Combined percutaneous antegrade and cystoscopic retrograde ureteral stent placement: An alternative technique in cases of ureteral discontinuity
Postoak, D.; Simon, J.M.; Monga, M.; Ferral, H.; Thomas, R.
Urology 50(1): 113-116
ISSN/ISBN: 0090-4295 PMID: 9218029 DOI: 10.1016/s0090-4295(97)00204-5
We describe an alternative method of double J stent placement for ureteral transection following the failure of traditional antegrade and retrograde approaches. Cystoscopically, a guidewire was placed across the distal ureteral segment and was advanced into a urinoma cavity at the level of the transected ureter. Subsequently, an antegrade approach was used to place a gooseneck snare through the proximal ureteral segment into the urinoma cavity. The guidewire was grasped with the snare and pulled through the percutaneous access site. A double J ureteral stent was then placed using the typical antegrade method.