Feasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children

Objective: Double-J tube placement is an important procedure during upper urinary tract surgery. A primary drawback is the requirement of a second double-J tube removal under a cystoscope. Therefore, a simple and feasible alternative is required to remove the double-J tube without cystoscopy. The pr...

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Autores principales:	Qiao Bao, Weihua Lao, Tong Shi, Keyu Ouyang, Sai Ma, Wen Zhang, Yankun Lin
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	double-J ureteral stent cystoscopy non-cystoscopy technique feasibility Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/543a0fd8608942c78e657b1218b5a9af
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spelling	oai:doaj.org-article:543a0fd8608942c78e657b1218b5a9af2021-11-04T06:51:59ZFeasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children2296-236010.3389/fped.2021.761903https://doaj.org/article/543a0fd8608942c78e657b1218b5a9af2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.761903/fullhttps://doaj.org/toc/2296-2360Objective: Double-J tube placement is an important procedure during upper urinary tract surgery. A primary drawback is the requirement of a second double-J tube removal under a cystoscope. Therefore, a simple and feasible alternative is required to remove the double-J tube without cystoscopy. The present study reported the feasibility and safety of a simple non-cystoscopic double-J tube removal technique.Method: We retrospectively analysed children who underwent pyeloplasty and ureterovesical reimplantation between June 2015 and August 2021. A simple device (a catheter with a suture) was used to pull out the double-J tube. Patient characteristics, detailed surgical procedures, success and complication rates and reasons for failure were evaluated.Result: A total of 613 children were included. The mean age of patients was 6.2 months (3 months−14 years). Non-endoscopic methods were used to remove the double-J tube in all except 6 patients (0.9%). Of the 6 patients who required ureteroscopy or cystoscopy, 4 had retraction of the double-J tube into the ureter, and 2 (0.6%) had bladder stones. Of the 613 patients, 479 (76.0%) required one attempt, 127 (20.1%) required two attempts and 19 (3.0%) required several attempts. No serious postoperative complications occurred in all patients. The most common complications were gross haematuria (22.5%), pain urinating (17.9%), difficulty in urinating (3.6%), foreskin injury (1.7%), and penile oedema (1.3%). No urethral strictures developed during the follow-up period.Conclusion: The study results demonstrated that the modified and simple non-cystoscopic double-J tube removal technique is a safe and an effective alternative to cystoscopy in clinical practise.Qiao BaoWeihua LaoTong ShiKeyu OuyangSai MaWen ZhangYankun LinFrontiers Media S.A.articledouble-J ureteral stentcystoscopynon-cystoscopytechniquefeasibilityPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	double-J ureteral stent cystoscopy non-cystoscopy technique feasibility Pediatrics RJ1-570
spellingShingle	double-J ureteral stent cystoscopy non-cystoscopy technique feasibility Pediatrics RJ1-570 Qiao Bao Weihua Lao Tong Shi Keyu Ouyang Sai Ma Wen Zhang Yankun Lin Feasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children
description	Objective: Double-J tube placement is an important procedure during upper urinary tract surgery. A primary drawback is the requirement of a second double-J tube removal under a cystoscope. Therefore, a simple and feasible alternative is required to remove the double-J tube without cystoscopy. The present study reported the feasibility and safety of a simple non-cystoscopic double-J tube removal technique.Method: We retrospectively analysed children who underwent pyeloplasty and ureterovesical reimplantation between June 2015 and August 2021. A simple device (a catheter with a suture) was used to pull out the double-J tube. Patient characteristics, detailed surgical procedures, success and complication rates and reasons for failure were evaluated.Result: A total of 613 children were included. The mean age of patients was 6.2 months (3 months−14 years). Non-endoscopic methods were used to remove the double-J tube in all except 6 patients (0.9%). Of the 6 patients who required ureteroscopy or cystoscopy, 4 had retraction of the double-J tube into the ureter, and 2 (0.6%) had bladder stones. Of the 613 patients, 479 (76.0%) required one attempt, 127 (20.1%) required two attempts and 19 (3.0%) required several attempts. No serious postoperative complications occurred in all patients. The most common complications were gross haematuria (22.5%), pain urinating (17.9%), difficulty in urinating (3.6%), foreskin injury (1.7%), and penile oedema (1.3%). No urethral strictures developed during the follow-up period.Conclusion: The study results demonstrated that the modified and simple non-cystoscopic double-J tube removal technique is a safe and an effective alternative to cystoscopy in clinical practise.
format	article
author	Qiao Bao Weihua Lao Tong Shi Keyu Ouyang Sai Ma Wen Zhang Yankun Lin
author_facet	Qiao Bao Weihua Lao Tong Shi Keyu Ouyang Sai Ma Wen Zhang Yankun Lin
author_sort	Qiao Bao
title	Feasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children
title_short	Feasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children
title_full	Feasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children
title_fullStr	Feasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children
title_full_unstemmed	Feasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children
title_sort	feasibility and safety of a simple non-cystoscopic double-j tube removal technique in children
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/543a0fd8608942c78e657b1218b5a9af
work_keys_str_mv	AT qiaobao feasibilityandsafetyofasimplenoncystoscopicdoublejtuberemovaltechniqueinchildren AT weihualao feasibilityandsafetyofasimplenoncystoscopicdoublejtuberemovaltechniqueinchildren AT tongshi feasibilityandsafetyofasimplenoncystoscopicdoublejtuberemovaltechniqueinchildren AT keyuouyang feasibilityandsafetyofasimplenoncystoscopicdoublejtuberemovaltechniqueinchildren AT saima feasibilityandsafetyofasimplenoncystoscopicdoublejtuberemovaltechniqueinchildren AT wenzhang feasibilityandsafetyofasimplenoncystoscopicdoublejtuberemovaltechniqueinchildren AT yankunlin feasibilityandsafetyofasimplenoncystoscopicdoublejtuberemovaltechniqueinchildren
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Feasibility and Safety of a Simple Non-cystoscopic Double-J Tube Removal Technique in Children

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