Endoscopic bridge operating-guide device applied for intracorporeal antegrade ureteric stenting during laparoscopic pyeloplasty.
OBJECTIVE
To describe our novel technique of laparoscopic pyeloplasty with an antegrade placement of a ureteral stent with a bridge operating-guide device (BOGD).


METHODS
After completing the posterior suture line of the dismembered pyeloplasty, a guidewire is inserted through the BOGD and grasped within the renal pelvis. Then, the BOGD is removed and the ureteral stent advanced until it is positioned in the renal pelvis, and the lower end of the stent lies in the bladder. The anastomosis is completed. Fifteen patients underwent the laparoscopic placement of ureteral stents with this technique.


RESULTS
With this method, the ureteral stent insertion is very convenient and time saving (the mean time for inserting a stent was 5 minutes). The stents were successfully inserted in all patients.


CONCLUSIONS
This technique is reliable and effective in laparoscopic ureteral operations. It uses an endoscopic urological equipment, and costs are reduced.
Derouiche
Amine
A
Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia.
El Atat
Rabii
R
Ben Slama
Mohamed Riadh
MR
Chebil
Mohamed
M
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011300:Preoperative Care; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D015607:Stents; D013525:Surgical Instruments; D014513:Ureter / Q000601:surgery*; D055815:Young Adult