{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:00:34Z","timestamp":1777518034963,"version":"3.51.4"},"reference-count":53,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,5,6]],"date-time":"2015-05-06T00:00:00Z","timestamp":1430870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Extrinsic malignant compression of the ureter is not uncommon, often refractory to decompression with conventional polymeric ureteral stents, and frequently associated with limited survival. Alternative options for decompression include tandem ureteral stents, metallic stents and metal\u2010mesh stents, though the preferred method remains controversial. We reviewed and updated our outcomes with tandem ureteral stents for malignant ureteral obstruction, and carried out a PubMed search using the terms \u201cmalignant ureteral obstruction,\u201d \u201ctandem ureteral stents,\u201d \u201cipsilateral ureteral stents,\u201d \u201cmetal ureteral stent,\u201d \u201cresonance stent,\u201d \u201csilhouette stent\u201d and \u201cmetal mesh stent.\u201d A comprehensive review of the literature and summary of outcomes is provided. The majority of studies encountered were retrospective with small sample sizes. The evidence is most robust for metal stents, whereas only limited data exists for tandem or metal\u2010mesh stents. Metal and metal\u2010mesh stents are considerably more expensive than tandem stenting, but the potential for less frequent stent exchanges makes them possibly cost\u2010effective over time. Urinary tract infections have been associated with all stent types. A wide range of failure rates has been published for all types of stents, limiting direct comparison. Metal and metal\u2010mesh stents show a high incidence of stent colic, migration and encrustation, whereas tandem stents appear to produce symptoms equivalent to single stents. Comparison is difficult given the limited evidence and heterogeneity of patients with malignant ureteral obstruction. It is clear that prospective, randomized studies are necessary to effectively scrutinize conventional, tandem, metallic ureteral and metal\u2010mesh stents for their use in malignant ureteral obstruction.<\/jats:p>","DOI":"10.1111\/iju.12795","type":"journal-article","created":{"date-parts":[[2015,5,7]],"date-time":"2015-05-07T00:43:37Z","timestamp":1430959417000},"page":"629-636","source":"Crossref","is-referenced-by-count":68,"title":["Stenting for malignant ureteral obstruction: Tandem, metal or metal\u2010mesh stents"],"prefix":"10.1111","volume":"22","author":[{"given":"Sammy E","family":"Elsamra","sequence":"first","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A","family":"Leavitt","sequence":"additional","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hector A","family":"Motato","sequence":"additional","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin I","family":"Friedlander","sequence":"additional","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Siev","sequence":"additional","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Keheila","sequence":"additional","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M","family":"Hoenig","sequence":"additional","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur D","family":"Smith","sequence":"additional","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeph","family":"Okeke","sequence":"additional","affiliation":[{"name":"The Smith Institute for Urology Hofstra\u2010North Shore\u2010LIJ Health System  New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000181807.56114.b7"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000130510.28768.f5"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02305670"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.03.026"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.09.102"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)59536-1"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.02.025"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.11.008"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.08.094"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2008.01.046"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38729-3"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1985.tb07021.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65666-2"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.1999.13.521"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2005.19.63"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.07.008"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.4111\/kju.2013.54.5.316"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)64050-3"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)01646-6"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.05.025"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/089277901317203047"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2011.02.038"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2013.0281"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2005.10.038"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2011.0332"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.08.125"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.08.007"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0513"},{"key":"e_1_2_12_30_1","first-page":"11","article-title":"Full\u2010length metallic Double J stents: a review of Resonance stents","volume":"5","author":"Newton MR","year":"2011","journal-title":"Clinical Medicine Insights: Urology"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.20.300"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-007-9043-4"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-008-0245-4"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09842.x"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2010.0121"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.02.004"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0454"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.02.008"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.02.070"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.04.113"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2010.162"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2012.0263"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199707000-00015"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0302-2838(02)00281-6"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2011.0308"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.198.1.8539359"},{"key":"e_1_2_12_47_1","first-page":"675","article-title":"Urothelial hyperplasia complicating use of metal stents in malignant ureteral obstruction","volume":"6","author":"Hekimo\u011flu B","year":"1996","journal-title":"Eur. Radiol."},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.08018.x"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.08.040"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0138"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0318"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1159\/000326081"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2011.0481"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0192"}],"container-title":["International Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiju.12795","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iju.12795","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T04:58:38Z","timestamp":1696309118000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iju.12795"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,6]]},"references-count":53,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1111\/iju.12795"],"URL":"https:\/\/doi.org\/10.1111\/iju.12795","archive":["Portico"],"relation":{},"ISSN":["0919-8172","1442-2042"],"issn-type":[{"value":"0919-8172","type":"print"},{"value":"1442-2042","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,6]]}}}