Combined percutaneous antegrade and cystoscopic retrograde ureteral stent placement: an alternative technique in cases of ureteral discontinuity.
We describe an alternative method of double J stent placement for ureteral transection following the failure of traditional antegrade and retrograde approaches. Cystoscopically, a guidewire was placed across the distal ureteral segment and was advanced into a urinoma cavity at the level of the transected ureter. Subsequently, an antegrade approach was used to place a gooseneck snare through the proximal ureteral segment into the urinoma cavity. The guidewire was grasped with the snare and pulled through the percutaneous access site. A double J ureteral stent was then placed using the typical antegrade method.
Postoak
D
D
Department of Interventional Radiology, Louisiana State University Medical Center, New Orleans 70112, USA.
Simon
J M
JM
Monga
M
M
Ferral
H
H
Thomas
R
R
D000328:Adult; D003558:Cystoscopy; D006801:Humans; D008297:Male; D011677:Punctures; D015607:Stents; D014513:Ureter / Q000293:injuries*; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000628:therapy*