Retrieval of migrated ureteric stents

Khan, Atif; Riaz, Ahsun; Basu, SJ

doi:10.1308/rcsann.2014.96.7.547

Cited by 1 publication

(2 citation statements)

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“…Multiple innovative endourological techniques have been described to facilitate easier access to the bladder, ureter and kidney in cases of unfavourable anatomy, surgically reconstructed urinary reservoirs or in unexpected intraoperative situations. [20][21][22][23][24] Khan et al 25 have described a 'Lasso' technique using 0 silk suture. This differs from WHISTLES as it (a) does not require the use of an access catheter and uses silk rather than Prolene sutures.…”

Section: Discussionmentioning

confidence: 99%

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The Whiston Snare Technique for Loop Extraction of Stents (WHISTLES): A novel technique for the intraureteric assembly of a loop snare for the retrograde extraction of a migrated ureteric stent

Napier-Hemy

Floyd

Samsudin

2022

Journal of Clinical Urology

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Background: While ureteric stent removal remains a frequently performed endourological procedure stent migration either proximally or distally can present the endourologist with a significant intraoperative dilemma. In cases where the stent is of large calibre or impacted into the mucosa of the ureter, retrieval may prove refractory to traditional approaches. Objective: To present a further novel procedure: The Whiston Snare Technique for Loop Extraction of Stents (WHISTLES) which allows for intraureteric assembly of a tightening loop through a ureteric catheter thus permitting safe retrieval of a migrated stent. Methods: We describe the procedure as it was performed and have recreated the steps in a laboratory environment. This demonstrates an adaptation of existing materials readily found in most urological theatres and is not a prototypical device. Results: The procedure was successfully performed to allow extraction of the migrated ureteric stent. Conclusion: WHISTLES is a reproducible method for the retrieval of migrated ureteric stents where traditional techniques have failed. Level of evidence: 5

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Section: Discussionmentioning

confidence: 99%

“…Khan et al 25 have described a ‘Lasso’ technique using 0 silk suture. This differs from WHISTLES as it (a) does not require the use of an access catheter and uses silk rather than Prolene sutures.…”

Section: Discussionmentioning

confidence: 99%