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Ureteral stenting using a combined antegrade/retrograde procedure. A technique for difficult cases
B Wirth1, T Loch, I Papadopoulos
1Department of Urology, Christian-Albrechts-University, Kiel, Germany.
Scandinavian Journal of Urology and Nephrology
|February 1, 1997
Summary
This study introduces a combined antegrade/retrograde ureteral stenting technique for difficult cases. The method successfully placed ureteral stents when standard cystoscopic approaches failed, offering an alternative to percutaneous nephrostomy.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Ureteral stenting is a common urological procedure.
- Standard cystoscopic stent placement can fail even with technical aids.
- Percutaneous nephrostomy is often used but not always feasible.
Purpose of the Study:
- To describe and evaluate a combined antegrade/retrograde ureteral stenting technique.
- To assess the efficacy of this technique in cases of failed cystoscopic stenting.
- To provide an alternative for patients where percutaneous nephrostomy is not suitable.
Main Methods:
- A combined antegrade/retrograde approach was utilized.
- This involved antegrade guide wire insertion followed by retrograde ureteral stenting.
- The technique was applied in challenging cases of ureteral stent placement.
Main Results:
- The combined antegrade/retrograde technique was successful in 8 out of 12 cases.
- This method allowed for ureteral stent insertion when other methods failed.
- It provided a viable option in complex urological scenarios.
Conclusions:
- The combined antegrade/retrograde ureteral stenting technique is effective for difficult cases.
- It should be considered when conventional stenting fails and percutaneous nephrostomy is not an option.
- This approach expands treatment possibilities for ureteral stent placement.