{"id":15677,"date":"2026-10-30T13:20:06","date_gmt":"2026-10-30T12:20:06","guid":{"rendered":"https:\/\/www.skamex.com.pl\/?p=15677"},"modified":"2026-11-04T09:17:36","modified_gmt":"2026-11-04T08:17:36","slug":"zadbaj-o-komfort-twojego-pacjenta-silikonowe-stenty-moczowodowe-imajin-zlotym-standardem-szynowania","status":"publish","type":"post","link":"https:\/\/www.skamex.com.pl\/blog\/wydarzenia-biezace\/zadbaj-o-komfort-twojego-pacjenta-silikonowe-stenty-moczowodowe-imajin-zlotym-standardem-szynowania","title":{"rendered":"Zadbaj o komfort Twojego pacjenta: Silikonowe stenty moczowodowe ImaJin z\u0142otym standardem szynowania"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"15677\" class=\"elementor elementor-15677\">\n\t\t\t\t<div class=\"elementor-element elementor-element-60a82ea4 e-flex e-con-boxed e-con e-parent\" data-id=\"60a82ea4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-638a148b elementor-widget elementor-widget-text-editor\" data-id=\"638a148b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Sten\u00adty moc\u00adzowodowe typu DJ (Dou\u00adble J) s\u0105 powszech\u00adnie wyko\u00adrzysty\u00adwanym sprz\u0119tem endouro\u00adlog\u00adicznym w celu zapewnienia praw\u00adid\u0142owego odp\u0142y\u00adwu moczu z ner\u00adki do p\u0119cherza moc\u00adzowego. Wyko\u00adrzysty\u00adwane s\u0105 m.in. w lecze\u00adniu kam\u00adi\u00adcy uk\u0142adu moc\u00adzowego, po zab\u00adie\u00adgach ureteroskopowych, przy zw\u0119\u017ce\u00adni\u00adach moc\u00adzowodu oraz w sytu\u00adac\u00adjach cza\u00adsowego odbar\u00adczenia g\u00f3rnych dr\u00f3g moc\u00adzowych. Dzi\u0119\u00adki charak\u00adterysty\u00adczne\u00admu pod\u00adw\u00f3jne\u00admu zag\u00adi\u0119\u00adciu na obu ko\u0144\u00adcach cewni\u00adka pozosta\u00adje on sta\u00adbil\u00adnie umiejs\u00adcowiony w nerce oraz p\u0119cherzu, umo\u017cli\u00adwia\u00adj\u0105c bez\u00adpieczne utrzy\u00admanie dro\u017cno\u015b\u00adci moc\u00adzowodu.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Mimo \u017ce sten\u00adty DJ s\u0105 niezwyk\u00adle skutecznym i powszech\u00adnie stosowanym rozwi\u0105zaniem, ich obec\u00adno\u015b\u0107 w orga\u00adnizmie pac\u00adjen\u00adta mo\u017ce wi\u0105za\u0107 si\u0119 z okre\u015blony\u00admi dzi\u00ada\u0142a\u00adni\u00ada\u00admi niepo\u017c\u0105\u00addany\u00admi. Bada\u00adnia pokazu\u00adj\u0105, \u017ce nawet 88% pac\u00adjen\u00adt\u00f3w do\u015bwiad\u00adcza przy\u00adna\u00adjm\u00adniej pewnej formy dyskom\u00adfor\u00adtu 1, 2. Kluc\u00adzowym rozwi\u0105zaniem jest praw\u00adid\u0142owy dob\u00f3r mate\u00adri\u00ada\u0142u, z kt\u00f3rego wyko\u00adnany jest stent, tak, aby zapewni\u0107 jak najwi\u0119k\u00adszy kom\u00adfort dla pac\u00adjen\u00adta, \u0142\u0105cz\u0105c to z bez\u00adpiecze\u0144st\u00adwem wykony\u00adwanej pro\u00adce\u00addury.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Do najcz\u0119st\u00adszych powik\u0142a\u0144 zwi\u0105zanych ze sten\u00adta\u00admi DJ zal\u00adicza\u00admy:<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00b7 Dyskom\u00adfort i objawy ze strony p\u0119cherza moc\u00adzowego<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Najcz\u0119\u015b\u00adciej zg\u0142aszanym prob\u00adle\u00admem przez pac\u00adjen\u00adt\u00f3w jest dyskom\u00adfort zwi\u0105zany z obec\u00adno\u015b\u00adci\u0105 sten\u00adtu. Objaw\u00adia si\u0119 jako cz\u0119ste par\u00adcie na mocz, uczu\u00adcie niepe\u0142nego opr\u00f3\u017cnienia p\u0119cherza, piecze\u00adnie pod\u00adczas mikcji, b\u00f3l w okol\u00adi\u00adcy pod\u00adbrzusza lub l\u0119d\u017awi. Objawy te wynika\u00adj\u0105 g\u0142\u00f3wnie z mechan\u00adicznego podra\u017cnienia \u015bciany p\u0119cherza przez dol\u00adny koniec sten\u00adtu.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00b7 Krwiomocz<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">U cz\u0119\u015b\u00adci pac\u00adjen\u00adt\u00f3w mo\u017ce pojaw\u00adia\u0107 si\u0119 krwiomocz, szczeg\u00f3l\u00adnie w pier\u00adwszych tygod\u00adni\u00adach po za\u0142o\u017ce\u00adniu sten\u00adtu. Zwyk\u00adle ma on charak\u00adter przemi\u00adja\u00adj\u0105\u00adcy i zwi\u0105zany z podra\u017cnie\u00adniem b\u0142ony \u015blu\u00adzowej dr\u00f3g moc\u00adzowych.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00b7 Inkrus\u00adtac\u00adja sten\u00adtu<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Odk\u0142adanie si\u0119 soli min\u00ader\u00adal\u00adnych (inkrus\u00adtac\u00adja) na powierzch\u00adni sten\u00adt\u00f3w jest jed\u00adnym z najcz\u0119st\u00adszych powik\u0142a\u0144. Mo\u017ce to prowadz\u00adi\u0107 do utrud\u00adnionego usuni\u0119\u00adcia sten\u00adtu, pow\u00adstawa\u00adnia wt\u00f3rnych z\u0142og\u00f3w oraz cz\u0119\u015b\u00adciowej lub ca\u0142kowitej niedro\u017cno\u015b\u00adci sten\u00adtu. Takie ryzyko wzras\u00adta znacz\u0105\u00adco przy d\u0142u\u00adgotr\u00adwa\u0142ym utrzymy\u00adwa\u00adniu cewni\u00adka w dro\u00adgach moc\u00adzowych.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00b7 Migrac\u00adja lub uszkodze\u00adnie sten\u00adtu<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">W rzad\u00adkich przy\u00adpad\u00adkach mo\u017ce doj\u015b\u0107 do przemieszcza\u00adnia si\u0119 sten\u00adtu w obr\u0119\u00adbie uk\u0142adu moc\u00adzowego, frag\u00admen\u00adtacji lub p\u0119kni\u0119\u00adcia mate\u00adri\u00ada\u0142u b\u0105d\u017a niedro\u017cno\u015b\u00adci sten\u00adtu. Powik\u0142a\u00adnia te zale\u017c\u0105 od m.in. cza\u00adsu implan\u00adtacji oraz w\u0142a\u015b\u00adci\u00adwo\u015b\u00adci mate\u00adri\u00ada\u0142u, z kt\u00f3rego wyko\u00adnany jest stent.