Novel Endourological technique for a better navigation in incontinent urinary diversion (ileal conduit) during Double J stent removal

Abstract

Introduction: Assessing ileal conduit for double J stents removal after radical cystectomy is not always a straightforward task as navigation inside the ileal loop can be challenging to manage due to the difficulty to maintain a waterfilled environment and its long and tortuous aspect. Methods: We present a novel technique using a flexible ureteroscope that aims to ease this common demand with simple and readily available tools. Results: This technique has been successfully utilized in 2 patients now. No complications were documented Conclusion: We propose a novel surgical technique to improve endoscopic navigation in incontinent ileal loop urinary diversion.

Keywords

• Radical cystectomy
• Ileal conduit
• Stent removal
• Flexible ureteroscopy
• Double J stent