title: Manual Replacement of Double J Stent Without Fluoroscopy (Double j stent replacement).
abstract: It is not always possible to replace a ureteric stent with a new one due to the fact that tumoral effect increases in ureter with time. We present our experience of manual replacement of double J stent without fluoroscopy. The data from 23 female patients who underwent double J stent replacement with a total of 110 times was retrospectively analyzed. The steps of technique are as follows: take out distal end of the double J stent through urethra to external urethral meatus cystoscopically, insert a 0.035-inch guide wire through double J stent to the renal pelvis or intra pelvicaliceal system, take out old double J stent over guide wire, slide new stent over guide wire and at external meatus level take out guide wire while gently sliding distal end of double J stent over guide wire into urethra. The mean age was 58.39 ± 9.21 years. Cervical, endometrial, and ovarian cancer were diagnosed in 16, 4, and 3 patients respectively. The mean follow-up and indwelling period were 13.8 ± 5.2, 3.8 ± 0.6 months, respectively. Increased pelvicaliceal dilatation, serum creatinine level, or renal parenchymal loss was not observed. Replacement of double J stents with this technique is easy and can be used successfully in distal ureteral obstructions.
authors.affiliation: Department of Urology, Ataturk Research and Training Hospital, Izmir Katip Celebi University, Izmir, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Kose
authors.forename: Sacit Nuri
authors.initials: SN
authors.lastname: Gorgel
authors.forename: Sait
authors.initials: S
authors.lastname: Ozbir
authors.forename: Sekan
authors.initials: S
authors.lastname: Yenigurbuz
authors.forename: Cengiz
authors.initials: C
authors.lastname: Kara
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D014513:Ureter; D014517:Ureteral Obstruction / Q000628:therapy*
keywords: Double J stent; Gynecologic malignancies; Stent replacement; Ureteral obstruction; Ureteral stent