Goals: The goals are to assess the use of
Double Jendo-prostheses in urinary obstructions in the Hospital General de
Grand Yoff of Dakar (HOGGY). Patients and methods: This is a 4-year
retrospective study (1st January 2009-31st December 2012). The study included
all patients with obstruction of the upper urinary tract, and with a reversing
type Double Jendo-prostheses. Findings: A total of 82 patients were chosen for
this study, including 41 males. Patient’s average age was 45 years. Kidney
failure accounted for 11.5% of the causes of consultations. Lithiasic obstacles
(34.2%) and tumours (21.5%) were the most recurrent. Catheter was successfully
placed in 78% of cases, and highly contributed to improve renal function in 69%
of cases. The frequently complications found in patients with Double J
Catheters were back pain and urinary tract infections. Four cases of catheters
calcifications were reported. Catheter was replaced in 62.2% of patients within
an average period of 6.9 months. Conclusion: Double J Catheters remain
important in the preservation of renal function in case of obstruction. Its use
requires a mastery of these indications and a rigorous follow-up.
References
[1]
Chambade, D., Thibault, F., Niang, L., Lakmichi, M.A., Gattegno, B., Thibault, P. and Traxer, O. (2006) Etude de tolérance des endoscopies urétérales de type double J. Progrès en Urologie, 16, 445-449.
[2]
Takashi, K., Hiroji, U., Hiroki, I., Yoshinobu, K., Hideyuki, T., Takehiko, O. and Junichi, M. (2012) Encrusted Ureteral Stent Retrieval Using Flexible Ureteroscopy with a Ho: YAG Laser. Case Reports in Medecine, 4 p.
[3]
Bouzidi, H., Traxer, O., Doré, B., Amiel, J., Hadjadj, H., Conort, P. and Daudon, M. (2008) Caractéristiques des incrustations des endoprothèses urétérales chez les patients lithiasiques. Progrès en Urologie, 18, 230-237. http://dx.doi.org/10.1016/j.purol.2008.02.004
[4]
Puichaud, A. and Irani, J. (2009) Comment améliorer la tolérance des sondes urétérales autostatiques JJ? Progrès en Urologie—FMC, 3, 95-97.
[5]
Gaevlete, P., Georges, D., Nita, G. and Cauni, V. (2001) L’évaluation par l’écho-doppler de la fonctionnalité de l’endoprothèse urétérale par sondes JJ chez les patients avec obstruction urétérale extrinsèque. Progrès en Urologie, 11, 22-28.
[6]
Nouira, Y., Gargouri, M.M., Hmidi, M., Kallel, Y., Fitouri, Z., Chtourou, M. and Horchani, A. (2006) l’Anurie lithiasique: Etude clinique de 48 patients et comparaison entre le drainage antérograde introduction et rétrograde des activités rénales en urgence. Journal du Maroc en Urologie, 2, 13-15.
[7]
Ramiyil, V.M., Dakun, N.K. and Ogwuche, E.I. (2006) The Management of Upper Urinary Tract Obstruction in Resource-Poo Setting. African Journal of Urology, 13, 30-36.
[8]
Memon, N.A., Talpur, A.A. and Memon, J.M. (2007) Indications and Complications of Indwelling Uretral Stenting at NMCH, NAWABSHAH. Pakistan Journal of Surgery, 23, 187-191.
[9]
Saint, F., Saint, M.-L., Legeais, D., Lemaitre, L., Bailleul, J.-P. and Biserte, J. (2001) Méthodes diagnostiques de l’obstruction de la voie excrétrice supérieure (VES): Quels sont les examens disponibles en 2001? Progrès en Urologie, 11, 602-609.
[10]
Rakototiana, A.F., Ramorasata, A.J.C., Rakotomena, S.D. and Rantomalala, Y.H. (2011) Anurie obstructive: à propos de 42 cas consécutifs. Revue d’Anésthésie-Réanimation et de Médecine d’Urgence, 3, 32-34.
[11]
Haleblian, G., Kijvikai, K., de la Rosette, J. and Preminger, G. (2008) Ureteral Stenting and Urinary Stone Management: A Systematic review. The Journal of Urology, 179, 424-430. http://dx.doi.org/10.1016/j.juro.2007.09.026
[12]
Coulibaly, Y., Ouattara, Z., Togo, A., Konaté, M., Ouattara, M. and Ouattara, K. (2011) Bilharziose urinaire et lithogenèse: étude de 23 cas au CHU Gabriel Touré. Mali Medical, 25, 26-28.
[13]
Gonzàlez, L.L., Borda, A.P., Gonzàlez, E.R., Medina, J.S., Martinez, L.C. and Parra, R.O.A. (2011) Decision Analysis for Economic Evaluation of the Management of Chronic Obstructive Uropathy. Archivos Espa?oles de Urología, 64, 875-881.
[14]
Ringel, A., Richter, S., Shalev, M. and Nissenkorn, I. (2000) Late Complication of Ureteral Stents. European Urology, 38, 41-44. http://dx.doi.org/10.1159/000020250
[15]
Al-Aown, A., Kyriazis, I., Kallidonis, P., Kraniotis, P., Rigopoulos, C., Karnabatidis, D., Petsas, T. and Liatsikos, E. (2010) Ureteral Stents: New Ideas, New Design. Therapeutic Advances in Urology, 2, 85-92. http://dx.doi.org/10.1177/1756287210370699
[16]
Farsi, H.M.A., Mosli, H.A., Al-Zemaity, M.F., Bahnassy, A.A. and Alvarez, M. (1995) Bacteriuria and Colonization of Double-Pigtail Ureteral Stents: Long-Term Experience with 237 Patients. Journal of Endourology, 9, 469-472. http://dx.doi.org/10.1089/end.1995.9.469
[17]
Irani, J., Siquier, J., Pires, C., et al. (1999) Symptom Characteristics and the Development of Tolerance with Time in Patients with Indwelling Double-Pigtail Ureteric Stents. BJU International, 84, 276-279. http://dx.doi.org/10.1046/j.1464-410x.1999.00154.x
[18]
Ben, H.C. and John, D.D. (2006) Access, Stents, and Urinary Drainage. Current Clinical Urology, 19-42.
[19]
Bonkat, G., Rieken, M., Rentsch, C.A., Wyler, S., Feike, A., Shafer, J., et al. (2010) Improved Detection of Microbial Ureteral Stent Colonization by Sonication. World Journal of Urology, 29, 133-138. http://dx.doi.org/10.1007/s00345-010-0535-5
[20]
Lange, D. and Chew, B.H. (2009) Update on Ureteral Stent Technology. Therapeutic Advances in Urology, 1, 143-148. http://dx.doi.org/10.1177/1756287209341306
