Sonographically guided removal of a double J ureteral stent in an infant.
A 2-month-old male infant with a prenatally diagnosed obstruction of the ureteropelvic junction underwent a dismembered Anderson-Hynes pyeloplasty. A transanastomotic double J ureteral stent was placed between the renal pelvis and the urinary bladder. This report describes the subsequent removal of the double J ureteral stent from the patient's urinary bladder without the aid of a cystoscope: a rigid biopsy forceps was introduced trans-urethrally into the urinary bladder, and the stent was removed with sonographic guidance. Removal of a ureteral stent with sonographic guidance has not been previously reported in infants. This technique may be particularly useful in developing countries, where appropriate-sized cystoscopes and accessories may not be available.
Jutti
Ramesh C
RC
Department of Surgery, International Medical University, Jalan Rasah, 70300 Seremban, Negri Sembilan, Malaysia.
Subramaniam
Raman
R
Balsingh
Davaraj
D
Qureshi
Akhtar M
AM
D020878:Device Removal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging* / Q000601:surgery*