A Simple Technique to Change an Obstructed Ureteral Stent in Patients With an Ileal Conduit

Saito, Motoaki; Sakaridani, Naoyuki; Yamamoto, Yasuhisa; Miyagawa, Ikuo

doi:10.1016/s0022-5347(05)67039-5

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…By using this "bridge" technique, we have successfully changed the obstructed single-J stents two times for this patient. Before we started this method, we preferred to perform retrograde flexible cystoscopy or anterograde (7). But we found it was very difficult to insert 5-Fr ureteral catheter through the guide wire and detach the guide wire from the obstructed ureteral stent by their method.…”

Section: Discussionmentioning

confidence: 99%

A “bridge” technique to replace the obstructed single-J stent in the patient with ileal conduit urinary diversion: a case report

Yang¹,

Li²,

Wang³

2021

Transl Androl Urol

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The ureteroileal anastomotic stricture is a complication of ileal conduit urinary diversion. To prevent the hydronephrosis and protect the renal function, a single-J ureteral stent may be needed. However, the most common complication of these patients is single-J stent obstruction. To solve this problem, we describe an easy, useful and low-cost technique to replace the obstructed ureteral stent under radiographic guidance without intervention by flexible cystoscopy or percutaneous nephrostomy. The key steps of our procedure are to identify the location of the stricture, to place the super smooth guide wire into pinhole of the obstructed single-J stent and to get the super smooth guide wire and 5-Fr ureteral catheter across the stricture. Our case was a 40-year-old male patient who was diagnosed as pelvic lipomatosis and received ileal conduit urinary diversion 3 years ago. The left-side ureteroileal anastomotic stricture occurred 1 year after surgery. He refused to repair the stricture by open or other minimal invasive surgery. He regularly changed his ureteral stent with intervals of three months. As the stent was obstructed by the stone, the guide wire couldn't be inserted through the primary ureteral stent. We used our "bridge" technique to solve his problem successfully. No bleeding and no urinary tract infection were observed after intervention. The urine from the ureteral stent was fluent. We think that this "bridge" technique may be a good choice for the replacement of the obstructed single-J stent in the patients of ileal conduit urinary diversion.

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Section: Discussionmentioning

confidence: 99%

A “bridge” technique to replace the obstructed single-J stent in the patient with ileal conduit urinary diversion: a case report

Yang¹,

Li²,

Wang³

2021

Transl Androl Urol

View full text Add to dashboard Cite

show abstract

Preparation and property evaluation of biodegradable elastomeric PTMC/PLCL networks used as ureteral stents

Gao

Liu

et al. 2021

Colloids and Surfaces A: Physicochemical and Engineering Aspect

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A Simple Technique to Change an Obstructed Ureteral Stent in Patients With an Ileal Conduit

Abstract: Our technique is simple, easy and highly successful for changing an obstructed ureteral stent.

Cited by 2 publications

References 2 publications

A “bridge” technique to replace the obstructed single-J stent in the patient with ileal conduit urinary diversion: a case report

A “bridge” technique to replace the obstructed single-J stent in the patient with ileal conduit urinary diversion: a case report

Preparation and property evaluation of biodegradable elastomeric PTMC/PLCL networks used as ureteral stents

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