Retained ureteral stents in patients lost to follow-up present a challenge to urologists. Patients may present with recurrent flank pain, pyelonephritis, stent migration or encrustation, and ureteral obstruction, with resultant renal failure. Rarely, a long-indwelling period may result in stent fragmentation. Herein, we present a case of a fractured retained ureteral stent noted in a patient lost to follow-up for five years and resurfaced only after complaints of contralateral renal colic.
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