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- W2364454352 abstract "Objective To explore the clinical value of tethered ureteral stent(double J tube) in renal transplantation.Methods A new method of tethered double J tube was applied in 110 allogeneic renal transplantation patients before bladder ureteral anastomosis that followed arteriovenous anastomosis.A tether(1-0 suture silk) was sewed to the distal end of the ureteral stent.The length of the tether in male was 25-30 cm and 10-15 cm in female.The free end of the tube was inserted into the renal pelvis through the ureteral cuff.The other end with tether sewed on it and flexed by 1cm was put into the bladder through the incision on it.Then the anastomosis of ureter and the bladder was performed.The tether was discharged by urination postoperatively.The tether was cut by 2 cm long out of the urinary meatus.Erythromycin ointment was swabbed on the urinary meatus twice a day to prevent retrograde infection.The tube was removed by freehand pulling the tether extracorporeally without anesthesia.Results The tethers of 108 cases were successfully discharged out of the urinary meatus 7-16 d after the surgery.The tubes in 106 cases were successfully removed with the success rate 96.4% in 2-3 weeks postoperatively.In 4 unsuccessful cases,2 cases failed due to the distal end of the tethers were cut too short and they drew back into anterior urethra which were finally grasped under cystoscopy in the anterior urethra and pulled out.The tethers in another 2 failed cases intertwined in the bladder.The tubes were removed by cystoscopy.Eighteen male cases(7.3%) complained mild discomfort in the urethra which disappeared after the removal of the tethered tube.No urinary infection occurred.Conclusions The method of freehand removal of the double J tube by pulling the tethered ureteral stent is simple and easy to operate.It is an atraumatic,painless and economical way with high clinical value." @default.
- W2364454352 created "2016-06-24" @default.
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- W2364454352 date "2012-01-01" @default.
- W2364454352 modified "2023-09-23" @default.
- W2364454352 title "Application of tethered ureteral stent in renal transplantation" @default.
- W2364454352 hasPublicationYear "2012" @default.
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