scholarly journals A Simple and Novel Method to Attain Retrograde Ureteral Access after Previous Cohen Cross-Trigonal Ureteral Reimplantation

2017 ◽  
Vol 11 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Ahmed Adam
Keyword(s):  
Stent Insertion ◽  
Needle Puncture ◽  
Ureteral Reimplantation ◽  
Ureteric Orifice ◽  
Retrograde Pyelogram ◽  
Novel Method ◽  
Jj Stent

Objective: To describe a simple, novel method to achieve ureteric access in the Cohen crossed reimplanted ureter, which will allow retrograde working access via the conventional transurethral method. Materials and Methods: Under cystoscopic vision, suprapubic needle puncture was performed. The needle was directed (bevel facing) towards the desired ureteric orifice (UO). A guidewire (with a floppy-tip) was then inserted into the suprapubic needle passing into the bladder, and then easily passed into the crossed-reimplanted UO. The distal end of the guidewire was then removed through the urethra with cystoscopic grasping forceps. The straightened ureter then easily facilitated ureteroscopy access, retrograde pyelogram studies, and JJ stent insertion in a conventional transurethral method. Results: The UO and ureter were aligned in a more conventional orthotopic course, to allow for conventional transurethral working access. Conclusion: A novel method to access the Cohen crossed reimplanted ureter was described. All previously published methods of accessing the crossed ureter were critically appraised.

POD-01.06 Our Experience in the Use of JJ-Stent after Resection of the Ureteric Orifice During TURB

Urology ◽  
2011 ◽  
Vol 78 (3) ◽  
pp. S3
Author(s):  
R. Giulianelli ◽  
F. Attisani ◽  
L. Albanesi ◽  
S. Brunori ◽  
B. Gentile ◽  
...  
Keyword(s):  
Ureteric Orifice ◽  
Jj Stent

Novel method of stent insertion for malignant lower rectal obstruction with proximal releasing delivery system (with video)

2013 ◽  
Vol 78 (6) ◽  
pp. 930-933 ◽  
Author(s):  
Kee Myung Lee ◽  
Sun Gyo Lim ◽  
Sung Jae Shin ◽  
Jin Hong Kim ◽  
Dae Hwan Kang ◽  
...  
Keyword(s):  
Delivery System ◽  
Stent Insertion ◽  
Novel Method ◽  
Rectal Obstruction

scholarly journals Uretrorenoscopy laser lithotripsy treatment of stones impacted in the left ureter 10 years after right kidney autotransplantation

2014 ◽  
Vol 71 (10) ◽  
pp. 972-974
Author(s):  
Novak Milovic ◽  
Vladimir Bancevic ◽  
Goran Teodorovic
Keyword(s):  
Percutaneous Nephrostomy ◽  
Laser Lithotripsy ◽  
Stent Insertion ◽  
Large Defect ◽  
Left Ureter ◽  
Stone Treatment ◽  
The Right ◽  
Graft Interposition ◽  
Jj Stent ◽  
Kidney Autotransplantation

Introduction. Urinary tract calculosis is a very common condition in general population. It appears in 5-10% of population, and can be managed conservatively or by minimally invasive, endoscopic and surgical procedures or extracorporeal shock way lithotripsy. Lesions of the ureter can be resolved by JJ stent insertion, end-to-end anastomosis, ureterocystoneostomy, percutaneous nephrostomy, nephrectomy, intestinal graft interposition or kidney autotransplantation. Case report. We presented surgical treatment and outcome in a female patient, with a large defect of the right ureter due to impacted stone treatment, following a successful autotransplantation of the right kidney. Ten years later a stone impacted in the left ureter was successfully treated by ureterorenoscopy and laser lithotripsy. Asynchronously combined kidney aoutotransplantation and ureterorenoscopic lithotripsy preserved kidney function. Conclusion. Bilateral organs preservation should be considered even in the absence of malignancy, especially in younger population.

scholarly journals Association of JJ stent insertion and sexual function: A cohort study

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1978
Author(s):  
Rizky Fawzi ◽  
Zulfikar Ali
Keyword(s):  
Cohort Study ◽  
Sexual Function ◽  
Stent Insertion ◽  
Female Sexual Function ◽  
Central Java ◽  
Before And After ◽  
Male Sexual Function ◽  
Male Patients ◽  
Jj Stent

Background: Indonesia is known as one of the world’s stone belt areas in Asia. Management of urolithiasis cannot be separated with the role of JJ stent insertion. However, a limited number of prior studies show that a patient with JJ stent is at risk for sexual function disorder. This study aims to evaluate the association of JJ stent insertion with sexual function, both in men and women. Methods: This is a cohort study and the subjects were patients who had undergone JJ stent insertion in July - November 2017 at Kardinah Regional Hospital, Tegal, Central Java. This study was approved by the Research Ethic Committee of Kardinah Hospital (#445/3840/2017). Data were taken using standardized self-administered questionnaires before and after insertion of the JJ stent. Male sexual function was assessed using the International Index of Erectile Function (IIEF) score, while female sexual function was assessed using Female Sexual Function Index (FSFI). Result: 60 male patients, with a mean of age 51.1 + 10.6 years, and 33 female patients, with mean of age 49.6 + 10.6 years old, underwent JJ stent insertion. A significant association was found in women before and after JJ stent insertion (p<0.05), with FSFI score 23.62 + 0.64 before insertion and 16.7 + 0.52 after insertion. A similar result was also found in men with total IIEF score 49.55 + 2.3 before JJ stent insertion and 38.4 + 1.7 after insertion. Conclusion: This study confirms that JJ stent insertion may cause a disturbance of sexual function. However, the mechanism is not clear yet.

