Skip to main content

Advertisement

SpringerLink
Log in

Insertion of a single double-J stent for bilateral open ureteral reimplantation: introducing a novel technique and assessment of feasibility

  • Urology - Original Paper
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Purpose

To propose a novel technique for bilateral placement of a single double-J stent during bilateral open ureteral reimplantation in order to reduce the intravesical length of stent and potentially minimize the irritative symptoms.

Methods

A retrospective chart review was performed to find patients who underwent bilateral open ureteral reimplantation. According to the patient’s age, an appropriate single double-J stent is used for stenting both ureters after open reimplantation using the Politano–Leadbetter technique. The stent is fixed to the bladder wall with a 4-0 chromic absorbable suture in the midline, superior to the intertrigonal ridge. A non-absorbable suture is also fixed to the stent in the midline as an extraction string.

Results

From June 2009 to July 2013, 20 patients underwent bilateral ureteric surgery. Twelve (60 %) were female. Patients’ age ranged from 3 months to 2 years. Double-J stents were successfully removed within 2 weeks postoperatively in all patients.

Conclusions

This technique might reduce the stent-related symptoms after open bladder surgery for bilateral ureteral surgery. Using this technique will reduce the redundant mass of ureteral stents in bladder and potentially minimize the trigonal irritation and subsequent pain and discomfort.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Lawrentschuk N, Russell JM (2004) Ureteric stenting 25 years on: routine or risky? ANZ J Surg 74(4):243–247. doi:10.1111/j.1445-2197.2004.02947.x

    Article  PubMed  Google Scholar 

  2. Mendez-Probst CE, Fernandez A, Denstedt JD (2010) Current status of ureteral stent technologies: comfort and antimicrobial resistance. Curr Urol Rep 11(2):67–73. doi:10.1007/s11934-010-0091-y

    Article  PubMed  Google Scholar 

  3. Moreira-Pinto J, Osorio A, Pereira J, Sousa C, de Castro JL, Reis A (2013) Ureteroneocystostomy after failed dextranomer/hyaluronic acid copolymer injection for vesicoureteral reflux treatment. J Pediatr Urol 9(5):665–669. doi:10.1016/j.jpurol.2012.07.021

    Article  PubMed  Google Scholar 

  4. Sung J, Skoog S (2012) Surgical management of vesicoureteral reflux in children. Pediatr Nephrol 27(4):551–561. doi:10.1007/s00467-011-1933-7

    Article  PubMed  Google Scholar 

  5. Dellis A, Joshi HB, Timoney AG, Keeley FX Jr (2010) Relief of stent related symptoms: review of engineering and pharmacological solutions. J Urol 184(4):1267–1272. doi:10.1016/j.juro.2010.06.043

    Article  PubMed  Google Scholar 

  6. Steffens J, Stark E, Haben B, Treiyer A (2006) Politano-Leadbetter ureteric reimplantation. BJU Int 98(3):695–712. doi:10.1111/j.1464-410X.2006.06407.x

    Article  PubMed  Google Scholar 

  7. Politano VA, Leadbetter WF (2002) An operative technique for the correction of vesicoureteral reflux. 1958. J Urol 167 (2 Pt 2):1055–1061; discussion 1062

  8. Palmer JS, Palmer LS (2007) Determining the proper stent length to use in children: age plus 10. J Urol 178(4 Pt 2):1566–1569. doi:10.1016/j.juro.2007.03.191

    Article  PubMed  Google Scholar 

  9. Kajbafzadeh AM, Nabavizadeh B, Keihani S, Hosseini Sharifi SH (2015) Revisiting the tethered ureteral stents in children: a novel modification. Int Urol Nephrol 47(6):881–885. doi:10.1007/s11255-015-0963-7

    Article  PubMed  Google Scholar 

  10. Wong C, Lau E, Palozzi L, Campbell F (2012) Pain management in children: part 1 - Pain assessment tools and a brief review of nonpharmacological and pharmacological treatment options. Can Pharm J (Ott) 145(5):222–225. doi:10.3821/145.5.cpj222

    Article  Google Scholar 

  11. Lamb AD, Vowler SL, Johnston R, Dunn N, Wiseman OJ (2011) Meta-analysis showing the beneficial effect of alpha-blockers on ureteric stent discomfort. BJU Int 108(11):1894–1902. doi:10.1111/j.1464-410X.2011.10170.x

