title: Insertion of a single double-J stent for bilateral open ureteral reimplantation: introducing a novel technique and assessment of feasibility.
abstract: OBJECTIVE
  To propose a novel technique for bilateral placement of a single double-J stent during bilateral open ureteral reimplantation in order to reduce the intravesical length of stent and potentially minimize the irritative symptoms.
  
  
  METHODS
  A retrospective chart review was performed to find patients who underwent bilateral open ureteral reimplantation. According to the patient's age, an appropriate single double-J stent is used for stenting both ureters after open reimplantation using the Politano-Leadbetter technique. The stent is fixed to the bladder wall with a 4-0 chromic absorbable suture in the midline, superior to the intertrigonal ridge. A non-absorbable suture is also fixed to the stent in the midline as an extraction string.
  
  
  RESULTS
  From June 2009 to July 2013, 20 patients underwent bilateral ureteric surgery. Twelve (60 %) were female. Patients' age ranged from 3 months to 2 years. Double-J stents were successfully removed within 2 weeks postoperatively in all patients.
  
  
  CONCLUSIONS
  This technique might reduce the stent-related symptoms after open bladder surgery for bilateral ureteral surgery. Using this technique will reduce the redundant mass of ureteral stents in bladder and potentially minimize the trigonal irritation and subsequent pain and discomfort.
authors.affiliation: Pediatric Urology Research Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, No.62, Dr. Gharib's Street, Keshavarz Boulevard, P.O. Box 1419733151, Tehran, Iran (IR).
authors.forename: Behnam
authors.initials: B
authors.lastname: Nabavizadeh
authors.affiliation: Pediatric Urology Research Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, No.62, Dr. Gharib's Street, Keshavarz Boulevard, P.O. Box 1419733151, Tehran, Iran (IR).
authors.forename: Sorena
authors.initials: S
authors.lastname: Keihani
authors.affiliation: Pediatric Urology Research Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, No.62, Dr. Gharib's Street, Keshavarz Boulevard, P.O. Box 1419733151, Tehran, Iran (IR).
authors.forename: Seyed Hossein
authors.initials: SH
authors.lastname: Hosseini Sharifi
authors.affiliation: Pediatric Urology Research Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, No.62, Dr. Gharib's Street, Keshavarz Boulevard, P.O. Box 1419733151, Tehran, Iran (IR). kajbafzd@sina.tums.ac.ir.
authors.forename: Abdol-Mohammad
authors.initials: AM
authors.lastname: Kajbafzadeh
mesh_terms: D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011474:Prosthesis Design; D012092:Replantation / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000601:surgery
keywords: Double-J; Open ureteroneocystostomy; Stent syndrome; Ureteral reimplantation; Ureteral stent