A Novel Method for Retrograde Ureteral Stent Insertion During Laparoscopic Ureterolithotomy Without Radiological Guidance

Videourology ◽  
2015 ◽  
Vol 29 (5) ◽  
Author(s):  
Kheng Sit Lim ◽  
Allen Soon Phang Sim ◽  
Nor Azhari Bin Mohd Zam ◽  
Henry Sun Sien Ho
Keyword(s):  
Ureteral Stent ◽  
Stent Insertion ◽  
Novel Method

scholarly journals Malpositioned Right Ureteral Stent into the Duodenum: A Rare Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 56-59
Author(s):  
Mohsin Quadri ◽  
◽  
Nitesh Jain ◽  
Venkat Subramaniam ◽  
◽  
...  
Keyword(s):  
Rare Case ◽  
Gastrointestinal Endoscopy ◽  
Stent Insertion ◽  
Upper Gastrointestinal Endoscopy ◽  
Routine Procedure ◽  
Inflammatory Conditions ◽  
Rare Case Report ◽  
Retrograde Pyelogram ◽  
Dj Stent ◽  
Upper Gastrointestinal

Double J (DJ) stenting is a routine procedure in our urological practice to treat ureteral obstruction. We report a rare case where the proximal coil of a DJ stent was found in the second part of duodenum diagnosed on imaging and confirmed by upper gastrointestinal endoscopy, in a patient with chronic right flank pain who underwent emergency right DJ stenting elsewhere. He presented to our institution 3-months later for further management. It is important to be aware of all possible complications before placing DJ stents and be aware that if any such complication arise, they need to be dealt with early. It is important to avoid blind DJ stent insertion especially in acute or inflammatory conditions. One can avoid such situations by stenting under image guidance and preferably with a retrograde pyelogram (RGP) or by deploying a guidewire under direct vision using a ureteroscope. If stent malposition is suspected then early detection and replacement of the malpositioned DJ stent under fluoroscopic guidance is an essential step in management.

scholarly journals Complications of Camey-Le Duck ureteral reimplantation technique in modified ureterosigmoidostomy (Mainz pouch II) urinary diversion

2014 ◽  
Vol 61 (1) ◽  
pp. 95-101
Author(s):  
Dragoslav Basic ◽  
Ivan Ignjatovic ◽  
Milan Potic ◽  
Miladin Radovanovic
Keyword(s):  
Urinary Diversion ◽  
Balloon Dilatation ◽  
Major Complication ◽  
Gas Analysis ◽  
Stent Insertion ◽  
Renal Ultrasound ◽  
Complication Rates ◽  
Ureteral Reimplantation ◽  
Mainz Pouch Ii

Objective: to analyze complications and clinical outcome of Camey-Le Duck ureteral reimplantation technique in modified Mainz pouch II urinary diversion. Patients and methods: this retrospective study included a total of 110 patients (101 male and 9 female, mean age 59,2 years, SD=10,2), who had underwent a modified Mainz pouch II urinary diversion with Camey-Le Duck ureteral reimplantation technique, following total cystectomy, during the period 1995-2014. The mean follow-up, available for 90 (82%) patients period was 19 (1-74) months. Early and late postoperative complications were analyzed. Results: early complications developed in 22 (20%) patients as follow: unilateral ureterohydronephrosis in 8 (7%) patients, bilateral ureterohydronephrosis in one (1%)- two RU (renoureteral units), urinary leakage in 8 (7%), and pyelonephritis in 5 (5%) patients. Late complications developed in 28 (25%) patients: pyelonephritis in 17 (15%), and ureteral reimplantation site stenosis in 11 (10%) patients with 12 RU. Balloon dilatation procedure was applied in all 12 RU, with additional metallic Strecker stent insertion in 5 RU. At 24-month follow-up, all patients with metallic Strecker stent had normal results of serum biochemistry, blood gas analysis and renal ultrasound. In the rest of six patients with 7RU, balloon dilatation has failed and restenosis of ureteral reimplantation site with consequent ipsilateral hydronephrosis was verified. In these patients, permanent percutaneous nephrostomy catheter was applied. Conclusion: Camey-Le Duck ureteral reimplantation technique following Mainz pouch II urinary diversion is simple, reliable and durable. It enables well upper urinary tract protection and is associated with relatively low major complication rates.

A novel method of transvesicoscopic ureteral reimplantation of an ectopic ureter with a mate ureter in a duplex kidney

2021 ◽  
Author(s):  
Hidenori Nishio ◽  
Kentaro Mizuno ◽  
Daisuke Matsumoto ◽  
Taiki Kato ◽  
Hideyuki Kamisawa ◽  
...  
Keyword(s):  
Ectopic Ureter ◽  
Ureteral Reimplantation ◽  
Duplex Kidney ◽  
Novel Method

1697: Prospective Determination of Ureteric Orifice Location - A Guide for Fluoroscopic Stent Insertion

2007 ◽  
Vol 177 (4S) ◽  
pp. 563-564
Author(s):  
Alexandra E. Perks ◽  
Trevor D. Schuler ◽  
Kenneth T. Pace ◽  
R. John Honey
Keyword(s):  
Stent Insertion ◽  
Ureteric Orifice
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