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

Ricardo Miyaoka; Wilmar Azal Neto; Renato Nardi Pedro

doi:10.1016/j.eucr.2023.102549

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

Urol Case Rep. 2023 Aug 29:51:102549. doi: 10.1016/j.eucr.2023.102549. eCollection 2023 Nov.

Authors

Ricardo Miyaoka^{1

2}, Wilmar Azal Neto¹, Renato Nardi Pedro¹

Affiliations

¹ Division of Urology, Faculty of Medical Sciences, State University of Campinas - UNICAMP, Cidade Universitária Zeferino Vaz, Rua Vital Brasil, 80, CEP 13083-888, Campinas, SP, Brazil.
² Clínica Urologia Campinas, Av. Francisco Glicério, 2331, salas 63/64, edifício Glicerio Office, Vl. Itapura, CEP 13020-210, Campinas, SP, Brazil.

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: Double J stent; Flexible ureteroscopy; Ileal conduit; Radical cystectomy; Stent removal.

Publication types

Case Reports