Fluoroscopy-Guided Transurethral Removal and Exchange of Ureteral Stents in Female Patients: Technical Notes

Park, Sang Woo; Ho, In; Hong, Suk Joo; Yi, Jeong Geun; Jeon, Hae Jeong; Park, Jeong Hee; Park, Sang Joon

doi:10.1016/j.jvir.2006.12.722

Cited by 33 publications

(38 citation statements)

References 7 publications

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“…A potential complication of stent replacement in fluoroscopic technique is migration of distal tip of stent 8,10 and, in this case, to take out the stent ureterorenoscopically was not always possible because of ureteral invasion or calibration. In our technique we slide the stent over guidewire with hand manipulations instead of pusher until the external ureteral meatus, not until the bladder lumen.…”

Section: Discussionmentioning

confidence: 94%

“…Then a new stent was placed over a 0.035-inch guide wire that had been previously coiled in the renal pelvis. Four techniques were implemented to remove or exchange 8 Recently, Kawahara et al described a new ureteral stent exchange technique using a crochet hook under fluoroscopic guidance. 9 All investigators reported highly successes with acceptable rate of complications.…”

Section: Discussionmentioning

confidence: 99%

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Manual Replacement of Double J Stent Without Fluoroscopy

Köse

Görgel

Özbir

et al. 2015

International Surgery

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It is not always possible to replace a ureteric stent with a new one due to the fact that tumoral effect increases in ureter with time. We present our experience of manual replacement of double J stent without fluoroscopy. The data from 23 female patients who underwent double J stent replacement with a total of 110 times was retrospectively analyzed. The steps of technique are as follows: take out distal end of the double J stent through urethra to external urethral meatus cystoscopically, insert a 0.035-inch guide wire through double J stent to the renal pelvis or intra pelvicaliceal system, take out old double J stent over guide wire, slide new stent over guide wire and at external meatus level take out guide wire while gently sliding distal end of double J stent over guide wire into urethra. The mean age was 58.39 6 9.21 years. Cervical, endometrial, and ovarian cancer were diagnosed in 16, 4, and 3 patients respectively. The mean follow-up and indwelling period were 13.8 6 5.2, 3.8 6 0.6 months, respectively. Increased pelvicaliceal dilatation, serum creatinine level, or renal parenchymal loss was not observed. Replacement of double J stents with this technique is easy and can be used successfully in distal ureteral obstructions.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Manual Replacement of Double J Stent Without Fluoroscopy

Köse

Görgel

Özbir

et al. 2015

International Surgery

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“…Cystoscopic retrograde removal or exchange of these stents has been considered the standard method (2). However, because of the rigidity and larger diameter of cystoscopes, some patients need deep sedation or general anesthesia for pain management during the procedure (2).…”

Section: Introductionmentioning

confidence: 99%

“…However, because of the rigidity and larger diameter of cystoscopes, some patients need deep sedation or general anesthesia for pain management during the procedure (2). In addition, the cystoscopic retrograde approach is impossible in patients with distorted anatomy secondary to urinary diversion, large prostate, or urethral stricture (3).…”

Section: Introductionmentioning

confidence: 99%

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Retrograde exchange of a double J stent via a cystostomy tract

et al. 2014

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Clinical significance of ureteral stent removal by flexible cystoscopy on pain and satisfaction in young males: a prospective randomised control trial

et al. 2015

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The cystoscopic removal of ureteral stents causes discomfort and pain, especially in young male patients. We aimed to evaluate the usefulness of ureteral stent removal by flexible cystoscopy on pain and satisfaction in young males. In total, 104 patients undergoing ureteroscopic removal of stones with indwelling of ureteral stent (May 2013-July 2015) were randomised to receive a ureteral stent removal by either rigid cystoscopy (group 1) or flexible cystoscopy (group 2). Visual analogue scale (VAS) pain score and satisfaction scale score were assessed immediately after stent removal. All patients were males and the mean age was 22.72 ± 2.49 years. Group 2 showed significantly lower VAS pain score (p < 0.001) and higher satisfaction scale score (p < 0.001) than group 1. Ureteral stent removal by flexible cystoscopy may offer advantages on pain and satisfaction to young male patients.

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Fluoroscopy-Guided Transurethral Removal and Exchange of Ureteral Stents in Female Patients: Technical Notes

Cited by 33 publications

References 7 publications

Manual Replacement of Double J Stent Without Fluoroscopy

Manual Replacement of Double J Stent Without Fluoroscopy

Retrograde exchange of a double J stent via a cystostomy tract

Clinical significance of ureteral stent removal by flexible cystoscopy on pain and satisfaction in young males: a prospective randomised control trial

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