Ureteric stents: Investigating flow and encrustation

S. L. Walters, K. Heaton, J. H. Siggers, R. Bayston, M. Bishop, L. J. Cummings, D. M. Grant, J. M. Oliver, J. A.D. Wattis

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Blockages of the ureter, e.g. due to calculi (kidney stones), can result in an increase in renal pelvic pressure. This may be relieved by inserting a stent (essentially a permeable hollow tube). However, a number of complications are associated with stent use. Stents can result in reflux (backflow of urine along the ureter), which will promote recurrent urinary infection and possible renal parenchymal damage. Furthermore, long-term stent use is associated with infection and precipitation of salts from the urine, which can lead to a build-up of crystalline deposits on the stent surface, making stent removal difficult and painful. This paper examines factors governing urine flow in a stented ureter, the implications for reflux, and the processes by which the stent surface encrusts, in particular focusing on the influence of bacterial infection. An interdisciplinary approach is adopted, involving a combination of theoretical investigations and novel experiments.

Original languageEnglish (US)
Pages (from-to)551-561
Number of pages11
JournalProceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine
Volume222
Issue number4
DOIs
StatePublished - 2008
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Mechanical Engineering

Keywords

  • Encrustation
  • Reflux
  • Ureteric stents
  • Urinary tract

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