[Internal urinary drainage by double J stent in pediatric urology]

Area of Science:

• Pediatric Urology
• Urologic Surgery
• Medical Devices

Context:

• The management of urinary drainage in pediatric patients presents unique challenges.
• External tube diversions like ureteral stents or nephrostomy tubes are common but can be burdensome.
• Double pigtail ureteral stents offer a less invasive internal drainage solution.

Purpose:

• To evaluate the efficacy and safety of double pigtail ureteral stents in pediatric patients.
• To assess the indications and outcomes of double pigtail stent placement in children.
• To compare double pigtail stents with external drainage methods in pediatric urology.

Summary:

• A study involving 16 children (15 days to 13 years) utilized double pigtail ureteral stents for various indications including pyeloplasty, renal trauma, and tumor compression.
• The procedure demonstrated advantages such as excellent patient tolerance, secure and efficient drainage, and reduced hospital stays.
• Complications included anastomotic leaks and postoperative renal retention in a small subset of pyeloplasty cases.

Impact:

• Double pigtail ureteral stents provide a valuable and well-tolerated alternative to external urinary diversion in pediatric urology.
• This internal drainage method enhances patient comfort and potentially shortens hospitalization periods.
• Future advancements in retrieval technology may allow for non-endoscopic removal, further improving outpatient management.