    Article  PubMed  Google Scholar 

  12. Ho CH, Chen SC, Chung SD, Lee YJ, Chen J, Yu HJ, Huang KH (2008) Determining the appropriate length of a double-pigtail ureteral stent by both stent configurations and related symptoms. J Endourol 22(7):1427–1431. doi:10.1089/end.2008.0037

    Article  PubMed  Google Scholar 

  13. Rane A, Saleemi A, Cahill D, Sriprasad S, Shrotri N, Tiptaft R (2001) Have stent-related symptoms anything to do with placement technique? J Endourol 15(7):741–745. doi:10.1089/08927790152596352

    Article  CAS  PubMed  Google Scholar 

  14. Al-Kandari AM, Al-Shaiji TF, Shaaban H, Ibrahim HM, Elshebiny YH, Shokeir AA (2007) Effects of proximal and distal ends of double-J ureteral stent position on postprocedural symptoms and quality of life: a randomized clinical trial. J Endourol 21(7):698–702. doi:10.1089/end.2007.9949

    Article  PubMed  Google Scholar 

  15. Giannarini G, Keeley FX Jr, Valent F, Manassero F, Mogorovich A, Autorino R, Selli C (2011) Predictors of morbidity in patients with indwelling ureteric stents: results of a prospective study using the validated Ureteric Stent Symptoms Questionnaire. BJU Int 107(4):648–654. doi:10.1111/j.1464-410X.2010.09482.x

    Article  PubMed  Google Scholar 

  16. Damiano R, Autorino R, De Sio M, Cantiello F, Quarto G, Perdona S, Sacco R, D’Armiento M (2005) Does the size of ureteral stent impact urinary symptoms and quality of life?. A prospective randomized study. Eur Urol 48(4):673–678. doi:10.1016/j.eururo.2005.06.006

    Article  PubMed  Google Scholar 

  17. Slaton JW, Kropp KA (1996) Proximal ureteral stent migration: an avoidable complication? J Urol 155(1):58–61

    Article  CAS  PubMed  Google Scholar 

  18. Chew BH, Knudsen BE, Nott L, Pautler SE, Razvi H, Amann J, Denstedt JD (2007) Pilot study of ureteral movement in stented patients: first step in understanding dynamic ureteral anatomy to improve stent comfort. J Endourol 21(9):1069–1075. doi:10.1089/end.2006.0252

    Article  PubMed  Google Scholar 

  19. Barnes KT, Bing MT, Tracy CR (2014) Do ureteric stent extraction strings affect stent-related quality of life or complications after ureteroscopy for urolithiasis: a prospective randomised control trial. BJU Int 113(4):605–609. doi:10.1111/bju.12541

    Article  PubMed  Google Scholar 

  20. Fernando A, Bultitude M (2014) Tether your stents! BJU Int 113(4):517–518. doi:10.1111/bju.12635

    Article  PubMed  Google Scholar 

  21. Austin JC, Cooper CS (2004) Vesicoureteral reflux: surgical approaches. Urol Clin North Am 31(3):543–557. doi:10.1016/j.ucl.2004.04.018

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Pediatric Urology Research Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, No.62, Dr. Gharib’s Street, Keshavarz Boulevard, P.O. Box 1419733151, Tehran, Iran (IR)

    Behnam Nabavizadeh, Sorena Keihani, Seyed Hossein Hosseini Sharifi & Abdol-Mohammad Kajbafzadeh

Authors
  1. Behnam Nabavizadeh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sorena Keihani
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Seyed Hossein Hosseini Sharifi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Abdol-Mohammad Kajbafzadeh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Abdol-Mohammad Kajbafzadeh.

Ethics declarations

Conflict of interest

No conflict of interest exists in relation to the material of the manuscript to none of the authors.

Ethical standard

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review board and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nabavizadeh, B., Keihani, S., Hosseini Sharifi, S.H. et al. Insertion of a single double-J stent for bilateral open ureteral reimplantation: introducing a novel technique and assessment of feasibility. Int Urol Nephrol 48, 1015–1019 (2016). https://doi.org/10.1007/s11255-016-1279-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11255-016-1279-y

Keywords

Search

Navigation