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Year : 2019  |  Volume : 9  |  Issue : 3  |  Page : 61-66

An alternative to DJ-stenting for ureteroneocystostomy: Experience at a tertiary health facility

1 Department of Surgery, Institute of Urology and Nephrology, Usmanu Danfodiyo University and Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
2 Department of Surgery, Urology Unit, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Correspondence Address:
Dr. Abdullahi Khalid
Urology Unit, Department of Surgery, Usmanu Danfodiyo University and Teaching Hospital, Sokoto
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_6_20

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Background: Stenting of the ureters is an established principle of ureteral surgery. This can be achieved using conventional double-J (DJ) stents, ureteric catheter or improvised infant feeding tubes. In routine urological practice, our choice is influenced by availability, cost, and the availability of urethrocystoscopic equipment for device retrieval. We described an alternative surgical technique and review the outcomes of this procedure. Patients and Method: This is a 10-year retrospective study from October 2007 to November 2017 of patients who had an alternative to DJ-stenting using infant feeding tube for ureteroneocystostomy following ureteric injury in the urology unit of a tertiary health facility. The records of socio-demographic, clinical and therapeutic characteristics and complications in patients who had alternative to DJ-Stenting inserted for ureteroneocystostomy following ureteric injury were extracted from patient's case notes. Data was analyzed using SPSS version 20. Results: Out of a total of 26 female patients with ureteral injuries who had ureteroneocystostomy with alternative to DJ-stenting, complete records of 12 (46.2%) patients were available. Mean age of patients was 37.42 ± 13.69 years with a range of 20-58 years. Majority of the patients were between the ages of 30 to 39 years (33.3%). The alternative to DJ-stent specific complication was stent dislodgement noted in 12.5% of patients. Conclusion: The alternative to DJ-stenting for ureteroneocystostomy is associated with low procedure-specific complications. It is a useful tool especially for patients from low socio-economic background presenting with ureteral complications after gynecological or obstetric surgeries.

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