Double J Ureteral stent removal in children non cystoscopically: A preferred innovation.
| Title: | Double J Ureteral stent removal in children non cystoscopically: A preferred innovation. |
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| Authors: | Naumeri, Fatima1 fatimanaumeri@gmail.com, Khanum, Zohra2, Ahmad, Hafiz Mahmood3, Ahmad, Laeeq4 |
| Source: | Professional Medical Journal. Oct2024, Vol. 31 Issue 10, p1429-1432. 4p. |
| Subject Terms: | *URINARY catheters, *SURGICAL stents, *PEDIATRIC surgery, *GENERAL anesthesia, *SUTURES |
| Abstract: | Objective: To determine the feasibility of non cystoscopic removal of double J ureteral (DJ) stent using a foley catheter with suture in children in terms of success rate, number of attempts required and complications. Study Design: Cross Sectional study. Setting: Department of Pediatric Surgery, Services Hospital, Lahore. Period: August 2022 to August 2023. Methods: All the children who underwent DJ stent placement for any urological procedure were included if DJ stent was seen in the bladder postoperatively. After informed consent, under sedation and aseptic measures, the foley catheter with suture already passed through its eye, was introduced per urethral after adequate lubrication. The foley was given five to six rotations in clockwise direction for right sided and anti-clockwise for left sided stents respectively and pulled out keeping traction on the suture. In case of three failed attempts, a cystoscope was introduced under general anesthesia and the stent was removed. Successful removal, number of attempts needed, time taken, and post removal complications were noted to determine feasibility of the procedure. Results: Out of twenty patients, 17 patients (85%) underwent successful removal of DJ stent. The failure rate was 15% as three patients required cystoscope assisted removal. In 13 patients (76.5%) DJ stent was removed in first attempt, whereas in 4(23.5%) patients it required two attempts. Mean time taken was 8.83±7.33 minutes. Complications were noted in 2 patients (10%). Conclusion: Removal of DJ stent in children without cystoscope, using a foley catheter with suture is a safe and feasible procedure with a high success rate and should be attempted in selected cases. [ABSTRACT FROM AUTHOR] |
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| Items | – Name: Title Label: Title Group: Ti Data: Double J Ureteral stent removal in children non cystoscopically: A preferred innovation. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Naumeri%2C+Fatima%22">Naumeri, Fatima</searchLink><relatesTo>1</relatesTo><i> fatimanaumeri@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Khanum%2C+Zohra%22">Khanum, Zohra</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ahmad%2C+Hafiz+Mahmood%22">Ahmad, Hafiz Mahmood</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Ahmad%2C+Laeeq%22">Ahmad, Laeeq</searchLink><relatesTo>4</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Professional+Medical+Journal%22">Professional Medical Journal</searchLink>. Oct2024, Vol. 31 Issue 10, p1429-1432. 4p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22URINARY+catheters%22">URINARY catheters</searchLink><br />*<searchLink fieldCode="DE" term="%22SURGICAL+stents%22">SURGICAL stents</searchLink><br />*<searchLink fieldCode="DE" term="%22PEDIATRIC+surgery%22">PEDIATRIC surgery</searchLink><br />*<searchLink fieldCode="DE" term="%22GENERAL+anesthesia%22">GENERAL anesthesia</searchLink><br />*<searchLink fieldCode="DE" term="%22SUTURES%22">SUTURES</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: To determine the feasibility of non cystoscopic removal of double J ureteral (DJ) stent using a foley catheter with suture in children in terms of success rate, number of attempts required and complications. Study Design: Cross Sectional study. Setting: Department of Pediatric Surgery, Services Hospital, Lahore. Period: August 2022 to August 2023. Methods: All the children who underwent DJ stent placement for any urological procedure were included if DJ stent was seen in the bladder postoperatively. After informed consent, under sedation and aseptic measures, the foley catheter with suture already passed through its eye, was introduced per urethral after adequate lubrication. The foley was given five to six rotations in clockwise direction for right sided and anti-clockwise for left sided stents respectively and pulled out keeping traction on the suture. In case of three failed attempts, a cystoscope was introduced under general anesthesia and the stent was removed. Successful removal, number of attempts needed, time taken, and post removal complications were noted to determine feasibility of the procedure. Results: Out of twenty patients, 17 patients (85%) underwent successful removal of DJ stent. The failure rate was 15% as three patients required cystoscope assisted removal. In 13 patients (76.5%) DJ stent was removed in first attempt, whereas in 4(23.5%) patients it required two attempts. Mean time taken was 8.83±7.33 minutes. Complications were noted in 2 patients (10%). Conclusion: Removal of DJ stent in children without cystoscope, using a foley catheter with suture is a safe and feasible procedure with a high success rate and should be attempted in selected cases. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Professional Medical Journal is the property of Professional Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.29309/TPMJ/2024.31.10.8248 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 4 StartPage: 1429 Subjects: – SubjectFull: URINARY catheters Type: general – SubjectFull: SURGICAL stents Type: general – SubjectFull: PEDIATRIC surgery Type: general – SubjectFull: GENERAL anesthesia Type: general – SubjectFull: SUTURES Type: general Titles: – TitleFull: Double J Ureteral stent removal in children non cystoscopically: A preferred innovation. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Naumeri, Fatima – PersonEntity: Name: NameFull: Khanum, Zohra – PersonEntity: Name: NameFull: Ahmad, Hafiz Mahmood – PersonEntity: Name: NameFull: Ahmad, Laeeq IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 10248919 Numbering: – Type: volume Value: 31 – Type: issue Value: 10 Titles: – TitleFull: Professional Medical Journal Type: main |
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