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Percutaneous insertion of bilateral double J in pelvic cancer patients: Indications, complications, technique of antegrade ureteral stenting
Journal article   Peer reviewed

Percutaneous insertion of bilateral double J in pelvic cancer patients: Indications, complications, technique of antegrade ureteral stenting

Túlio Fabiano de Oliveira Leite, Lucas Vatanabe Pazinato and Joaquim Mauricio da Motta Leal Filho
Gynecologic oncology reports, Vol.38, p.100864
11/01/2021
DOI: 10.1016/j.gore.2021.100864
PMID: 34926753
url
https://doi.org/10.1016/j.gore.2021.100864View
Published (Version of record) Open Access

Abstract

•Anterograde percutaneous drainage is an alternative to retrograde drainage in failure.•Anterograde double-J percutaneous implant is feasible with low complication rate.•Distal ureteral obstruction, double-J antegrade implant to consider as the first choice. Antegrade percutaneous insertion of a double J seems to be a good alternative when retrograde insertion fails. Malignant ureteral obstruction occurs due to occlusion of the ureter secondary to tumor invasion, extrinsic compression, which prevents intermittent urine flow, leading to acute renal failure, increased morbidity, mortality and interruption of cancer treatment. A 26-year-old woman with endometrial carcinoma with internal invasion of pelvic structures due to urosepsis and acute renal failure. She underwent anterograde percutaneous double-J implantation by interventional radiology due to the failure of retrograde catheter implantation. The antegrade double-J percutaneous implant technique is an alternative when the retrograde technique fails. This technique is feasible, with low morbidity and mortality and good quality of life for continuing cancer treatment.
 Double J stenting Hydronephrosis Nephrostomy Percutaneous Stents Ureteral obstruction

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