Irish Journal of Medical Science (1971 -)

, Volume 188, Issue 1, pp 283–288 | Cite as

To tube or not to tube? Utilising a tubeless antegrade ureteric stenting system in a tertiary referral hospital

  • Aisling T. LooneyEmail author
  • Padraig J. A. Daly
  • Ivor M. Cullen
  • Peter MacMahon
  • Ian M. G. Kelly
Original Article



To assess the benefits and complications of developing a practice of single-stage primary ureteral stenting in a university hospital.


A practice change developed from the traditional practice of multi-stage stenting to single-episode stent placement. To evaluate this change of practice, we retrospectively analysed data of 70 patients who underwent primary tubeless antegrade ureteric stenting and compared this group to the previous 54 patients who had a covering nephrostomy.


There was an overall success rate of 91.3% (85/93 stents having had tubeless antegrade stenting). There were no major and 33 minor complications. The comparative group of 54 patients whose stents had a covering nephrostomy had a median length of stay of 13.2 days compared to 7.4 days for the tubeless group.


Single-stage primary ureteric stenting is a safe practice to employ and has universal benefits for both the patient and the health service.


Hydronephrosis Interventional radiology Pyonephrosis Ureteric obstruction Ureteric stenting 



Interventional radiology




Grams per decilitre


Grams per litre


Pelvi-ureteric junction


Compliance with ethical standards

Informed consent was obtained from all individual participants included in the study. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Royal Academy of Medicine in Ireland 2018

Authors and Affiliations

  • Aisling T. Looney
    • 1
    Email author
  • Padraig J. A. Daly
    • 1
  • Ivor M. Cullen
    • 1
  • Peter MacMahon
    • 2
  • Ian M. G. Kelly
    • 3
  1. 1.Department of Urology, Department of SurgeryUniversity Hospital WaterfordWaterfordIreland
  2. 2.Department of RadiologyMater Misericordiae University HospitalDublin 7Ireland
  3. 3.Department of Interventional RadiologyUniversity Hospital WaterfordWaterfordIreland

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