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00b7 Infekc\u00adje dr\u00f3g moc\u00adzowych<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Kluc\u00adzowe znacze\u00adnie ma mate\u00adri\u00ada\u0142, z kt\u00f3rego zosta\u0142 wyko\u00adnany stent. Najnowocze\u015bniejsze rozwi\u0105za\u00adnia sku\u00adpi\u00ada\u00adj\u0105 si\u0119 na mate\u00adri\u00ada\u0142ach biokom\u00adpaty\u00adbil\u00adnych, elasty\u00adcznych, odpornych na inkrus\u00adtacj\u0119 oraz min\u00adi\u00admal\u00adizu\u00adj\u0105\u00adcych podra\u017cnienia b\u0142ony \u015blu\u00adzowej. Matthias Boeykens i wsp. w przegl\u0105dzie lit\u00ader\u00adatu\u00adry z 2022 roku pod\u00adkre\u015bla\u00adj\u0105, \u017ce silikon znacz\u0105\u00adco zmniejsza objawy zwi\u0105zane ze sten\u00adtem 3. Badanie o najwy\u017cszej jako\u015b\u00adci metodolog\u00adicznej r\u00f3wnie\u017c wskaza\u00ad\u0142o przewag\u0119 silikonu z pow\u0142ok\u0105 hydro\u017celow\u0105 nad polimerem niesi\u00adlikonowym z tak\u0105 sam\u0105 pow\u0142ok\u01054.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Dlaczego silikon wykazu\u00adje redukcj\u0119 symp\u00adtom\u00f3w zwi\u0105zanych ze stosowaniem sten\u00adt\u00f3w?<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Argu\u00admen\u00adta\u00admi prze\u00admaw\u00adia\u00adj\u0105\u00adcy\u00admi za skuteczno\u015b\u00adci\u0105 sten\u00adt\u00f3w wyko\u00adnanych z 100% silikonu s\u0105: mi\u0119kko\u015b\u0107, elasty\u00adczno\u015b\u0107, bio\u00adlog\u00adicz\u00adna obo\u00adj\u0119t\u00adno\u015b\u0107, niska sk\u0142on\u00adno\u015b\u0107 do inkrus\u00adtacji oraz redukc\u00adja adhezji bak\u00adterii 5. Pode\u00adjrze\u00adwa si\u0119, \u017ce wi\u0119k\u00adsza inkrus\u00adtac\u00adja i adhez\u00adja bak\u00adterii, zwi\u0105zane z d\u0142u\u017cszym pozostaw\u00adie\u00adniem sten\u00adtu w orga\u00adnizmie, negaty\u00adwnie wp\u0142y\u00adwa\u00adj\u0105 na objawy zwi\u0105zane ze sten\u00adtem. Por\u00f3wnu\u00adj\u0105c silikon z polimera\u00admi niesi\u00adlikonowy\u00admi, wi\u0119k\u00adszo\u015b\u0107 bada\u0144 wykazy\u00adwa\u0142a mniejsz\u0105 inkrus\u00adtacj\u0119 i mniejsz\u0105 adhezj\u0119 bak\u00adterii w przy\u00adpad\u00adku silikonu 6,7.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Odpowiedz\u00adi\u0105 na wiele opisanych prob\u00adlem\u00f3w jest stosowanie sten\u00adt\u00f3w DJ wyko\u00adnanych w 100% z silikonu, takich jak Ima\u00adJin\u00ae firmy Colo\u00adplast. Stent zosta\u0142 zapro\u00adjek\u00adtowany z my\u015bl\u0105 o maksy\u00admal\u00adnym bez\u00adpiecze\u0144st\u00adwie i kom\u00adfor\u00adcie pac\u00adjen\u00adta.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Kon\u00adstrukc\u00adja zosta\u0142a opra\u00adcow\u00adana tak, aby<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00fc Min\u00adi\u00admal\u00adi\u00adzowa\u0107 podra\u017cnienia dr\u00f3g moc\u00adzowych,<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00fc Ogranicza\u0107 ryzyko inkrus\u00adtacji,<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00fc Zapewni\u0107 opty\u00admal\u00adn\u0105 dro\u017cno\u015b\u0107 moc\u00adzowodu<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00fc U\u0142atwi\u0107 implan\u00adtacj\u0119 i p\u00f3\u017aniejsze usuni\u0119\u00adcie sten\u00adtu.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Dzi\u0119\u00adki zas\u00adtosowa\u00adniu wysok\u00adiej jako\u015b\u00adci silikonu medy\u00adcznego sten\u00adty Ima\u00adJin\u00ae stanow\u00adi\u0105 nowoczesne rozwi\u0105zanie reduku\u00adj\u0105ce wiele najcz\u0119st\u00adszych powik\u0142a\u0144 zwi\u0105zanych ze stosowaniem klin\u00adicznym sten\u00adt\u00f3w DJ. Bada\u00adnia pokazu\u00adj\u0105, \u017ce:<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00fc Sten\u00adty Ima\u00adJin\u00ae Hydro reduku\u00adje dyskom\u00adfort pac\u00adjen\u00adta o 25%8<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">\u00fc W por\u00f3w\u00adna\u00adniu z cewnika\u00admi niesi\u00adlikonowy\u00admi inkrus\u00adtac\u00adja by\u0142a zre\u00addukowana o 36%9<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">Sten\u00adty DJ pozosta\u00adj\u0105 kluc\u00adzowym ele\u00admentem leczenia wielu schorze\u0144 uro\u00adlog\u00adicznych, jed\u00adnak ich stosowanie mo\u017ce wi\u0105za\u0107 si\u0119 z szeregiem powik\u0142a\u0144, kt\u00f3re mo\u017ce\u00admy zre\u00addukowa\u0107 wyborem odpowied\u00adniego pro\u00adduk\u00adtu.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong><em>Tw\u00f3j wyb\u00f3r sprz\u0119\u00adtu endouro\u00adlog\u00adicznego ma ogrom\u00adny wp\u0142yw na \u017cycie Twoich pac\u00adjen\u00adt\u00f3w.<\/em><\/strong><\/p>\n<p class=\" eplus-wrapper\"><strong><em>&nbsp;<\/em><\/strong><\/p>\n<p class=\" eplus-wrapper\"><strong><em>&nbsp;<\/em><\/strong><\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">&nbsp;1Joshi H.B., Okeke A., Newns N., Kee\u00adley F.X., Jr, Tim\u00ado\u00adney A.G. Char\u00adac\u00adter\u00adi\u00adza\u00adtion of uri\u00adnary symp\u00adtoms in patients with ureter\u00adal stents. Urol\u00ado\u00adgy. 2002;59:511\u2013516. doi: 10.1016\/s0090-4295(01)01644\u20132.