Objective To report our experience with metallic self-quality of life was improved and symptoms such as loin pain were ameliorated. Renal function was pre-expanding stents in the palliative care of patients with ureteric obstruction caused by advanced pelvic served; the mean serum creatinine level before and after stenting was 636 and 263 mmol/L, respectively). malignancy. Patients and methods Seven patients (five men and twoThe mean duration of stent patency was 9 months. Of the five patients who subsequently died, only two women, mean age 72.8 years, range 58-88) with ureteric obstruction caused by advanced pelvic malig-had recurrent renal failure, presumably caused by stent occlusion. nancy were evaluated. Self-expanding metallic Memotherm@ stents (Angiomed, Karlsruhe, Conclusions The use of metallic stents in the palliative care of ureteric obstruction caused by advanced pelvic Germany) were deployed using an antegrade approach in all patients. Patients were followed for a mean malignancy is a safe and eCective treatment. Keywords Metallic stent, ureteric obstruction, palliation, (range) of 9 (4-13) months to assess renal function and survival. pelvic malignancy Results All seven patients had good palliation; their or intrinsic) influence the patency of the stent, e.g. the