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Updated: May 13, 2026

A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
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Published on: December 20, 2014

Split ureteral stent after ureteroureterostomy.

Guy Hidas1, Gordon McLorie, Irene McAleer

  • 1Department of Urology, University of California Irvine, Children's Hospital of Orange County, Orange, CA, USA. guy@hidas.net

Journal of Pediatric Urology
|March 26, 2013
PubMed
Summary

This study presents a novel technique for ureteroureterostomy using a single, split indwelling stent. This method ensures drainage of both ureters, improving outcomes for duplicated collecting systems.

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Area of Science:

  • Urology
  • Surgical Techniques
  • Pediatric Surgery

Background:

  • Ipsilateral ureteroureterostomy is a surgical option for duplicated collecting systems.
  • Indwelling stents are crucial for managing anastomotic integrity and drainage post-surgery.
  • Current stent placement strategies have limitations and are debated.

Purpose of the Study:

  • To describe a novel technique for ureteral stent placement in ipsilateral ureteroureterostomy.
  • To address the controversy surrounding stent positioning in this procedure.
  • To propose a method for ensuring drainage of both ureters with a single stent.

Main Methods:

  • A modified technique using a single indwelling stent is described.
  • The stent is proximally split just across the ureteroureterostomy anastomosis.
  • This allows for drainage through both ureteral segments.

Main Results:

  • The described technique facilitates drainage of both ureters.
  • It potentially simplifies the management of indwelling stents in ureteroureterostomy.
  • This approach may help prevent complications like anastomotic leak or stricture.

Conclusions:

  • A single, split ureteral stent offers a viable technique for ipsilateral ureteroureterostomy.
  • This method ensures bilateral ureteral drainage, addressing previous controversies.
  • Further studies may evaluate long-term outcomes and efficacy.