Double J (DJ) stenting is very frequently used treatment in urology. There are certain prophylactic and therapeutic indications for bilateral DJ stenting like bilateral calculus obstruction, followed by bilateral lower ureteric reimplants, in cases of malignant ureteral obstacle and after bilateral ureterorenoscopy (URS). After the usage of stents is ended, then patients are operated to DJ stent removal. Generally the stents will be removed or discarded one after another. So many simplified procedures are detailed in the literature for removing single DJ stent. But none of the procedure so far has explained simultaneous retrieval of both DJ stents.
A hollow, thin tube was placed inside the ureter during the operation to ensure drainage of the urine from the kidney to the bladder. Curls which are J shaped are present on the both ends to hold the tube in correct place and to prevent the migration. It allows the kidney(s) to drain urine by temporarily relieving if any blockages are there, or to assist the kidneys in draining stone waste freely into the bladder if definitive kidney stone surgical treatment is carried out.
PROCEDURE:
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The patient’s genitalia were sterile prepped and draped with the patient under general anesthesia in lithotomy position. A #24 French cystourethroscope was passed under directly into the patient’s bladder.
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A 28-cm #6 French double-J stent along with distal suture dangle will be passed by the working channel of cystoscope and into right ureteral orifice.
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It was then possible to pass this double-J stent all the way up to the level of the right renal pelvis without any apparent obstruction and without meeting any resistance.
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Fluoroscopy then evident that the stent has reached the level of the renal pelvis, bypass the patient’s ureteral calculus, which appeared to be in approximately the same position it had been.
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The stent guide wire thereby removed, and only stent was left indwelling in the patient’s right ureter. Then the bladder was emptied & then instrument was also be removed.
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The patient was tolerating the procedure well and was sent to recovery in suitable and stable condition.