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">2 Bosio A., Alessan\u00addria E., Agosti S.C., et al. Loop-tail stents fail in reduc\u00ading stent-relat\u00aded symp\u00adtoms: results of a prospec\u00adtive ran\u00addomised con\u00adtrolled tri\u00adal. BJU Int. 2022;129:123\u2013129. doi: 10.1111\/bju.15395. 3 Matthias Boeykens I wsp., Impact of Ureter\u00adat Stent Mate\u00adr\u00adi\u00adal on Stent-relat\u00aded Symp\u00adtoms: A sys\u00adtem\u00adat\u00adic Review of the lit\u00ader\u00ada\u00adture. Eur Urol Opec Sci. 2022 Oct 19;45:108\u2013117. doi: 10.1016\/j.euros.2022.09.005<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">4 Wise\u00adman O., Ven\u00adtimiglia E., Doizi S., et al. Effects of sil\u00adi\u00adcone hydro\u00adcoat\u00aded dou\u00adble loop ureter\u00adal stent on symp\u00adtoms and qual\u00adi\u00adty of life in patients under\u00adgo\u00ading flex\u00adi\u00adble ureteroscopy for kid\u00adney stone: a ran\u00addom\u00adized mul\u00adti\u00adcen\u00adter clin\u00adi\u00adcal study. J Urol. 2020;204:769\u2013777. doi: 10.1097\/JU.0000000000001098<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">5 Liat\u00adsikos E., Kalli\u00addo\u00adnis P., Stolzen\u00adburg J.U., Karn\u00adaba\u00adtidis D. Ureter\u00adal stents: past, present and future. Expert Rev Med Devices. 2009;6:313\u2013324. doi: 10.1586\/erd.09.5<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">6 Bargh\u00adouthy Y., Wise\u00adman O., Ven\u00adtimiglia E., et al. Sil\u00adi\u00adcone-hydro\u00adcoat\u00aded ureter\u00adal stents encrus\u00adta\u00adtion and biofilm for\u00adma\u00adtion after 3\u2011week dwell time: results of a prospec\u00adtive ran\u00addom\u00adized mul\u00adti\u00adcen\u00adter clin\u00adi\u00adcal study. World J Urol. 2021;39:3623\u20133629. doi: 10.1007\/s00345-021\u201303646\u20110.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">7 Tun\u00adney M.M., Keane P.F., Jones D.S., Gor\u00adman S.P. Com\u00adpar\u00ada\u00adtive assess\u00adment of ureter\u00adal stent bio\u00adma\u00adte\u00adr\u00adi\u00adal encrus\u00adta\u00adtion. Bio\u00adma\u00adte\u00adri\u00adals. 1996;17:1541\u20131546. doi: 10.1016\/0142\u20139612(96)89780\u20138.<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">8 Wise\u00adman O, Ven\u00adtimiglia E, Doizi S, Klein\u00adclauss F, Letendre J, Clouti\u00ader J, Trax\u00ader O. Effects of Sil\u00adi\u00adcone Hydro\u00adcoat\u00aded Dou\u00adble Loop Ureter\u00adal Stent on Symp\u00adtoms and Qual\u00adi\u00adty of Life in Patients Under\u00adgo\u00ading Flex\u00adi\u00adble Ureteroscopy for Kid\u00adney Stone: A Ran\u00addom\u00adized Mul\u00adti\u00adcen\u00adter Clin\u00adi\u00adcal Study. J Urol. 2020 Oct;204(4)769\u2013777. doi: 10.1097\/JU.0000000000001098. Epub 2020 May 5. PMID: 32364838<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">9 Bargh\u00adouthy Y, Wise\u00adman O, Ven\u00adtimiglia E, et al. Sil\u00adi\u00adcone-hydro\u00adcoat\u00aded ureter\u00adal stents encrus\u00adta\u00adtion and biofilm for\u00adma\u00adtion after 3\u2011week dwell time: results of a prospec\u00adtive ran\u00addom\u00adized mul\u00adti\u00adcen\u00adter clin\u00adi\u00adcal study. World J Urol. 2021. Sept; 39(9):3623\u20133629. doi: https:\/\/doi.org\/10.1007\/s00345- 021\u201303646\u20110<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">&nbsp;<\/p>\n<p><\/p>\n<p class=\"eplus-wrapper wp-block-paragraph\">&nbsp;<\/p>\n<p><\/p><ul class=\"wp-block-list eplus-wrapper eplus-styles-uid-75c045\">\n<li style=\"list-style-type: none;\">\n<ul class=\"wp-block-list eplus-wrapper\"><\/ul>\n<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3bbc77c e-grid e-con-boxed e-con e-parent\" data-id=\"3bbc77c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-87342af elementor-widget elementor-widget-text-editor\" data-id=\"87342af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\" eplus-wrapper\">&nbsp;<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"epAnimationGeneratedClass\":\"edplus_anim-wW2tOi\",\"epGeneratedClass\":\"eplus-wrapper\"} --><\/p>\n<p class=\" eplus-wrapper\">&nbsp;1Joshi H.B., Okeke A., Newns N., Kee\u00adley F.X., Jr, Tim\u00ado\u00adney A.G. Char\u00adac\u00adter\u00adi\u00adza\u00adtion of uri\u00adnary symp\u00adtoms in patients with ureter\u00adal stents. Urol\u00ado\u00adgy. 2002;59:511\u2013516. doi: 10.1016\/s0090-4295(01)01644\u20132.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"epAnimationGeneratedClass\":\"edplus_anim-wVEFBO\",\"epGeneratedClass\":\"eplus-wrapper\"} --><\/p>\n<p class=\" eplus-wrapper\">2 Bosio A., Alessan\u00addria E., Agosti S.C., et al. Loop-tail stents fail in reduc\u00ading stent-relat\u00aded symp\u00adtoms: results of a prospec\u00adtive ran\u00addomised con\u00adtrolled tri\u00adal. BJU Int. 2022;129:123\u2013129. doi: 10.1111\/bju.15395. 