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A ureteral stent (pronounced you-REE-ter-ul), or ureteric stent, is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney. The length of the stents used in adult patients varies between 24 and 30 cm. Additionally, stents come in differing diameters or gauges, to fit different size ureters.
A ureteric balloon catheter is a balloon catheter intended for treating strictures of the ureter. In fact it is a double J stent on which a balloon is mounted. It is connected to a delivery device (pusher) to introduce it from the bladder into the ureter. The system comprises a non-return valve device, and a pusher with a stylet and two ports.
Non-endoscopic open surgical procedures such as colon surgery where the operation field is very close to the adjacent retroperitoneal ureter is a well-known procedure where ureters can be injured, especially when surgical plans are distorted in conditions such as tethered colon cancer or advanced inflammatory bowel disease.
Ureteral stents are used for various purposes, such as temporary measures to prevent damage to a blocked kidney until a stone removal procedure can be performed, providing drainage for compressed ureters caused by tumors, and preventing spasms and collapse of the ureter after trauma during procedures like stone removal.
Risks during surgery include heart problems, pulmonary (lung) complications, development of blood clots , blocking of arteries , and injury to adjacent structures, such as bowel or vascular entities. Inadequate ureteral length may also be encountered, leading to ureteral kinking and subsequent obstruction.
The Johansen's procedure sometimes referred to as "Johanson's urethroplasty" is a two-stage procedure which was developed during the 1950s and 1960s by Swedish surgeon Dr. Bengt Johansen, and was originally designed as a surgical repair for hypospadias. Over the years, the surgery has evolved into a fairly complex operation whereby the damaged ...
A retrograde pyelogram may be performed to find the cause of blood in the urine, or to locate the position of a stone or narrowing, tumour or clot, as an adjunct during the placement of ureteral stents. [13] It can also be used ureteroscopy, or to delineate renal anatomy in preparation for
Common indications for urinary catheterization include acute or chronic urinary retention (which can damage the kidneys) from conditions such as benign prostatic hyperplasia, orthopedic procedures that may limit a patient's movement, the need for accurate monitoring of input and output (such as in an ICU), urinary incontinence that may compromise the ability to heal wounds, and the effects of ...