Original article | Volume 33, Article 270, 30 Jul 2019 | 10.11604/pamj.2019.33.270.15809

Migration of a double j stent presenting as a painless total urinary incontinence

Youness Jabbour, Youness Boukhlifi

Corresponding author: Youness Jabbour, Urology B Department, Ibn Sina Teaching Hospital, Rabat, Morocco

Received: 15 Apr 2018 - Accepted: 24 Sep 2018 - Published: 30 Jul 2019

Domain: Urology

Keywords: Urinary incontinence, double j stent, ureteric stent migration

©Youness Jabbour et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Youness Jabbour et al. Migration of a double j stent presenting as a painless total urinary incontinence. Pan African Medical Journal. 2019;33:270. [doi: 10.11604/pamj.2019.33.270.15809]

Available online at: https://www.panafrican-med-journal.com/content/article/33/270/full

Home | Volume 33 | Article number 270

Original article

Migration of a double j stent presenting as a painless total urinary incontinence

Migration of a double j stent presenting as a painless total urinary incontinence

Youness Jabbour1,2,&, Youness Boukhlifi2,3

 

1Urology B Department, Ibn Sina Teaching Hospital, Rabat, Morocco, 2Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco, 3Urology Department, Military Hospital of Instruction Mohammed V, Rabat, Morocco

 

 

&Corresponding author
Youness Jabbour, Urology B Department, Ibn Sina Teaching Hospital, Rabat, Morocco

 

 

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Double j (DJ) stent is a thin hollow tube placed inside the ureter to ensure drainage of urine from the kidney into the bladder. It holds its denomination of the presence of J shaped curls at both ends to keep the tube in place and prevent migration. Urinary Incontinence is a frequent complaint of patients holding DJ stents mostly presenting as urge or stress incontinence. Stent-related total incontinence is the result of stent migration across the urethral sphincter making it ineffectif. It's about a 35-year-old man who undergone a flexible laser ureteroscopy for management of an obstructive calculi of the lumbar ureter with DJ stent placement. It was planned to remove the DJ stent after one month, but it appears that the patient tolerated his DJ stent so well that he didn't show up until three months later with total urinary incontinence. He reported no incidents after stent placement but an onset of a sudden total and painful urinary incontinence without accompanying signs evolving for two days. Since the patient was known to be a DJ stent holder and given the sudden onset of the urinary incontinence, we thought about the migration of the DJ stent through the uretral sphincter. Urethro-cystoscopy showed the presence of the lower loop of the double j stent at the anterior ureter and allowed the extraction of the double j stent. The patient regained his continence immediately after removal of the double-j stent and left the hospital the same day.

 

 

Figure 1: A) X-ray showing the lower loop of the double j stent out of the bladder; B) uretroscopy showing the lower loop of the double j stent at the anterior ureter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Migration of a double j stent presenting as a painless total urinary incontinence

Original article

Migration of a double j stent presenting as a painless total urinary incontinence

Original article

Migration of a double j stent presenting as a painless total urinary incontinence