3 Matthias Boeykens I wsp., Impact of Ureter\u00adat Stent Mate\u00adr\u00adi\u00adal on Stent-relat\u00aded Symp\u00adtoms: A sys\u00adtem\u00adat\u00adic Review of the lit\u00ader\u00ada\u00adture. Eur Urol Opec Sci. 2022 Oct 19;45:108\u2013117. doi: 10.1016\/j.euros.2022.09.005<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"epAnimationGeneratedClass\":\"edplus_anim-NWpaYg\",\"epGeneratedClass\":\"eplus-wrapper\"} --><\/p>\n<p class=\" eplus-wrapper\">4 Wise\u00adman O., Ven\u00adtimiglia E., Doizi S., et al. Effects of sil\u00adi\u00adcone hydro\u00adcoat\u00aded dou\u00adble loop ureter\u00adal stent on symp\u00adtoms and qual\u00adi\u00adty of life in patients under\u00adgo\u00ading flex\u00adi\u00adble ureteroscopy for kid\u00adney stone: a ran\u00addom\u00adized mul\u00adti\u00adcen\u00adter clin\u00adi\u00adcal study. J Urol. 2020;204:769\u2013777. doi: 10.1097\/JU.0000000000001098<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"epAnimationGeneratedClass\":\"edplus_anim-ariety\",\"epGeneratedClass\":\"eplus-wrapper\"} --><\/p>\n<p class=\" eplus-wrapper\">5 Liat\u00adsikos E., Kalli\u00addo\u00adnis P., Stolzen\u00adburg J.U., Karn\u00adaba\u00adtidis D. Ureter\u00adal stents: past, present and future. Expert Rev Med Devices. 2009;6:313\u2013324. doi: 10.1586\/erd.09.5<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"epAnimationGeneratedClass\":\"edplus_anim-JfoDVm\",\"epGeneratedClass\":\"eplus-wrapper\"} --><\/p>\n<p class=\" eplus-wrapper\">6 Bargh\u00adouthy Y., Wise\u00adman O., Ven\u00adtimiglia E., et al. Sil\u00adi\u00adcone-hydro\u00adcoat\u00aded ureter\u00adal stents encrus\u00adta\u00adtion and biofilm for\u00adma\u00adtion after 3\u2011week dwell time: results of a prospec\u00adtive ran\u00addom\u00adized mul\u00adti\u00adcen\u00adter clin\u00adi\u00adcal study. World J Urol. 2021;39:3623\u20133629. doi: 10.1007\/s00345-021\u201303646\u20110.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"epAnimationGeneratedClass\":\"edplus_anim-Qal0D1\",\"epGeneratedClass\":\"eplus-wrapper\"} --><\/p>\n<p class=\" eplus-wrapper\">7 Tun\u00adney M.M., Keane P.F., Jones D.S., Gor\u00adman S.P. Com\u00adpar\u00ada\u00adtive assess\u00adment of ureter\u00adal stent bio\u00adma\u00adte\u00adr\u00adi\u00adal encrus\u00adta\u00adtion. Bio\u00adma\u00adte\u00adri\u00adals. 1996;17:1541\u20131546. doi: 10.1016\/0142\u20139612(96)89780\u20138.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"epAnimationGeneratedClass\":\"edplus_anim-PM5KBE\",\"epGeneratedClass\":\"eplus-wrapper\"} --><\/p>\n<p class=\" eplus-wrapper\">8 Wise\u00adman O, Ven\u00adtimiglia E, Doizi S, Klein\u00adclauss F, Letendre J, Clouti\u00ader J, Trax\u00ader O. Effects of Sil\u00adi\u00adcone Hydro\u00adcoat\u00aded Dou\u00adble Loop Ureter\u00adal Stent on Symp\u00adtoms and Qual\u00adi\u00adty of Life in Patients Under\u00adgo\u00ading Flex\u00adi\u00adble Ureteroscopy for Kid\u00adney Stone: A Ran\u00addom\u00adized Mul\u00adti\u00adcen\u00adter Clin\u00adi\u00adcal Study. J Urol. 2020 Oct;204(4)769\u2013777. doi: 10.1097\/JU.0000000000001098. Epub 2020 May 5. PMID: 32364838<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"epAnimationGeneratedClass\":\"edplus_anim-wW2tOi\",\"epGeneratedClass\":\"eplus-wrapper\"} --><\/p>\n<p>&nbsp;<\/p>\n<p class=\" eplus-wrapper\">9 Bargh\u00adouthy Y, Wise\u00adman O, Ven\u00adtimiglia E, et al. Sil\u00adi\u00adcone-hydro\u00adcoat\u00aded ureter\u00adal stents encrus\u00adta\u00adtion and biofilm for\u00adma\u00adtion after 3\u2011week dwell time: results of a prospec\u00adtive ran\u00addom\u00adized mul\u00adti\u00adcen\u00adter clin\u00adi\u00adcal study. World J Urol. 2021. Sept; 39(9):3623\u20133629. doi: https:\/\/doi.org\/10.1007\/s00345- 021\u201303646\u20110<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":"Podczas zabieg\u00f3w z u\u017cyciem RTG i fluoroskopii d\u0142onie personelu znajduj\u0105 si\u0119 najbli\u017cej \u017ar\u00f3d\u0142a promieniowania. Zwyk\u0142e r\u0119kawice chirurgiczne nie chroni\u0105 przed promieniowaniem jonizuj\u0105cym, dlatego w procedurach z ramieniem C warto stosowa\u0107 r\u0119kawice radioprotekcyjne, kt\u00f3re realnie ograniczaj\u0105 dawk\u0119 i zwi\u0119kszaj\u0105 bezpiecze\u0144stwo pracy.","author":16,"featured_media":15670,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"wp_typography_post_enhancements_disabled":false,"editor_plus_post_options":"{}","editor_plus_copied_stylings":"{}","footnotes":""},"categories":[1],"tags":[],"class_list":["post-15677","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wydarzenia-biezace"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>R\u0119kawice chroni\u0105ce przed promieniowaniem \u2013 dlaczego zwyk\u0142e r\u0119kawice chirurgiczne nie wystarcz\u0105<\/title>\n<meta name=\"description\" content=\"Podczas zabieg\u00f3w z fluoroskopi\u0105 d\u0142onie s\u0105 najbardziej nara\u017cone na promieniowanie. 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Wykorzystywane s\u0105 m.in. w leczeniu kamicy uk\u0142adu moczowego, po zabiegach ureteroskopowych, przy zw\u0119\u017ceniach moczowodu oraz w sytuacjach czasowego odbarczenia g\u00f3rnych dr\u00f3g moczowych. Dzi\u0119ki charakterystycznemu podw\u00f3jnemu zagi\u0119ciu na obu ko\u0144cach cewnika pozostaje on stabilnie umiejscowiony w nerce oraz p\u0119cherzu, umo\u017cliwiaj\u0105c bezpieczne utrzymanie dro\u017cno\u015bci moczowodu.<\/p>\n<p>","innerContent":["<\/p>\n<p>Stenty moczowodowe typu DJ (Double J) s\u0105 powszechnie wykorzystywanym sprz\u0119tem endourologicznym w celu zapewnienia prawid\u0142owego odp\u0142ywu moczu z nerki do p\u0119cherza moczowego. Wykorzystywane s\u0105 m.in. w leczeniu kamicy uk\u0142adu moczowego, po zabiegach ureteroskopowych, przy zw\u0119\u017ceniach moczowodu oraz w sytuacjach czasowego odbarczenia g\u00f3rnych dr\u00f3g moczowych. Dzi\u0119ki charakterystycznemu podw\u00f3jnemu zagi\u0119ciu na obu ko\u0144cach cewnika pozostaje on stabilnie umiejscowiony w nerce oraz p\u0119cherzu, umo\u017cliwiaj\u0105c bezpieczne utrzymanie dro\u017cno\u015bci moczowodu.