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[Impacted ureteral stents with cystine encrustation in cystinuric patients : report of two cases].
[cystinuria]
A
23
-
year
-old
man
and
a
62
-
year
-old
man
suffering
from
cystinuria
underwent
extracorporeal
shock
wave
lithotripsy
(
ESWL
)
for
right
renal
stone
and
left
ureteral
stone
,
respectively
.
They
had
double
-
J
stents
placed
before
ESWL
,
but
since
attempts
to
retrieve
the
stents
were
unsuccessful
due
to
encrustation
,
they
were
referred
to
our
clinic
.
Multimodal
endourologic
and
open
approaches
including
ESWL
,
transurethral
ureterolithotripsy
,
and
pyelolithotomy
were
required
to
render
them
stent-
and
stone-free
.
The
guidelines
do
not
recommend
routine
stenting
before
ESWL
;
therefore
,
the
indication
and
duration
of
indwelling
stents
should
be
minimized
.
Multimodal
options
including
not
only
ESWL
and
endoscopic
surgery
but
also
open
surgery
,
should
be
attempted
for
the
management
of
encrusted
stents
.
Close
monitoring
and
follow
up
are
important
to
the
prevent
complications
of
ureteral
stents
.