Journal of Urological Surgery · Published 2025-08-13 · DOI 10.4274/jus.galenos.2025.2025-6-8
Ureteroureterostomy is a surgical procedure involving the end-to-end anastomosis of transected ureters, often supplemented with ureteral stenting to promote healing and prevent strictures. Traditional stent placement methods, such as cystoscopy-guided or fluoroscopic techniques, can be resource-intensive and time-consuming. In this study, we introduce a novel, resource-efficient technique for intraoperative ureteral stent placement that eliminates the need for patient repositioning, cystoscopy, or additional guidance modalities. The method involves a modified Double J stent with a longitudinal incision at the predicted site of anastomosis, facilitating guidewire insertion and stent placement over the wire without repositioning or specialized equipment. We demonstrate the applicability of this technique across various clinical scenarios, including ureteral strictures, traumatic injuries, and oncologic resections, with no observed instances of stent malposition or retention. This approach offers a simplified, cost-effective alternative to existing methods, potentially reducing operative time and resource utilization during ureteroureterostomy procedures.
Abstract from DOAJ. Public domain (CC0 1.0).
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