ArticleCureus2025
Nephrostomy-Assisted Multimodal Removal of an Embedded Ureteral Metallic Stent: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In malignant ureteral obstruction (MUO), metallic ureteral stents are widely used to maintain urinary drainage; however, prolonged indwelling can lead to tissue ingrowth and encrustation, complicating safe removal. Here, we report a case in which standard retrograde removal was considered unsafe due to stent embedding. A female patient aged 45 years presented with a ureteral metallic stent that could not be safely removed via the transurethral route. To enable controlled removal, a percutaneous nephrostomy was created to establish antegrade access. A stepwise, multimodal strategy was employed: initial traction to evaluate mobility, holmium:YAG laser incision to release ingrowth, and careful dissection with endoscopic scissors to preserve ureteral integrity. The stent was removed en bloc without structural injury. This case demonstrates the effectiveness and safety of a nephrostomy-assisted multimodal method for embedded ureteral metallic stents. When conventional retrograde removal is unsuccessful or unsafe, combining antegrade access with traction, holmium laser release, and endoscopic scissor dissection can enable definitive explantation while limiting urinary tract injury.
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