Tags

Type your tag names separated by a space and hit enter

Feasibility and safety of magnetic-end double-J ureteral stent insertion and removal in children.
World J Urol. 2020 Jul 04 [Online ahead of print]WJ

Abstract

PURPOSE

The need for surgical removal of a double-J ureteral stent (DJUS) is considered one of its disadvantages. Apart from increased cost, repeated exposure to general anesthesia is a concern in children. Alternative techniques have been described, all failing to become integrated into mainstream practice. Stents with a distal magnetic end, although introduced in the early 1980s, have only recently gained acceptance. We report the feasibility and safety of insertion and removal of a magnetic-end double-J ureteral stent (MEDJUS) in a pediatric population.

MATERIALS AND METHODS

We retrospectively analyzed the use of the Magnetic Black-Star Urotech® MEDJUS between 11/2016 and 12/2019 in children. Stents were removed in the outpatient clinic using a transurethral catheter with a magnetic tip.

RESULTS

MEDJUS insertion was attempted in 100 patients (65 boys). Mean age was 7.8 years (0.5-18). The stent was placed in an antegrade procedure (n = 47), by a retrograde route (n = 10), and during open surgery (n = 43). Stent insertion was successful in 84 cases (84%). All 16 failures occurred during the antegrade approach in laparoscopic pyeloplasty, with inability to push the stent and its magnet through the ureterovesical junction in 14. Magnetic removal was attempted in 83 patients, successful in 81 (98%). There was no added morbidity with the MEDJUS.

CONCLUSIONS

The use of MEDJUS is a safe and effective strategy that obviates the need for additional general anesthesia in children. Its insertion is similar to that with regular DJUS, and its easy and less time-consuming removal benefits both the patient and the hospital and validates its clinical use.

Authors+Show Affiliations

Service de Chirurgie Viscérale et Urologie Pédiatriques, APHP, Hôpital Necker, Paris, France. Université de Paris, Paris, France.Service de Chirurgie Viscérale et Urologie Pédiatriques, APHP, Hôpital Necker, Paris, France. Université de Paris, Paris, France.Service de Chirurgie Viscérale et Urologie Pédiatriques, APHP, Hôpital Necker, Paris, France. Université de Paris, Paris, France.Service de Chirurgie Viscérale et Urologie Pédiatriques, APHP, Hôpital Necker, Paris, France.Service de Chirurgie Viscérale et Urologie Pédiatriques, APHP, Hôpital Necker, Paris, France. Université de Paris, Paris, France.Service de Chirurgie Viscérale et Urologie Pédiatriques, APHP, Hôpital Necker, Paris, France. Université de Paris, Paris, France.Service de Chirurgie Viscérale et Urologie Pédiatriques, APHP, Hôpital Necker, Paris, France.Service de Chirurgie Viscérale et Urologie Pédiatriques, APHP, Hôpital Necker, Paris, France. thomas.blanc@aphp.fr. Université de Paris, Paris, France. thomas.blanc@aphp.fr. Département Croissance et Signalisation, Hôpital Necker Enfants Malades, Institut Necker Enfants Malades, INSERM U1151-CNRS UMR 8253, Université Paris Descartes, Paris, France. thomas.blanc@aphp.fr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32623499

Citation

Chalhoub, Marc, et al. "Feasibility and Safety of Magnetic-end double-J Ureteral Stent Insertion and Removal in Children." World Journal of Urology, 2020.
Chalhoub M, Kohaut J, Vinit N, et al. Feasibility and safety of magnetic-end double-J ureteral stent insertion and removal in children. World J Urol. 2020.
Chalhoub, M., Kohaut, J., Vinit, N., Botto, N., Aigrain, Y., Héloury, Y., Lottmann, H., & Blanc, T. (2020). Feasibility and safety of magnetic-end double-J ureteral stent insertion and removal in children. World Journal of Urology. https://doi.org/10.1007/s00345-020-03339-0
Chalhoub M, et al. Feasibility and Safety of Magnetic-end double-J Ureteral Stent Insertion and Removal in Children. World J Urol. 2020 Jul 4; PubMed PMID: 32623499.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Feasibility and safety of magnetic-end double-J ureteral stent insertion and removal in children. AU - Chalhoub,Marc, AU - Kohaut,Jules, AU - Vinit,Nicolas, AU - Botto,Nathalie, AU - Aigrain,Yves, AU - Héloury,Yves, AU - Lottmann,Henri, AU - Blanc,Thomas, Y1 - 2020/07/04/ PY - 2020/04/20/received PY - 2020/06/28/accepted PY - 2020/7/6/entrez PY - 2020/7/6/pubmed PY - 2020/7/6/medline KW - Children KW - Magnetic stent KW - Removal KW - Ureteral stent KW - Urology JF - World journal of urology JO - World J Urol N2 - PURPOSE: The need for surgical removal of a double-J ureteral stent (DJUS) is considered one of its disadvantages. Apart from increased cost, repeated exposure to general anesthesia is a concern in children. Alternative techniques have been described, all failing to become integrated into mainstream practice. Stents with a distal magnetic end, although introduced in the early 1980s, have only recently gained acceptance. We report the feasibility and safety of insertion and removal of a magnetic-end double-J ureteral stent (MEDJUS) in a pediatric population. MATERIALS AND METHODS: We retrospectively analyzed the use of the Magnetic Black-Star Urotech® MEDJUS between 11/2016 and 12/2019 in children. Stents were removed in the outpatient clinic using a transurethral catheter with a magnetic tip. RESULTS: MEDJUS insertion was attempted in 100 patients (65 boys). Mean age was 7.8 years (0.5-18). The stent was placed in an antegrade procedure (n = 47), by a retrograde route (n = 10), and during open surgery (n = 43). Stent insertion was successful in 84 cases (84%). All 16 failures occurred during the antegrade approach in laparoscopic pyeloplasty, with inability to push the stent and its magnet through the ureterovesical junction in 14. Magnetic removal was attempted in 83 patients, successful in 81 (98%). There was no added morbidity with the MEDJUS. CONCLUSIONS: The use of MEDJUS is a safe and effective strategy that obviates the need for additional general anesthesia in children. Its insertion is similar to that with regular DJUS, and its easy and less time-consuming removal benefits both the patient and the hospital and validates its clinical use. SN - 1433-8726 UR - https://www.unboundmedicine.com/medline/citation/32623499/Feasibility_and_safety_of_magnetic-end_double-J_ureteral_stent_insertion_and_removal_in_children L2 - https://dx.doi.org/10.1007/s00345-020-03339-0 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.