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Published on: July 8, 2025
Image-guided pediatric ureteric stent insertions: an 11-year experience
Madeleine Sertic1, Joao Amaral1, Dimitri Parra1
1Image Guided Therapy, Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8.
Double J ureteric stent placement in children by interventional radiologists is highly effective, with 95% technical and functional success rates. This image-guided procedure offers a safe treatment option for pediatric urologic obstructive conditions.
Area of Science:
- Pediatric Urology
- Interventional Radiology
- Medical Device Technology
Background:
- Urologic obstructive conditions in children can lead to significant morbidity.
- Double J ureteric stents are crucial for managing these conditions.
- Minimally invasive techniques are preferred for pediatric interventions.
Purpose of the Study:
- To evaluate the technical success and complication rates of double J ureteric stent placements in pediatric patients.
- To assess the efficacy of image-guided stent insertion performed by interventional radiologists.
Main Methods:
- Retrospective analysis of 59 double J ureteric stent placements in 35 pediatric patients (2001-2011).
- Data included patient demographics, procedural details, success rates, and complications.
- Descriptive statistics were used to analyze the outcomes.
Main Results:
- Technical success rate was 95% (56/59) and primary functional success was 95% (53/56).
- 49 procedures were performed, including de novo insertions and exchanges.
- Complications were low, with two minor intra-procedural and four post-procedural events.
Conclusions:
- Image-guided double J ureteric stent insertion is an effective treatment for pediatric urologic obstructive conditions.
- The procedure demonstrates high technical and functional success rates in pediatric patients.
- Interventional radiology offers a safe and effective approach for pediatric stent placement.
Related Concept Videos
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
Urologic Endoscopic Procedure: Cystoscopic Examination
Imaging Studies I: Kidney, Ureter, and Bladder Studies
Imaging Studies II: Ultrasonography
Imaging Studies VI: Voiding Cystourethrography and Cystography
Imaging Studies III: Computed Tomography

