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Updated: May 20, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

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Published on: November 22, 2019

The double wire technique: an alternative method for difficult ureteroscopic access.

Yakup Bostanci, Ender Ozden, Fatih Atac

Urological Research

|July 5, 2012

Summary

This summary is machine-generated.

Intentional ureteral stenting can improve the success of repeat ureteroscopy for impacted ureteral stones, especially when advanced equipment is unavailable. Post-stent procedures benefit from a dilated ureter, aiding stone extraction.

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Last Updated: May 20, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Area of Science:

Urology
Endourology
Nephrolithiasis Management

Background:

Ureteral stone treatment can be challenging, with initial ureteroscopy sometimes failing.
The study by Ji et al. investigated the impact of intentional ureteral stenting on the success rate of secondary ureteroscopy for impacted ureteral stones.
This research addresses a gap in understanding how pre-stenting affects outcomes in difficult ureteral stone cases.

Discussion:

Pre-existing ureteral stents may enhance the success rate of subsequent ureteroscopy, particularly in cases lacking flexible ureteroscopy and laser lithotripsy.
The dilation of the ureter facilitated by a stent offers a significant advantage for the second ureteroscopic procedure.
The authors' discussion highlights the practical implications of stenting in challenging ureteral stone extraction scenarios.

Key Insights:

Intentional ureteral stenting can improve the success rate of calculus extraction during repeat ureteroscopy for impacted ureteral stones.
The benefit of stenting is more pronounced when advanced tools like flexible ureteroscopes and laser lithotripters are not available.
A dilated ureter post-stenting provides a more favorable working environment for stone removal.

Outlook:

Further research could explore optimal stenting protocols for various ureteral stone impaction severities.
Investigating the cost-effectiveness of pre-stenting versus alternative advanced lithotripsy techniques is warranted.
Comparative studies evaluating different stent types and indwelling times could refine clinical practice.