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.
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.