Fluoroscopically Guided Retrograde Double-J Stent Removal in Renal Transplant Patients


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Abstract

IntroductionPlastic ureteric stents have been traditionally removed via transurethral cystoscopic approach. In recent years, fluoroscopically guided interventions have been increasingly used as an alternative. In this retrospective study we evaluated the technical and clinical success of fluoroscopic method in renal transplant patients.Materials and methodsA 2-year retrospective review of all renal transplant patients with surgically inserted double-J stent in our university hospital was performed. During this period 20 patients (16 men and 4 women) underwent retrograde fluoroscopically guided stent removal after 2-4 months (mean: 2.4) after the operation.ResultsAll stents were successfully removed in all 20 patients by using snare catheter technique under intravenous sedation. Mean procedure time was 10 minutes (range: 5 - 25). No major complications occurred.ConclusionFluoroscopic guided retrograde double-J stent removal in renal transplant patients is an effective alternative to the cystoscopic approach.

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