Ureteral Stenting Via an Ileal Conduit Using a Gastroscope

Abstract

A fiber optic gastroscope may have advantages over conventional urological instrumentation for inserting ureteral stents in patients with an ileal conduit. This novel, simple technique is less invasive than percutaneous stenting and easier than fluoroscopic cannulation of the ureters. It is readily repeated.

Ureteroscopía flexible en derivación urinaria-bricker con colocación retrógrada de stent ureteral: reporte de caso

“…En el 2002, Woods SD, Reisner GS., presentaron una técnica de colocación de stents ureterales a través de un conducto ileal usando un gastroscopio, una técnica no descrita previamente; mencionaron que la fibra óptica del gastroscopio facilitó la visualización y canulación fluoroscópica de los uréteres implantados, pudiendo tener ventajas para la inserción de stents ureterales, siendo menos invasiva que la colocación de stents percutáneos 5 .…”

A simple and comfortable technique for replacing ureteric stents in patients with strictured uretero‐intestinal anastomosis or strictures at the vesico‐ureteric junction

“…The antegrade or retrograde insertion of a ureteric stent in patients with a ureteroileal anastomotic stricture after radical cystectomy and urinary diversion to an ileal conduit can be difficult, and different procedures have been reported to manage it [1–3]. Stricture of a vesico‐ureteric anastomosis after a complicated ureteroneocystostomy, as after radiotherapy, can make continuous stenting necessary.…”

“…Difficulties occur especially when the ureteric neo‐orifice is hidden or displaced after a ureteroneocystostomy or after an ileal conduit is created. Especially when the anastomosis is constricted, stent insertion poses a challenge for the doctor, regardless of whether retrograde [3,4] or antegrade [6] stent insertion is chosen.…”