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-TQ8MPc","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Mimo \u017ce stenty DJ s\u0105 niezwykle skutecznym i powszechnie stosowanym rozwi\u0105zaniem, ich obecno\u015b\u0107 w organizmie pacjenta mo\u017ce wi\u0105za\u0107 si\u0119 z okre\u015blonymi dzia\u0142aniami niepo\u017c\u0105danymi. Badania pokazuj\u0105, \u017ce nawet 88% pacjent\u00f3w do\u015bwiadcza przynajmniej pewnej formy dyskomfortu 1, 2. Kluczowym rozwi\u0105zaniem jest prawid\u0142owy dob\u00f3r materia\u0142u, z kt\u00f3rego wykonany jest stent, tak, aby zapewni\u0107 jak najwi\u0119kszy komfort dla pacjenta, \u0142\u0105cz\u0105c to z bezpiecze\u0144stwem wykonywanej procedury.<\/p>\n<p>","innerContent":["<\/p>\n<p>Mimo \u017ce stenty DJ s\u0105 niezwykle skutecznym i powszechnie stosowanym rozwi\u0105zaniem, ich obecno\u015b\u0107 w organizmie pacjenta mo\u017ce wi\u0105za\u0107 si\u0119 z okre\u015blonymi dzia\u0142aniami niepo\u017c\u0105danymi. Badania pokazuj\u0105, \u017ce nawet 88% pacjent\u00f3w do\u015bwiadcza przynajmniej pewnej formy dyskomfortu 1, 2. Kluczowym rozwi\u0105zaniem jest prawid\u0142owy dob\u00f3r materia\u0142u, z kt\u00f3rego wykonany jest stent, tak, aby zapewni\u0107 jak najwi\u0119kszy komfort dla pacjenta, \u0142\u0105cz\u0105c to z bezpiecze\u0144stwem wykonywanej procedury.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-skVWXk","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Do najcz\u0119stszych powik\u0142a\u0144 zwi\u0105zanych ze stentami DJ zaliczamy:<\/p>\n<p>","innerContent":["<\/p>\n<p>Do najcz\u0119stszych powik\u0142a\u0144 zwi\u0105zanych ze stentami DJ zaliczamy:<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-Rb4KG6","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00b7 Dyskomfort i objawy ze strony p\u0119cherza moczowego<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00b7 Dyskomfort i objawy ze strony p\u0119cherza moczowego<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-TAxHkk","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Najcz\u0119\u015bciej zg\u0142aszanym problemem przez pacjent\u00f3w jest dyskomfort zwi\u0105zany z obecno\u015bci\u0105 stentu. Objawia si\u0119 jako cz\u0119ste parcie na mocz, uczucie niepe\u0142nego opr\u00f3\u017cnienia p\u0119cherza, pieczenie podczas mikcji, b\u00f3l w okolicy podbrzusza lub l\u0119d\u017awi. Objawy te wynikaj\u0105 g\u0142\u00f3wnie z mechanicznego podra\u017cnienia \u015bciany p\u0119cherza przez dolny koniec stentu.<\/p>\n<p>","innerContent":["<\/p>\n<p>Najcz\u0119\u015bciej zg\u0142aszanym problemem przez pacjent\u00f3w jest dyskomfort zwi\u0105zany z obecno\u015bci\u0105 stentu. Objawia si\u0119 jako cz\u0119ste parcie na mocz, uczucie niepe\u0142nego opr\u00f3\u017cnienia p\u0119cherza, pieczenie podczas mikcji, b\u00f3l w okolicy podbrzusza lub l\u0119d\u017awi. Objawy te wynikaj\u0105 g\u0142\u00f3wnie z mechanicznego podra\u017cnienia \u015bciany p\u0119cherza przez dolny koniec stentu.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-k3oBva","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00b7 Krwiomocz<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00b7 Krwiomocz<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-wfUO0d","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>U cz\u0119\u015bci pacjent\u00f3w mo\u017ce pojawia\u0107 si\u0119 krwiomocz, szczeg\u00f3lnie w pierwszych tygodniach po za\u0142o\u017ceniu stentu. Zwykle ma on charakter przemijaj\u0105cy i zwi\u0105zany z podra\u017cnieniem b\u0142ony \u015bluzowej dr\u00f3g moczowych.<\/p>\n<p>","innerContent":["<\/p>\n<p>U cz\u0119\u015bci pacjent\u00f3w mo\u017ce pojawia\u0107 si\u0119 krwiomocz, szczeg\u00f3lnie w pierwszych tygodniach po za\u0142o\u017ceniu stentu. Zwykle ma on charakter przemijaj\u0105cy i zwi\u0105zany z podra\u017cnieniem b\u0142ony \u015bluzowej dr\u00f3g moczowych.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-N9pVPs","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00b7 Inkrustacja stentu<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00b7 Inkrustacja stentu<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-AImvY3","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Odk\u0142adanie si\u0119 soli mineralnych (inkrustacja) na powierzchni stent\u00f3w jest jednym z najcz\u0119stszych powik\u0142a\u0144. Mo\u017ce to prowadzi\u0107 do utrudnionego usuni\u0119cia stentu, powstawania wt\u00f3rnych z\u0142og\u00f3w oraz cz\u0119\u015bciowej lub ca\u0142kowitej niedro\u017cno\u015bci stentu. Takie ryzyko wzrasta znacz\u0105co przy d\u0142ugotrwa\u0142ym utrzymywaniu cewnika w drogach moczowych.<\/p>\n<p>","innerContent":["<\/p>\n<p>Odk\u0142adanie si\u0119 soli mineralnych (inkrustacja) na powierzchni stent\u00f3w jest jednym z najcz\u0119stszych powik\u0142a\u0144. Mo\u017ce to prowadzi\u0107 do utrudnionego usuni\u0119cia stentu, powstawania wt\u00f3rnych z\u0142og\u00f3w oraz cz\u0119\u015bciowej lub ca\u0142kowitej niedro\u017cno\u015bci stentu. Takie ryzyko wzrasta znacz\u0105co przy d\u0142ugotrwa\u0142ym utrzymywaniu cewnika w drogach moczowych.