APPLICATIONS AND COMPLICATIONS OF POLYURETHANE STENTING IN UROLOGY
Abstract
Background: As surgeons working in a developing country, we decided to review our experiencewith polyurethane stents instead of the more expensive ones on common urological procedures
and analyzing our experience with respect to their usefulness versus their problems and outcome.
Methods: This stusy was carried out at Armed Forces Institute of Urology, Rawalpindi and
Combined Military Hospital, Kharian Cantonment, Pakistan through March 2002 through May
2004. During this period 342 of patients were operated requiring stent and 220 patients out of
these had polyurethane as stent material for different urological operations. Results: Among the
220 patients who underwent polyurethane stenting, early complications included fever, infection,
voiding symptoms while stent migration, encrustation and stent stiffness was encountered as later
complications. Conclusion: The benefits of Polyurethane stents are its strength, versatility and
low cost. Poor biodurability and biocompatibility only limit its use; these are reasonably effective
in our setup but should only be used for short duration.
Key words: Urology Stents, Polyurethane, Complications.
References
Berg C. Strategies to reduce pregnancy-related deaths: from
identification and review to action. Atlanta, Centers for
Disease Control and Prevention, 2001
(http://www.cdc.gov/reproductivehealth/02_pub_elec.htm)
Lewis G. Why mothers die 1997-1999. Fifth report of the
confidential enquiries into maternal deaths in the United
Kingdom. London, Royal College of Obstetricians and
Gynaecologists, 2001 (http://www.cemd.org.uk).
Mother -Baby Package: Implementing Safe Mother hood
in countries. World Health Organization, Geneva, 1994
World (World Health Day Safe Motherhood 7 April,
.
Tinker AG. Improving Women's Health in Pakistan,
Human Development Network, Band, 1998.
Jaffery SN. Review of maternal mortality over 10 years
period at JPMC, Karachi. J Pak Med Assoc 1972; 22(3):
-6.
National Health Survey of Pakistan. Pakistan medical
Research Council, Islamabad, Pakistan 1995.
Maternal mortality. World Health Statistics. WHO Bulletin
; 29(2)
Women's health in Pakistan. Fact sheets prepared for
Pakistan National Forum on women's health. WHO
November 1997; 14: 3-5.
Family and reproductive health coverage of maternity care.
Society of Obstetrician and Gynaecologists Pakistan.
SOGP Survey 1989-90 Pakistan. WHO 1997
Mantel GD. Severe acute maternal morbidity: a pilot study
of a definition for a near miss. Bri J Obsts Gynaecol 1998;
:985-90.
Drife J. Maternal mortality: National and international
perspectives. In: The Yearbook of Obstetrics and
Gynaecology. Vol. 8, Shaughn PM, O'Brien (edi).
:91.
Measure Evaluation. Towards improving monitoring and
evaluation in maternal and perinatal health. Proceedings
from a workshop on the use of birth register as a data
source for maternal and perinatal health care. Arlington,
VA, 2-4 March, 1999.
Nirupam S, Yuster EA. Emergency obstetric care:
measuring availability and monitoring progress. Int J
Gynecol Obstet 1995; 50 (2 suppl.):S79-S88.
Bouvier-Colle MH. Evaluation of the quality of care for
severe obstetric haemorrhage in three French regions. Br J
Obstet Gynaecol 2001;108:898-903.
Filippi V. The '˜near-misses': are life-threatening
complications practical indicators for Safe Motherhood
programmes? Paper presented at IUSSP seminar on
Innovative Approaches to the Assessment of Reproductive
Health, Manila, Philippines, 24-27 September 1996.
Baskett TF, Sternadel J. Maternal intensive care and nearmiss mortality in obstetrics. Br J Obstet Gynaecol 1998;
:981-984.
Filippi V. Validation of women's perceptions of near miss
obstetric morbidity in South Benin. London, University of
London, 1999 (PhD thesis).
Sahel A. Des catastrophes obstétricales évitées de justesse :
les near miss dans les hôpitaux marocains [Obstetric
catastrophes barely avoided: near misses in Moroccan
hospitals]. Cahiers d'Etudes et de Recherches
Francophones / Santé 2001; 11:229-235.
Wagaarachchi PT. Holding up a mirror: changing obstetric
practice through criterion-based clinical audit in
developing countries. Inter J Gynecol Obstet 2001;
:119-130.
Filippi V. Near misses: maternal morbidity and mortality
(letter). Lancet 1998; 351:145-146.
Mantel GD. Severe acute maternal morbidity: a pilot study
of a definition for a near miss. Br J Obstet Gynaecol 1998;
:985-990.
Burnett AC, Winyard G. Clinical audit at the heart of
clinical effectiveness. J Qualit Clinic Pract 1998; 18:3-19.
Maternal Mortality in 2000, Estimates Developed by
WHO, UNICEF and UNFPA. Geneva, World Health
Organization, 2004.
Campbell O, Ronsmans C. Verbal autopsies for maternal
deaths: report of a WHO workshop, London, 10-13
January 1994. Geneva, World Health Organization, 1995
(document WHO/FHE/MSM/95.15).
Downloads
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.