The Tooting Tube: a bespoke high-arm sling for upper limb rehabilitation

Abstract

Endourological retrograde cannulation of the transplant ureter may be required for diagnostic studies, ureteroscopy or stent insertion. This can be challenging owing to the angle of transplant ureter (TU) entry into the bladder dome or side wall. Normally, a guidewire and straight ureteric catheters placed through a rigid cystoscope are used to cannulate the native ureteric orifice but these are often inadequate to access the TU. A flexible cystoscope can be used to insert a guidewire into a difficult TU orifice. An alternative technique is presented using angled angiography catheters (Fig 1) placed via a rigid cystoscope.