Related Experiment Videos
Percutaneous antegrade ureteric stent removal using a rigid alligator forceps
M F Given1, T Geoghegan, S M Lyon
1Department of Radiology, Beaumont Hospital, Dublin, Ireland. givenmark@hotmail.com
Journal of Medical Imaging and Radiation Oncology
|January 31, 2009
Summary
Percutaneous antegrade ureteric stent removal using alligator forceps is a safe and effective method. This technique is particularly useful when traditional stent removal methods have failed, offering a viable alternative for complex cases.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Ureteral stents are commonly used to treat various urological conditions.
- Stent removal can sometimes be challenging due to migration or encrustation.
- Percutaneous antegrade removal offers an alternative approach for difficult stent retrievals.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous antegrade ureteric stent removal.
- To assess the success rate and complication profile of this minimally invasive technique.
Main Methods:
- A prospective study involving 20 patients requiring ureteric stent removal.
- Utilized rigid alligator forceps for percutaneous antegrade stent retrieval under radiological guidance.
- Indications included stone disease, malignancy, and transplant anastomotic strictures.
Main Results:
- Successful retrieval of 22 ureteric stents in 20 patients (95% technical success rate).
- No major complications were reported.
- Minor complications included nephrostomy site pain (2), periprocedural sepsis (1), and a small urinoma (1), all managed conservatively.
Conclusions:
- Percutaneous antegrade ureteric stent removal with alligator forceps is a safe and effective procedure.
- This method is particularly beneficial for patients with failed initial stent removal attempts.
- It represents a valuable option in the management of challenging ureteric stent retrievals.
