Unusual stent after ureteral substitution. A first case

Area of Science:

• Urology
• Medical Imaging
• Surgical Devices

Background:

• Ureteral surgery commonly employs urological stents for reconstruction and support.
• Alternative materials and devices may be utilized in complex cases or when standard options are unavailable.

Observation:

• A 32F Silastic drain was discovered within the urinary tract of a female patient post-ileal loop ureter replacement.
• The patient had undergone multiple surgeries for persistent hydronephrosis following initial treatment for post-hysterectomy stricture.

Findings:

• Plain abdominal X-rays provided misleading radiological findings.
• Computed tomography (CT) accurately characterized the Silastic drain and surrounding anatomy.

Implications:

• This represents the first reported instance of Silastic drain use in ureteral surgery, differing from standard double J stents.
• While non-conventional devices can be managed, routine use of Silastic drains in ureteral surgery is not recommended based on this experience.