Related Experiment Video
Updated: Jan 31, 2026
06:37
An Immature Murine Model of Reversible Unilateral Ureteral Obstruction
Published on: April 4, 2025
854
Extra-Anatomic Stents in Ureteric Obstruction: Our Experience.
James J Y Chong1, Francesca Kum1, Marios Hadjipavlou1
11 Department of Urology, Guy's and St Thomas' Hospitals, London, United Kingdom.
Journal of Endourology
|December 27, 2018
Summary
The Detour extra-anatomic stent (EAS) offers a viable alternative for urinary diversion in complex ureteric obstruction cases. This stent system can improve quality of life for carefully selected patients with malignant disease.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Ureteric obstruction due to malignancy or complex strictures presents significant management challenges.
- Long-term nephrostomy drainage is often undesirable for patients with advanced disease or comorbidities.
Purpose of the Study:
- To evaluate the experience and outcomes of using the Detour extra-anatomic stent (EAS) for ureteric obstruction.
- To assess the efficacy and safety of EAS as an alternative to traditional urinary diversion methods.
Main Methods:
- Retrospective analysis of 20 Detour EAS implantations in 13 patients between 2001 and 2017.
- Indications included malignancy-related obstruction or injury; follow-up averaged 12 months.
Main Results:
- Successful drainage was achieved in all cases post-treatment or revision.
- Complications included urinary leaks and infections; one death was stent-related.
- Seven patients died from disease progression with functioning stents; five remain well.
Conclusions:
- The Detour EAS system is a suitable option for urinary diversion in selected patients.
- It can provide a good quality of life for patients with comorbidities and malignant disease.
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