Double-J Stent Fracture After Shock-Wave Lithotripsy: A Rare Adverse Event

Double-J Stent Fracture

Authors

DOI:

https://doi.org/10.5281/zenodo.17930515

Keywords:

Lithotripsy, Kidney Calculi, Ureteral Diseases, Equipment Failure

Abstract

Extracorporeal Shock-Wave Lithotripsy (ESWL) is a widely used, non-invasive treatment modality for urinary stone disease with a favorable safety profile. Common complications include hematuria, pain, and infection, whereas rare but serious adverse events such as renal hematomas, arrhythmias, and injuries to adjacent organs have also been reported. Ureteral stent-related complications following ESWL are uncommon. Herein, we report a rare case of proximal double-J ureteral stent fracture detected after ESWL in a patient treated for a renal pelvic stone. The case underscores the importance of considering stent-related structural complications in patients undergoing ESWL with indwelling ureteral stents, particularly when higher shock frequencies are used.

References

Çakmak V, Türkçüer İ, Özen M. Extracorporeal shock-wave lithotripsy’s unusual complication: retroperitoneal gas. J Emerg Med Case Rep. 2021;12(1):12-15. doi:10.33706/jemcr.818755

Chaussy C, Schmiedt E, Jocham D, Brendel W, Forssmann B, Walther V. First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol. 1982;127(3):417-420. doi:10.1016/S0022-5347(17)53841-0

Assimos D, Krambeck A, Miller NL, et al. Surgical management of stones: American Urological Association/Endourological Society Guideline, Part I. J Urol. 2016;196(4):1153-1160. doi:10.1016/j.juro.2016.05.090

Eisenberger F, Fuchs GJ, Miller K, Bub P, Rassweiler J. Extracorporeal shockwave lithotripsy (ESWL) and endourology: an ideal combination for the treatment of kidney stones. World J Urol. 1985;3:41-47.

Reynolds LF, Kroczak T, Pace KT. Indications and contraindications for shock wave lithotripsy and how to improve outcomes. Asian J Urol. 2018;5(4):256-263. doi:10.1016/j.ajur.2018.08.006

Skolarikos A, Alivizatos G, de la Rosette J. Extracorporeal shock wave lithotripsy 25 years later: complications and their prevention. Eur Urol. 2006;50(5):981-990.

Pace KT, University of Toronto Lithotripsy Associates. Shock wave lithotripsy at 60 or 120 shocks per minute: a randomized, double-blind trial. J Urol. 2005;174(2):595-599.

Perks AE, Schuler TD, Lee J, et al. Stone attenuation and skin-to-stone distance on computed tomography predicts for stone fragmentation by shock wave lithotripsy. Urology. 2008;72(4):765-769.

Downloads

Published

2025-12-18

How to Cite

Güngör, H., & Yılmaz, A. E. (2025). Double-J Stent Fracture After Shock-Wave Lithotripsy: A Rare Adverse Event: Double-J Stent Fracture . Avicenna Anatolian Journal of Medicine, 2(3), 65–67. https://doi.org/10.5281/zenodo.17930515

Similar Articles

You may also start an advanced similarity search for this article.