This topic is about someone who is facing a decision between trying new metallic ureteral stents or moving to a urostomy due to complications from previous radiation treatment. The person had ureteral stents placed to relieve kidney blockage, but these became heavily encrusted. Now, they are exploring options to manage this issue. Here are some insights and advice shared by others:

1. The new metallic ureteral stents might be a good option as they are reported to resist encrustation better than traditional plastic stents.

2. Before making a decision, it might be helpful to have the encrustation chemically analyzed to understand its composition, such as calcium or uric acid. This could lead to simple solutions like increasing hydration or taking specific supplements to prevent crystal build-up.

3. Consider other procedures like lithotripsy or ureteral dilatation, which might help by enlarging the ureteral diameter and relieving obstruction without needing permanent stents or a diversion.

4. Increasing fluid intake and adjusting diet or supplements could be beneficial once the mineral makeup of the encrustation is known. Some believe that radiation alone might not be the only cause.

5. It's advisable to seek a second opinion from a urologist who has experience with complex ureteral strictures before deciding on a permanent diversion.

The person is also considering how these options might affect their lifestyle, especially since they are a pilot and a urostomy could simplify long flights, though they hope to avoid it if possible.