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-eyj9dh","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00b7 Migracja lub uszkodzenie stentu<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00b7 Migracja lub uszkodzenie stentu<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-S7rrk9","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>W rzadkich przypadkach mo\u017ce doj\u015b\u0107 do przemieszczania si\u0119 stentu w obr\u0119bie uk\u0142adu moczowego, fragmentacji lub p\u0119kni\u0119cia materia\u0142u b\u0105d\u017a niedro\u017cno\u015bci stentu. Powik\u0142ania te zale\u017c\u0105 od m.in. czasu implantacji oraz w\u0142a\u015bciwo\u015bci materia\u0142u, z kt\u00f3rego wykonany jest stent.<\/p>\n<p>","innerContent":["<\/p>\n<p>W rzadkich przypadkach mo\u017ce doj\u015b\u0107 do przemieszczania si\u0119 stentu w obr\u0119bie uk\u0142adu moczowego, fragmentacji lub p\u0119kni\u0119cia materia\u0142u b\u0105d\u017a niedro\u017cno\u015bci stentu. Powik\u0142ania te zale\u017c\u0105 od m.in. czasu implantacji oraz w\u0142a\u015bciwo\u015bci materia\u0142u, z kt\u00f3rego wykonany jest stent.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-lKTPfQ","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00b7 Infekcje dr\u00f3g moczowych<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00b7 Infekcje dr\u00f3g moczowych<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-Rb4KG6","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Kluczowe znaczenie ma materia\u0142, z kt\u00f3rego zosta\u0142 wykonany stent. Najnowocze\u015bniejsze rozwi\u0105zania skupiaj\u0105 si\u0119 na materia\u0142ach biokompatybilnych, elastycznych, odpornych na inkrustacj\u0119 oraz minimalizuj\u0105cych podra\u017cnienia b\u0142ony \u015bluzowej. Matthias Boeykens i wsp. w przegl\u0105dzie literatury z 2022 roku podkre\u015blaj\u0105, \u017ce silikon znacz\u0105co zmniejsza objawy zwi\u0105zane ze stentem 3. Badanie o najwy\u017cszej jako\u015bci metodologicznej r\u00f3wnie\u017c wskaza\u0142o przewag\u0119 silikonu z pow\u0142ok\u0105 hydro\u017celow\u0105 nad polimerem niesilikonowym z tak\u0105 sam\u0105 pow\u0142ok\u01054.<\/p>\n<p>","innerContent":["<\/p>\n<p>Kluczowe znaczenie ma materia\u0142, z kt\u00f3rego zosta\u0142 wykonany stent. Najnowocze\u015bniejsze rozwi\u0105zania skupiaj\u0105 si\u0119 na materia\u0142ach biokompatybilnych, elastycznych, odpornych na inkrustacj\u0119 oraz minimalizuj\u0105cych podra\u017cnienia b\u0142ony \u015bluzowej. Matthias Boeykens i wsp. w przegl\u0105dzie literatury z 2022 roku podkre\u015blaj\u0105, \u017ce silikon znacz\u0105co zmniejsza objawy zwi\u0105zane ze stentem 3. Badanie o najwy\u017cszej jako\u015bci metodologicznej r\u00f3wnie\u017c wskaza\u0142o przewag\u0119 silikonu z pow\u0142ok\u0105 hydro\u017celow\u0105 nad polimerem niesilikonowym z tak\u0105 sam\u0105 pow\u0142ok\u01054.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-2lh0tv","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Dlaczego silikon wykazuje redukcj\u0119 symptom\u00f3w zwi\u0105zanych ze stosowaniem stent\u00f3w?<\/p>\n<p>","innerContent":["<\/p>\n<p>Dlaczego silikon wykazuje redukcj\u0119 symptom\u00f3w zwi\u0105zanych ze stosowaniem stent\u00f3w?<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-VQlINs","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Argumentami przemawiaj\u0105cymi za skuteczno\u015bci\u0105 stent\u00f3w wykonanych z 100% silikonu s\u0105: mi\u0119kko\u015b\u0107, elastyczno\u015b\u0107, biologiczna oboj\u0119tno\u015b\u0107, niska sk\u0142onno\u015b\u0107 do inkrustacji oraz redukcja adhezji bakterii 5. Podejrzewa si\u0119, \u017ce wi\u0119ksza inkrustacja i adhezja bakterii, zwi\u0105zane z d\u0142u\u017cszym pozostawieniem stentu w organizmie, negatywnie wp\u0142ywaj\u0105 na objawy zwi\u0105zane ze stentem. Por\u00f3wnuj\u0105c silikon z polimerami niesilikonowymi, wi\u0119kszo\u015b\u0107 bada\u0144 wykazywa\u0142a mniejsz\u0105 inkrustacj\u0119 i mniejsz\u0105 adhezj\u0119 bakterii w przypadku silikonu 6,7.<\/p>\n<p>","innerContent":["<\/p>\n<p>Argumentami przemawiaj\u0105cymi za skuteczno\u015bci\u0105 stent\u00f3w wykonanych z 100% silikonu s\u0105: mi\u0119kko\u015b\u0107, elastyczno\u015b\u0107, biologiczna oboj\u0119tno\u015b\u0107, niska sk\u0142onno\u015b\u0107 do inkrustacji oraz redukcja adhezji bakterii 5. Podejrzewa si\u0119, \u017ce wi\u0119ksza inkrustacja i adhezja bakterii, zwi\u0105zane z d\u0142u\u017cszym pozostawieniem stentu w organizmie, negatywnie wp\u0142ywaj\u0105 na objawy zwi\u0105zane ze stentem. Por\u00f3wnuj\u0105c silikon z polimerami niesilikonowymi, wi\u0119kszo\u015b\u0107 bada\u0144 wykazywa\u0142a mniejsz\u0105 inkrustacj\u0119 i mniejsz\u0105 adhezj\u0119 bakterii w przypadku silikonu 6,7.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-OlmBtg","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Odpowiedzi\u0105 na wiele opisanych problem\u00f3w jest stosowanie stent\u00f3w DJ wykonanych w 100% z silikonu, takich jak ImaJin\u00ae firmy Coloplast. Stent zosta\u0142 zaprojektowany z my\u015bl\u0105 o maksymalnym bezpiecze\u0144stwie i komforcie pacjenta.<\/p>\n<p>","innerContent":["<\/p>\n<p>Odpowiedzi\u0105 na wiele opisanych problem\u00f3w jest stosowanie stent\u00f3w DJ wykonanych w 100% z silikonu, takich jak ImaJin\u00ae firmy Coloplast. Stent zosta\u0142 zaprojektowany z my\u015bl\u0105 o maksymalnym bezpiecze\u0144stwie i komforcie pacjenta.