Frontiers in Pediatrics (Feb 2022)
Transurethral Retrograde Fishing the Double J Urethral Stent: A Tertiary Children Hospital's Experience With a New Technical Strategy
- Chengjun Yu,
- Chengjun Yu,
- Chengjun Yu,
- Chun Wei,
- Chun Wei,
- Chun Wei,
- Chun Wei,
- Junjun Dong,
- Junjun Dong,
- Junjun Dong,
- Junjun Dong,
- Xingyue He,
- Xingyue He,
- Xingyue He,
- Xingyue He,
- Yi Wei,
- Yi Wei,
- Yi Wei,
- Yi Wei,
- Sheng Wen,
- Sheng Wen,
- Sheng Wen,
- Sheng Wen,
- Tao Lin,
- Tao Lin,
- Tao Lin,
- Tao Lin,
- Dawei He,
- Dawei He,
- Dawei He,
- Dawei He,
- Dawei He,
- Dawei He,
- Shengde Wu,
- Shengde Wu,
- Shengde Wu,
- Shengde Wu,
- Shengde Wu,
- Shengde Wu,
- Guanghui Wei,
- Guanghui Wei,
- Guanghui Wei,
- Guanghui Wei,
- Guanghui Wei,
- Guanghui Wei
Affiliations
- Chengjun Yu
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Chengjun Yu
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Chengjun Yu
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Chun Wei
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Chun Wei
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Chun Wei
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Chun Wei
- Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China
- Junjun Dong
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Junjun Dong
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Junjun Dong
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Junjun Dong
- Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China
- Xingyue He
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Xingyue He
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Xingyue He
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Xingyue He
- Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China
- Yi Wei
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Yi Wei
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Yi Wei
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Yi Wei
- Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China
- Sheng Wen
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Sheng Wen
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Sheng Wen
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Sheng Wen
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- Tao Lin
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Tao Lin
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Tao Lin
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Tao Lin
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- Dawei He
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Dawei He
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Dawei He
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Dawei He
- Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China
- Dawei He
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Dawei He
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- Shengde Wu
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Shengde Wu
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Shengde Wu
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Shengde Wu
- Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China
- Shengde Wu
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Shengde Wu
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- Guanghui Wei
- Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China
- Guanghui Wei
- Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China
- Guanghui Wei
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Guanghui Wei
- Chongqing Key Laboratory of Pediatrics Chongqing, Chongqing, China
- Guanghui Wei
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Guanghui Wei
- China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China
- DOI
- https://doi.org/10.3389/fped.2022.802741
- Journal volume & issue
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Vol. 10
Abstract
PurposeThe purpose of this study is to provide a new strategy for non-cystoscopic double J urethral stent (JJS) removal, the transurethral retrograde fishing the double J urethral stent (TURFJJS), that avoids general anesthesia in pediatric populations.MethodsWe retrospectively reviewed the JJS removal records of patients having ureteropelvic junction obstruction (UPJO). We analyzed differences in the removal success rates, operation-related severe complications, total cost, duration, and parental satisfaction between TURFJJS and traditional cystoscopic double J urethral stent removal (CJJSR) procedures.ResultsA total of 324 patients with UPJO were included in this study. CJJSR yielded a success rate of 100%. TURFJJS achieved a success rate of 94.3%. The TURFJJS was just an outpatient procedure, and its total cost was about 800 Chinese yuan (US$ 124). There were no severe JJS removal-related complications using TURFJJS. Parental satisfaction was 98.2 and 92.5% for the CJJSR and TURFJJS protocols, respectively.ConclusionTURFJJS is safe, effective, cost-effective, and well-tolerated in pediatric patients, minimizing or eliminating the need for general anesthesia, additional hospitalization, and waste of time. TURFJJS should be widely used in pediatric urology.
Keywords
- double J ureteral stent
- transurethral retrograde fishing the double J urethral stent
- cystoscopy
- hydronephrosis
- new technical strategy
- ureteropelvic junction obstruction (UPJO)