Handbook of Urinary Stents. Basic Science and Clinical Applications

Description

Urologists have long used urinary stents in patients who have - or who are at risk of developing – an obstruction or blockage of the kidney. These rodlike devices are inserted into the ureter to keep the canal open or to help with healing after trauma, surgery or radiotherapy.

More recently the use of stents for the prostate and urethra has also become more widespread, despite poor results in first generation models. Constant development has led to the introduction of second generation stents with a variety of designs, materials and coatings. These have gone a long way to counter the traditional side effects such as irritation, hematuria, infection and encrustation.

Handbook of Urinary Stents has been written to provide urologists with a practical guide to the various new models for stenting. The book describes the various stents available; the criteria for their selection; their clinical application and potential complications of use. At the same time, the book provides thorough descriptions of relevant physiology and pathophysiology for those requiring deeper understanding of the subject.

Key Points

• Provides a comprehensive, timely review for urologists needing an accessible guide to the range of stents available
• Chapters highlight the use of stents in special populations such as children and patients with transplanted ureter
• Emphasis on clinical complications following the use of stents and how to manage them effectively

Contents

1 History of ureter stents 2 Physiology of stent flow 3 Stent materials and designs 4 Stent coatings 5 Indications 6 Insertion - tips and tricks 7 Stent complications and how to deal with them 8 How to deal with the heavily encrusted stent 9 Medical therapy of stent-related LUTS 10 Stents in children 11 Stents in pregnancy 12 How not to forget the stent 13 QoL with stents 14 The role of metal in the world of stents 15 The Memokath stent 16 The Resonance stent 17 The ureter metal mesh stent 18 The Allium stent 19 The UventaTM stent 20 Complications of metal stents in the ureter 21 Pathophysiology of encrustation in metal stents 22 Prophylactic SWL on metal stents 23 QoL in metal stents 24 Stenting the transplanted ureter 25 Using a metal stent in management of benign ureteroenteric anastomotic strictures in Bricker deviation 26 Biodegradable ureter stents 27 Drug eluting ureter stents 28 History of lower urinary tract stenting 29 The ideal stent 30 Physiology of urethral flow 31 Indications 32 Temporary prostate stents 33 The Memokath prostate stent 34 The Urolume prostate stent 35 The Allium prostate stent 36 The Spanner prostate stent 37 Complications of prostate stents 38 The future role of prostatic stents 39 Indications 40 The Allium urethra stent 41 The urethra stent and detrusor sphincter dyssynergia (DSD) 42 The urethra stent and radiotherapy 43 The urethra stent and brachytherapy 44 The future role of urethra stents 45 Biodegradable stents of the lower urinary tract 46 What's in the pipeline for the future?

Authors Information

Noor Buchholz
Director of Endourology & Stone Services, Barts & The London NHS Trust, London, UK

Oliver Hakenberg
Professor & Chairman, Dept of Urology, Rostock University, Germany

Junaid Masood
Consultant Urological Surgeon & Stone Specialist

Christian Bach
Senior Endourology Research Fellow

Both at Dept of Urology, Barts & The London NHS Trust, London, UK