofilms of urinary tract catheter-related samples. Front. Microbiol. (2019). https://doi.org/10.3389/fmicb.2019.00462CrossRef

Title: The Influence of Polyurethane Double-J Stent of Various Diameters on Urological Encrustation
Author: Kamila Pasik
Publisher: Springer International Publishing
Book: Biomechanics in Medicine, Sport and Biology
Print ISBN: 978-3-030-86296-1

Electronic ISBN: 978-3-030-86297-8

Copyright Year: 2022
DOI: https://doi.org/10.1007/978-3-030-86297-8_12

Springer Professional

Abstract

Please log in to get access to your license.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Springer Professional "Technik"

Springer Professional "Wirtschaft"