Abstract | PURPOSE: The purpose of the study is to describe our experience with the application of externalized double-J ureteral stent (DJUS) during pyeloplasty for correction of ureteropelvic junction obstruction (UPJO) in order to avoid cystoscopy for stent removal. MATERIALS AND METHODS: Pyeloplasty was performed in 523 infants with UPJO using miniature pyeloplasty technique. After removing the obstructed segment, a 3-Fr. DJUS was placed into the ureter. In order to avoid cystoscopy for the removal of the stent, a feeding tube was passed through the skin and renal pelvis via a separate stab incision, connected to the DJUS and secured to the external body surface (skin), and the pyeloplasty was completed. The feeding tube along with the stent was removed after 3-4 weeks, respectively. Postoperative follow-up visits were performed 1, 3, and 6 months after the procedure. RESULTS: The mean operative time was 49 min (range 41-79). Patients were discharged after 17 ± 2 h (mean ± SD). No patient experienced bladder spasm or anticholinergic administration. Forty-four patients (8.4 %) experienced minor complications including non-febrile urinary tract infections and mild hematuria. No major complication including urinoma, leakage, and stent migration or displacement was observed during the follow-up period. Stent removal was tolerated by 99.8 % of patients in an outpatient setting with minimal discomfort without performing cystoscopy. CONCLUSIONS: Using external DJUS along with a pyelocutaneous stent extension during pyeloplasty is a safe, feasible, and beneficial technique. This technique resulted in high success rate with minimal cost and no renal injury. The non-cystoscopic stent removal and elimination of urethral catheterization following pyeloplasty are the other advantages of this technique.
|
Authors | Abdol-Mohammad Kajbafzadeh, Atefeh Zeinoddini, Maryam Ebadi, Reza Heidari, Afshin Tajalli |
Journal | International urology and nephrology
(Int Urol Nephrol)
Vol. 46
Issue 4
Pg. 671-6
(Apr 2014)
ISSN: 1573-2584 [Electronic] Netherlands |
PMID | 24202957
(Publication Type: Journal Article)
|
Topics |
- Catheters, Indwelling
- Device Removal
(instrumentation, methods)
- Female
- Follow-Up Studies
- Hematuria
(etiology)
- Humans
- Infant
- Kidney Pelvis
(surgery)
- Male
- Operative Time
- Prosthesis Implantation
(adverse effects, instrumentation, methods)
- Stents
- Ureter
(surgery)
- Ureteral Obstruction
(surgery)
- Urinary Tract Infections
(etiology)
|