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Simultaneous multiple double pigtail stents for malignant ureteral obstruction.
Debra L Fromer1, Ahmad Shabsigh, Mitchell C Benson
1Department of Urology, New York-Presbyterian Medical Center, Columbia Campus, New York, New York 10032, USA.
Urology
|April 3, 2002
Summary
Pelvic malignancies can cause ureteral obstruction resistant to standard stents. A novel technique using simultaneous bilateral ureteral stent placement offers a solution for persistent urinary tract blockages.
Area of Science:
- Urology
- Oncology
- Medical Devices
Background:
- Extrinsic compression of ureters by pelvic malignancies is a common clinical challenge.
- Standard ureteral stent placement may not adequately relieve obstruction caused by extensive pelvic tumors.
Purpose of the Study:
- To describe a novel technique for managing ureteral obstruction secondary to pelvic malignancies.
- To present initial clinical experience with simultaneous bilateral ureteral stent placement.
Main Methods:
- The technique involves the placement of two ureteral stents on the same side (ipsilateral).
- This approach was employed after failure of conventional single ureteral stenting.
Main Results:
- The described technique was successfully applied in cases where single stenting failed.
- This method provided a potential solution for persistent ureteral obstruction.
Conclusions:
- Simultaneous bilateral ureteral stenting is a viable option for refractory ureteral obstruction from pelvic malignancies.
- This technique may improve outcomes for patients with complex oncologic urinary complications.