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-2lh0tv","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Konstrukcja zosta\u0142a opracowana tak, aby<\/p>\n<p>","innerContent":["<\/p>\n<p>Konstrukcja zosta\u0142a opracowana tak, aby<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-pxSgZz","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00fc Minimalizowa\u0107 podra\u017cnienia dr\u00f3g moczowych,<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00fc Minimalizowa\u0107 podra\u017cnienia dr\u00f3g moczowych,<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-AOKleP","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00fc Ogranicza\u0107 ryzyko inkrustacji,<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00fc Ogranicza\u0107 ryzyko inkrustacji,<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-ev5gVC","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00fc Zapewni\u0107 optymaln\u0105 dro\u017cno\u015b\u0107 moczowodu<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00fc Zapewni\u0107 optymaln\u0105 dro\u017cno\u015b\u0107 moczowodu<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-JR0BJV","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00fc U\u0142atwi\u0107 implantacj\u0119 i p\u00f3\u017aniejsze usuni\u0119cie stentu.<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00fc U\u0142atwi\u0107 implantacj\u0119 i p\u00f3\u017aniejsze usuni\u0119cie stentu.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-TdzKFV","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Dzi\u0119ki zastosowaniu wysokiej jako\u015bci silikonu medycznego stenty ImaJin\u00ae stanowi\u0105 nowoczesne rozwi\u0105zanie redukuj\u0105ce wiele najcz\u0119stszych powik\u0142a\u0144 zwi\u0105zanych ze stosowaniem klinicznym stent\u00f3w DJ. Badania pokazuj\u0105, \u017ce:<\/p>\n<p>","innerContent":["<\/p>\n<p>Dzi\u0119ki zastosowaniu wysokiej jako\u015bci silikonu medycznego stenty ImaJin\u00ae stanowi\u0105 nowoczesne rozwi\u0105zanie redukuj\u0105ce wiele najcz\u0119stszych powik\u0142a\u0144 zwi\u0105zanych ze stosowaniem klinicznym stent\u00f3w DJ. Badania pokazuj\u0105, \u017ce:<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-PwtI8f","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00fc Stenty ImaJin\u00ae Hydro redukuje dyskomfort pacjenta o 25%8<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00fc Stenty ImaJin\u00ae Hydro redukuje dyskomfort pacjenta o 25%8<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-VWOUX1","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00fc W por\u00f3wnaniu z cewnikami niesilikonowymi inkrustacja by\u0142a zredukowana o 36%9<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00fc W por\u00f3wnaniu z cewnikami niesilikonowymi inkrustacja by\u0142a zredukowana o 36%9<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-EhcXmg","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>Stenty DJ pozostaj\u0105 kluczowym elementem leczenia wielu schorze\u0144 urologicznych, jednak ich stosowanie mo\u017ce wi\u0105za\u0107 si\u0119 z szeregiem powik\u0142a\u0144, kt\u00f3re mo\u017cemy zredukowa\u0107 wyborem odpowiedniego produktu.<\/p>\n<p>","innerContent":["<\/p>\n<p>Stenty DJ pozostaj\u0105 kluczowym elementem leczenia wielu schorze\u0144 urologicznych, jednak ich stosowanie mo\u017ce wi\u0105za\u0107 si\u0119 z szeregiem powik\u0142a\u0144, kt\u00f3re mo\u017cemy zredukowa\u0107 wyborem odpowiedniego produktu.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-sXgR3U","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p><strong><em>Tw\u00f3j wyb\u00f3r sprz\u0119tu endourologicznego ma ogromny wp\u0142yw na \u017cycie Twoich pacjent\u00f3w.<\/em><\/strong><\/p>\n<p><strong><em>\u00a0<\/em><\/strong><\/p>\n<p><strong><em>\u00a0<\/em><\/strong><\/p>\n<p>","innerContent":["<\/p>\n<p><strong><em>Tw\u00f3j wyb\u00f3r sprz\u0119tu endourologicznego ma ogromny wp\u0142yw na \u017cycie Twoich pacjent\u00f3w.<\/em><\/strong><\/p>\n<p><strong><em>\u00a0<\/em><\/strong><\/p>\n<p><strong><em>\u00a0<\/em><\/strong><\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-wW2tOi","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00a01Joshi H.B., Okeke A., Newns N., Keeley F.X., Jr, Timoney A.G. Characterization of urinary symptoms in patients with ureteral stents. Urology. 2002;59:511\u2013516. doi: 10.1016\/s0090-4295(01)01644-2.<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00a01Joshi H.B., Okeke A., Newns N., Keeley F.X., Jr, Timoney A.G. Characterization of urinary symptoms in patients with ureteral stents. Urology. 2002;59:511\u2013516. doi: 10.1016\/s0090-4295(01)01644-2.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-wVEFBO","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>2 Bosio A., Alessandria E., Agosti S.C., et al. Loop-tail stents fail in reducing stent-related symptoms: results of a prospective randomised controlled trial. BJU Int. 2022;129:123\u2013129. doi: 10.1111\/bju.15395. 3 Matthias Boeykens I wsp., Impact of Ureterat Stent Material on Stent-related Symptoms: A systematic Review of the literature. Eur Urol Opec Sci. 2022 Oct 19;45:108-117. doi: 10.1016\/j.euros.2022.09.005<\/p>\n<p>","innerContent":["<\/p>\n<p>2 Bosio A., Alessandria E., Agosti S.C., et al. Loop-tail stents fail in reducing stent-related symptoms: results of a prospective randomised controlled trial. BJU Int. 2022;129:123\u2013129. doi: 10.1111\/bju.15395. 