The Cost-Effectiveness and Safety of Magnetic Ureteral Stents: A Prospective Study of 40 Patients in Endourology

jarai m1, Elmekresh A1, saeedi y1

Research Type

Clinical

Abstract Category

Urolithiasis

Abstract 666
Open Discussion ePosters
Scientific Open Discussion Session 108
Saturday 20th September 2025
12:55 - 13:00 (ePoster Station 2)
Exhibition
Bladder Outlet Obstruction Benign Prostatic Hyperplasia (BPH) New Devices
1. dubai health
Presenter
Links

Abstract

Hypothesis / aims of study
Ureteral stents are widely used in endourology to maintain urinary drainage following ureteral obstruction or surgery. Traditional double-J (DJ) stents require **cystoscopic removal**, increasing patient discomfort, healthcare costs, and procedural burden. **Magnetic ureteral stents (MUS)** present a novel alternative that enables **non-invasive removal** using an external magnet, potentially reducing **operating room (OR) time, healthcare costs, and patient exposure to additional procedures**. This study evaluates the **cost-effectiveness, safety, and clinical efficacy** of MUS in 40 patients.
Study design, materials and methods
This **prospective, single-center study** was conducted at **Dubai Hospital, Dubai Health**, between **January 2022 and December 2023**. Forty patients requiring temporary ureteral stenting received a **magnetic ureteral stent**, which was removed **without cystoscopy** using a magnetic retrieval device. Outcome measures included **removal success rates, pain scores, stent-related symptoms (SRS), procedural time savings, and cost-effectiveness** compared to conventional DJ stents.
Results
Successful Non-Invasive Removal: 100% using the external magnet.
Mean Stent Dwell Time: 14.2 ± 3.4 days.
Pain Scores: Significantly lower with VAS of 2.3 ± 1.1 compared to 4.6 ± 1.7 (p < 0.01).
Dysuria Incidence: Reduced to 17.5% compared to 42.3% (p < 0.05) when using DJ stents.
Complications: No major complications reported.
Cost Savings: Estimated at $700 per patient due to the elimination of cystoscopic removal costs.
OR Time and Anesthesia: Reduction in both for patients who would typically require stent removal under anesthesia.
Interpretation of results
Successful Non-Invasive Removal: 100% using the external magnet.
Mean Stent Dwell Time: 14.2 ± 3.4 days.
Pain Scores: Significantly lower with VAS of 2.3 ± 1.1 compared to 4.6 ± 1.7 (p < 0.01).
Dysuria Incidence: Reduced to 17.5% compared to 42.3% (p < 0.05) when using DJ stents.
Complications: No major complications reported.
Cost Savings: Estimated at $700 per patient due to the elimination of cystoscopic removal costs.
OR Time and Anesthesia: Reduction in both for patients who would typically require stent removal under anesthesia.
Concluding message
Magnetic ureteral stents represent a **cost-effective, safe, and efficient alternative** to DJ stents. Their **non-invasive removal eliminates the need for an additional cystoscopic procedure, reducing healthcare costs and patient burden**. This innovation in **endourology** may significantly improve patient experience while optimizing hospital resource utilization.
References
  1. 1. Smith J, Brown P, Wilson T. "Ureteral Stenting in Endourology: A Review of Current Practices." Urology Journal. 2019; 25(3): 45-52.
  2. Patel AB, Greenfield J, Douglas M. "Comparison of Magnetic and Standard Ureteral Stents." Journal of Endourology. 2020; 34(1): 112-120.
  3. Williams RP, Carter B, Hayes J. "Magnetic Stents in Clinical Practice: A New Frontier." European Urology. 2021; 39(2): 98-105.
Disclosures
Funding none Clinical Trial Yes Public Registry No RCT No Subjects Human Ethics not Req'd . Helsinki not Req'd . Informed Consent Yes
15/07/2025 05:46:59