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Intraoperative double-J stent insertion in children with scintigraphic impaired renal function and obstructive

E Erculiani1, N Zampieri, M Cecchetto

  • 1Paediatric Surgical Unit, Department of Surgical Sciences, Policlinico ''G. B. Rossi'', University of Verona, Verona, Italy.

Minerva Urologica E Nefrologica = the Italian Journal of Urology and Nephrology
|April 23, 2008
PubMed

Insights

Ureteral double-J (DJ) stents safely improve kidney growth in children with urinary tract malformations. Long-term stenting (over 3 months) shows the best clinical and radiological results.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Medical Devices

Background:

  • Ureteral double-J (DJ) stents are common in urology.
  • Their efficacy in pediatric patients requires further clarification.

Purpose of the Study:

  • To assess the benefits and effectiveness of ureteral stents in children.
  • To correlate clinical and radiological data with stent duration.

Main Methods:

  • 24 pediatric patients (2-13.5 months) with obstructive urinary tract malformations underwent ureteral stenting.
  • Evaluated clinical and radiological variables, including blood tests and imaging, pre-, intra-, and post-stenting.

Main Results:

  • Stent insertion improved renal parenchymal thickness and growth.
  • Improvements correlated with stent duration (>3 months), but not with blood or scintigraphic values.
  • No significant correlation found between improved blood tests and scintigraphic values.

Conclusions:

  • Long-term internal urinary diversion with DJ stents is safe and effective in pediatric patients.
  • Late complications associated with ureteral stents are infrequent.
Abstract

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