title: Combined percutaneous antegrade and cystoscopic retrograde ureteral stent placement: an alternative technique in cases of ureteral discontinuity.
abstract: 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.
authors.affiliation: Department of Interventional Radiology, Louisiana State University Medical Center, New Orleans 70112, USA.
authors.forename: D
authors.initials: D
authors.lastname: Postoak
authors.forename: J M
authors.initials: JM
authors.lastname: Simon
authors.forename: M
authors.initials: M
authors.lastname: Monga
authors.forename: H
authors.initials: H
authors.lastname: Ferral
authors.forename: R
authors.initials: R
authors.lastname: Thomas
mesh_terms: D000328:Adult; D003558:Cystoscopy; D006801:Humans; D008297:Male; D011677:Punctures; D015607:Stents; D014513:Ureter / Q000293:injuries*; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000628:therapy*