title: Non-cystoscopic Removal of Retained Ureteral Stents With Mild Sedation in Children.
abstract: BACKGROUND
  We present a novel noncyctoscopic procedure in removing retained ureteral stents that requires minimal sedation and significantly reduces operation time and costs compared to the cystoscopy-based procedure.
  
  
  METHODS
  We used a simple self-made device, which was made of an Fr5 feeding tube and a monofilament suture to remove the stents. Although the success rate is very high with this new procedure, it is important to point out that approximately 13% of our patients required 2 to 3 trials to remove the stents. Another potential problem is that the feeding tube may tie a knot when it is in the bladder, which could pose a risk of urethral injury when the knot is pulled out.
  
  
  CONCLUSIONS
  The noncystoscopic procedure we have established has less operation time and costs less. This procedure provides an alternative solution in removing retained ureteral stents in child patients compared to conventional cystoscopy-based procedure.
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China.
authors.forename: Houwei
authors.initials: H
authors.lastname: Lin
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China.
authors.forename: Maosheng
authors.initials: M
authors.lastname: Xu
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China.
authors.forename: Dapeng
authors.initials: D
authors.lastname: Jiang
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China.
authors.forename: Guofeng
authors.initials: G
authors.lastname: Xu
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China.
authors.forename: Xiaoliang
authors.initials: X
authors.lastname: Fang
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China.
authors.forename: Jiangye
authors.initials: J
authors.lastname: Jia
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China.
authors.forename: Lei
authors.initials: L
authors.lastname: He
authors.affiliation: Department of Pediatric Urology, Shanghai Xinhua Hospital, Shanghai, China. Electronic address: ghongquan@hotmail.com.
authors.forename: Hongquan
authors.initials: H
authors.lastname: Geng
mesh_terms: D002648:Child; D002675:Child, Preschool; D016292:Procedural Sedation; D003558:Cystoscopy; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D015607:Stents