The forgotten ureteric JJ stent and its prevention: a prospective audit of the value of a ureteric stent logbook.
BACKGROUND
Temporary ureteric stent insertion is an integral part of modern endo-urological practice. Delayed stent removal or forgotten stents are associated with increased patient morbidity and complications which are often difficult to manage.


RESULTS
We prospectively audited our ureteric stent insertion and removal logbook system to determine the value and effectiveness of our stent follow-up. Over a 1-year period, 210 ureteric stents were inserted in our urological unit. Of these, 47 (22.4%) patients were unaccounted as having their stents removed within the stent logbooks. One patient was lost to follow-up and re-presented with stent encrustation 10 months later.


CONCLUSIONS
Our results in this audit suggest that our system of ureteric stent follow-up is not effective. We have now introduced a new system that we feel is a safer and a satisfactory alternative to the stent logbooks. This includes a patient education leaflet and removal date scheduling prior to discharge from hospital.
Thomas
A Z
AZ
Department of Urology, The Adelaide & Meath Hospital Incorporating the National Children's Hospital, Tallaght, Dublin 24, Republic of Ireland. arunthomas75@gmail.com
Casey
R G
RG
Grainger
R
R
McDermott
T
T
Flynn
R
R
Thornhill
J A
JA
D002408:Catheters, Indwelling; D020878:Device Removal / Q000592:standards; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D008499:Medical Records; D011446:Prospective Studies; D015607:Stents; D014513:Ureter; D014517:Ureteral Obstruction / Q000628:therapy; D053039:Ureterolithiasis / Q000628:therapy