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• W1983254492 abstract "No AccessJournal of UrologyPediatric Urology1 Mar 2011Preliminary Experience With External Ureteropelvic Stent: Alternative to Double-J Stent in Laparoscopic Pyeloplasty in Children Tamer Helmy, Thomas Blanc, Annabel Paye-Jaouen, and Alaa El-Ghoneimi Tamer HelmyTamer Helmy Equal study contribution. More articles by this author , Thomas BlancThomas Blanc Equal study contribution. More articles by this author , Annabel Paye-JaouenAnnabel Paye-Jaouen More articles by this author , and Alaa El-GhoneimiAlaa El-Ghoneimi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.10.056AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed whether an external ureteropelvic stent was a feasible and safe alternative to Double-J® stent after laparoscopic pyeloplasty in children, thus avoiding a second general anesthesia. Materials and Methods: Our study included 22 concurrent age matched children who underwent retroperitoneal laparoscopic pyeloplasty between 2000 and 2008. In group 1 an external ureteropelvic stent was inserted through the renal pelvis, then clamped on postoperative day 2. In group 2 a Double-J stent was antegradely inserted. The ureteropelvic stent was removed at the outpatient clinic on day 10, while the Double-J stent was removed under general anesthesia at 1 month. We retrospectively compared operative time, hospital stay, intraoperative and postoperative complications, and followup. Results: Mean ± SD age at surgery was 31 ± 9 months in group 1 and 37 ± 12 months in group 2. Mean ± SD operative time was slightly shorter in group 1 (190 ± 40 minutes) than in group 2 (205 ± 23 minutes). No intraoperative complications were encountered during placement of stent. Mean ± SD hospital stay was 2.18 ± 1.20 days in group 1 and 2.45 ± 0.54 days in group 2. No postoperative complications were reported in group 1. The Double-J stent was noted in the posterior urethra in 1 patient in group 2, requiring cystoscopic repositioning. No patient had urinary tract infection. Median followup was 34 months (range 22 to 56) in group 1 and 35 months (16 to 72) in group 2. Conclusions: The feasibility of external ureteropelvic stenting after laparoscopic pyeloplasty will pave the way to minimizing the use of Double-J stenting and eliminating a second general anesthesia for catheter removal. References 1 : Laparoscopic dismembered pyeloplasty. J Urol1993; 150: 1795. Link, Google Scholar 2 : Laparoscopic Anderson-Hynes pyeloplasty in children. Pediatr Surg Int1998; 13: 497. Google Scholar 3 : Laparoscopic Anderson-Hynes dismembered pyeloplasty in children. J Urol1999; 162: 1045. Link, Google Scholar 4 : Retroperitoneoscopic dismembered pyeloplasty for pelvi-ureteric junction obstruction in infants and children. BJU Int2001; 87: 509. Google Scholar 5 : Anomalies and surgery of the ureteropelvic junction in children. In: . Edited by . Philadelphia: WB Saunders2007: 3359. Google Scholar 6 : Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation. Br J Urol1949; 21: 209. Google Scholar 7 : Stented versus nonstented pediatric pyeloplasty: a modern series and review of the literature. J Urol2002; 168: 1127. Link, Google Scholar 8 : Usefulness of short-term retrievable ureteral stent in pediatric laparoscopic pyeloplasty. J Urol2007; 177: 720. Link, Google Scholar 9 : Outcome analysis and cost comparison between externalized pyeloureteral and standard stents in 470 consecutive open pyeloplasties. J Urol2008; 180: 1693. Link, Google Scholar 10 : Laparoscopic dismembered pyeloplasty by a retroperitoneal approach in children. BJU Int2003; 92: 104. Google Scholar 11 : Retroperitoneal laparoscopic versus open pyeloplasty in children. J Urol2005; 173: 1710. Link, Google Scholar 12 : Insertion of an internal-external nephroureteral stent during pediatric laparoscopic pyeloplasty: description of the technique. Urology2008; 71: 1199. Google Scholar © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 3March 2011Page: 1065-1070 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.Keywordschildurologic surgical proceduresdrainagelaparoscopykidney pelvisMetricsAuthor Information Tamer Helmy Equal study contribution. More articles by this author Thomas Blanc Equal study contribution. More articles by this author Annabel Paye-Jaouen More articles by this author Alaa El-Ghoneimi More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W1983254492 title "Preliminary Experience With External Ureteropelvic Stent: Alternative to Double-J Stent in Laparoscopic Pyeloplasty in Children" @default.
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