Successful transcloacal ureteral stent removal

Area of Science:

• Urology
• Pediatric Surgery
• Medical Device Removal

Background:

• Complex congenital anomalies, including cloacal anomalies and spinal dysraphism, present significant challenges in pediatric urological care.
• Ureteral stent placement is common in managing urinary tract issues, but removal can be complicated by intricate pelvic anatomy.

Observation:

• A 15-year-old female with a history of cloacal anomaly, spinal dysraphism, bicornuate uterus, reconstructed neobladder, and duplicated left pelvic kidney required ureteral stent removal.
• The patient had undergone three prior failed attempts at stent removal, including endoscopic and percutaneous approaches.

Findings:

• A percutaneous transcloacal approach was successfully employed for ureteral stent removal in this highly complex pediatric patient.
• This minimally invasive technique proved effective after previous interventions failed.

Implications:

• The percutaneous transcloacal approach represents a viable and effective strategy for ureteral stent removal in patients with complex congenital anomalies and pelvic malformations.
• This case highlights the importance of considering alternative minimally invasive techniques when standard methods for stent removal are unsuccessful in pediatric urology.