Alternative Technique For Double J Stent Removal In Pediatric Patients: Case Series

Maria Carolina Rocha Muniz; Claudio Pinheiro Dias; Rian Vilar Lima; Rogerio Cruz Saraiva

doi:10.34635/rpc.1021

Maria Carolina Rocha Muniz Department of Medicine, University of Fortaleza, Ceara, Brazil
Claudio Pinheiro Dias Pediatric Surgery, Albert Sabin Children’s Hospital, Fortaleza, Ceara, Brazil http://orcid.org/0009-0006-2367-5491
Rian Vilar Lima Department of Medicine, University of Fortaleza, Ceara, Brazil
Rogerio Cruz Saraiva Pediatric Surgery and Urology, Albert Sabin Children’s Hospital, Fortaleza, Ceara, Brazil

Abstract

Introduction: Double-J (DJ) ureteral stents are widely used in urological practice for the management of ureteral obstructions. As traditional techniques for ureteral stent removal, such as cystoscopy, may have limitations and associated risks, the development of more cost-effective alternative methods is relevant. In this study, we describe a novel technique for the removal of ureteral stents in three pediatric patients with the diagnosis of ureteropelvic junction (UPJ) stenosis.

Case presentation: The surgical technique involves using a Nelaton urethral catheter with a polypropylene 3.0 wire attached. After bladder catheterization, the wire is fixed with two loops, and the bladder catheter is gently rotated and removed, enabling the extraction of the stent connected to the wire loop.

Discussion: The described technique was successfully employed in all cases. The surgical procedure was quick, easy to perform, and required minimal sedation. Although other cost-effective methods have been described, there is a lack of larger studies comparing these techniques.

Conclusions: Among the different modalities described, the decision regarding the best DJ removal procedure is still controversial and should be individualized, and further comparison between techniques is warranted.

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