3 Matthias Boeykens I wsp., Impact of Ureterat Stent Material on Stent-related Symptoms: A systematic Review of the literature. Eur Urol Opec Sci. 2022 Oct 19;45:108-117. doi: 10.1016\/j.euros.2022.09.005<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-NWpaYg","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>4 Wiseman O., Ventimiglia E., Doizi S., et al. Effects of silicone hydrocoated double loop ureteral stent on symptoms and quality of life in patients undergoing flexible ureteroscopy for kidney stone: a randomized multicenter clinical study. J Urol. 2020;204:769\u2013777. doi: 10.1097\/JU.0000000000001098<\/p>\n<p>","innerContent":["<\/p>\n<p>4 Wiseman O., Ventimiglia E., Doizi S., et al. Effects of silicone hydrocoated double loop ureteral stent on symptoms and quality of life in patients undergoing flexible ureteroscopy for kidney stone: a randomized multicenter clinical study. J Urol. 2020;204:769\u2013777. doi: 10.1097\/JU.0000000000001098<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-ariety","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>5 Liatsikos E., Kallidonis P., Stolzenburg J.U., Karnabatidis D. Ureteral stents: past, present and future. Expert Rev Med Devices. 2009;6:313\u2013324. doi: 10.1586\/erd.09.5<\/p>\n<p>","innerContent":["<\/p>\n<p>5 Liatsikos E., Kallidonis P., Stolzenburg J.U., Karnabatidis D. Ureteral stents: past, present and future. Expert Rev Med Devices. 2009;6:313\u2013324. doi: 10.1586\/erd.09.5<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-JfoDVm","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>6 Barghouthy Y., Wiseman O., Ventimiglia E., et al. Silicone-hydrocoated ureteral stents encrustation and biofilm formation after 3-week dwell time: results of a prospective randomized multicenter clinical study. World J Urol. 2021;39:3623\u20133629. doi: 10.1007\/s00345-021-03646-0.<\/p>\n<p>","innerContent":["<\/p>\n<p>6 Barghouthy Y., Wiseman O., Ventimiglia E., et al. Silicone-hydrocoated ureteral stents encrustation and biofilm formation after 3-week dwell time: results of a prospective randomized multicenter clinical study. World J Urol. 2021;39:3623\u20133629. doi: 10.1007\/s00345-021-03646-0.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-Qal0D1","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>7 Tunney M.M., Keane P.F., Jones D.S., Gorman S.P. Comparative assessment of ureteral stent biomaterial encrustation. Biomaterials. 1996;17:1541\u20131546. doi: 10.1016\/0142-9612(96)89780-8.<\/p>\n<p>","innerContent":["<\/p>\n<p>7 Tunney M.M., Keane P.F., Jones D.S., Gorman S.P. Comparative assessment of ureteral stent biomaterial encrustation. Biomaterials. 1996;17:1541\u20131546. doi: 10.1016\/0142-9612(96)89780-8.<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-PM5KBE","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>8 Wiseman O, Ventimiglia E, Doizi S, Kleinclauss F, Letendre J, Cloutier J, Traxer O. Effects of Silicone Hydrocoated Double Loop Ureteral Stent on Symptoms and Quality of Life in Patients Undergoing Flexible Ureteroscopy for Kidney Stone: A Randomized Multicenter Clinical Study. J Urol. 2020 Oct;204(4)769-777. doi: 10.1097\/JU.0000000000001098. Epub 2020 May 5. PMID: 32364838<\/p>\n<p>","innerContent":["<\/p>\n<p>8 Wiseman O, Ventimiglia E, Doizi S, Kleinclauss F, Letendre J, Cloutier J, Traxer O. Effects of Silicone Hydrocoated Double Loop Ureteral Stent on Symptoms and Quality of Life in Patients Undergoing Flexible Ureteroscopy for Kidney Stone: A Randomized Multicenter Clinical Study. J Urol. 2020 Oct;204(4)769-777. doi: 10.1097\/JU.0000000000001098. Epub 2020 May 5. PMID: 32364838<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-wW2tOi","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>9 Barghouthy Y, Wiseman O, Ventimiglia E, et al. Silicone-hydrocoated ureteral stents encrustation and biofilm formation after 3-week dwell time: results of a prospective randomized multicenter clinical study. World J Urol. 2021. Sept; 39(9):3623-3629. doi: https:\/\/doi.org\/10.1007\/s00345- 021-03646-0<\/p>\n<p>","innerContent":["<\/p>\n<p>9 Barghouthy Y, Wiseman O, Ventimiglia E, et al. Silicone-hydrocoated ureteral stents encrustation and biofilm formation after 3-week dwell time: results of a prospective randomized multicenter clinical study. World J Urol. 2021. Sept; 39(9):3623-3629. doi: https:\/\/doi.org\/10.1007\/s00345- 021-03646-0<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-pxSgZz","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00a0<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00a0<\/p>\n<p>"]},{"blockName":"core\/paragraph","attrs":{"epAnimationGeneratedClass":"edplus_anim-BOxWa6","epGeneratedClass":"eplus-wrapper"},"innerBlocks":[],"innerHTML":"<\/p>\n<p>\u00a0<\/p>\n<p>","innerContent":["<\/p>\n<p>\u00a0<\/p>\n<p>"]},{"blockName":"core\/list","attrs":{"epStylingOptions":{"columnsResponsiveEnabled":false,"columnsHoverEnabled":false,"itemsSpacingResponsiveEnabled":false,"itemsSpacingHoverEnabled":false,"listStyleResponsiveEnabled":false,"listStyleHoverEnabled":false,"listIconResponsiveEnabled":false,"listIconHoverEnabled":false,"columns":{"target":"","responsive":true,"hover":true,"options":[{"custom":true,"control":"ToggleOptions"},{"label":"Columns","control":"Range","attribute":"columns","css":"grid-template-columns","customValue":"repeat({{value}}, 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