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Case Reports
. 2020 Apr 2:32:101174.
doi: 10.1016/j.eucr.2020.101174. eCollection 2020 Sep.

A rare and unusual complication of the STING procedure

Joseph Santiapillai  1 , Andrew Symes  1
Affiliations
Case Reports

A rare and unusual complication of the STING procedure

Joseph Santiapillai et al. Urol Case Rep. .

Abstract

An 8-year-old boy underwent a STING procedure for vesicoureteric reflux. 11 years later, at 19-years-old he presented with the passage of sediment per urethra every 7 weeks. CT scan demonstrated a lesion at the right VUJ. Cystoscopy revealed a 2cm suburothelial mass adjacent to the VUJ, with normal urothelium overlying it. Resection of the area revealed a white plastic-like substance, consistent with the bulking agent Deflux, which was scraped away. The patient made an uneventful recovery and at review, 3 months later, is symptom free. Our case demonstrates a rare and unusual complication of the STING procedure.

Section headings: Endourology, General Urology, Paediatrics.

Keywords: Deflux; STING; VUR; Vesicoureteric reflux.

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Figures

Fig. 1
Fig. 1
CT scans demonstrating calcified lesion at the right VUJ A: Pre-operative CT scan non-contrast. B: Pre-operative CT scan with contrast.
Fig. 2
Fig. 2
Intraoperative cystoscopy images. A: Pre-resection demonstrating 2 cm suburothelial mass. B: Post-resection revealing a small cavity with white plastic-like substance.
See this image and copyright information in PMC

References

    1. Starmer B., McAndrew F., Corbett H. A review of novel STING bulking agents. J Pediatr Urol. 2019;15(5):484–490. doi: 10.1016/j.jpurol.2019.08.018. - DOI - PubMed
    1. Lebowitz R.L., Olbing H., Parkkulainen K.V., Smellie J.M., Tamminen-Mobius T.E. International system of radiographic grading of vesicoureteric reflux. International Reflux Study in Children. Pediatr Radiol. 1985;15(2):105–109. doi: 10.1007/bf02388714. - DOI - PubMed
    1. Tekgul S., Riedmiller H., Hoebeke P. EAU guidelines on vesicoureteral reflux in children. Eur Urol. 2012;62(3):534–542. doi: 10.1016/j.eururo.2012.05.059. - DOI - PubMed
    1. Citamak B., Bozaci A.C., Altan M. Surgical outcome of patients with vesicoureteral reflux from a single institution in reference to the ESPU guidelines: a retrospective analysis. J Pediatr Urol. 2019;15(1):73.e1–73.e6. doi: 10.1016/j.jpurol.2018.10.017. - DOI - PubMed
    1. Crozier J., Aw I., Tan P.H.M., Clarke D. Taking the STING out of ureteral obstruction. J Endourol Case Rep. 2016;2(1):166–168. doi: 10.1089/cren.2016.0092. - DOI - PMC - PubMed

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