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[Internal urinary derivation using an antegrade approach: indications, technic and results]
V Montserrat Orri1, E Tamargo Fernández, C Gutiérrez Sanz-Gadea
1Servicio de Urología, Hospital Son Dureta, Palma de Mallorca, España.
Archivos Espanoles De Urologia
|March 1, 1990
Summary
Fluoroscopic-guided percutaneous placement of double J stents is an effective alternative when retrograde insertion fails due to ureteral obstruction. This approach offers a viable solution for managing complex urinary tract blockages.
Area of Science:
- Urology
- Interventional Radiology
Context:
- Ureteral obstruction presents a significant clinical challenge.
- Traditional retrograde double J stent placement can be difficult or impossible in cases of severe obstruction.
Purpose:
- To evaluate the efficacy and outcomes of fluoroscopy-guided percutaneous double J stent placement.
- To discuss the indications, techniques, and results of this interventional approach for ureteral obstruction.
Summary:
- A cohort of patients with diverse pathologies causing ureteral obstruction were treated.
- Percutaneous fluoroscopic guidance was employed when retrograde stent insertion was unsuccessful.
- The study details the specific reasons for failure, the procedural steps, and the clinical outcomes.
Impact:
- This technique provides a crucial alternative for managing complex ureteral obstructions.
- Successful stent placement facilitates urinary drainage and alleviates patient symptoms.
- Offers valuable insights for urologists and interventional radiologists facing challenging stent placements.