Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats

Case series summary Two cases of placement of modified endoluminal ureteral stents are described, for revision of a subcutaneous ureteral bypass (SUB) and for primary treatment of obstructive ureterolithiasis. Modified endoluminal stents were inserted through the ureterotomy, anchored in the renal p...

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Main Authors: Teng-Xiang Khoo, Shaojing Wang, Brenton Chambers, Angus McMillan, Guy Yates
Format: Article
Language:English
Published: SAGE Publishing 2023-12-01
Series:Journal of Feline Medicine and Surgery Open Reports
Online Access:https://doi.org/10.1177/20551169231210449
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author Teng-Xiang Khoo
Shaojing Wang
Brenton Chambers
Angus McMillan
Guy Yates
author_facet Teng-Xiang Khoo
Shaojing Wang
Brenton Chambers
Angus McMillan
Guy Yates
author_sort Teng-Xiang Khoo
collection DOAJ
description Case series summary Two cases of placement of modified endoluminal ureteral stents are described, for revision of a subcutaneous ureteral bypass (SUB) and for primary treatment of obstructive ureterolithiasis. Modified endoluminal stents were inserted through the ureterotomy, anchored in the renal pelvis with a single pigtail and shortened to a length sufficient to span the proximal ureter and ureterotomy site. Relevance and novel information The advantages of this approach as a surgical option for feline obstructive ureterolithiasis are demonstrated, including the avoidance of disruption, or bypass, of the ureterovesicular junction, minimisation of implanted foreign material and avoidance of intravesicular stent mass, maintenance of the physiological route of urine flow, including preservation of active distal ureteral function, and limitation of the potential complications of ureterotomy. The clinical efficacy of this adaptation of the previously published endoluminal stenting technique is demonstrated with its applicability de novo and in the revision of other stenting procedures.
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spelling doaj.art-4a64b8d988274f0da49c48ba548b2ec72023-12-18T20:03:54ZengSAGE PublishingJournal of Feline Medicine and Surgery Open Reports2055-11692023-12-01910.1177/20551169231210449Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two catsTeng-Xiang KhooShaojing WangBrenton ChambersAngus McMillanGuy YatesCase series summary Two cases of placement of modified endoluminal ureteral stents are described, for revision of a subcutaneous ureteral bypass (SUB) and for primary treatment of obstructive ureterolithiasis. Modified endoluminal stents were inserted through the ureterotomy, anchored in the renal pelvis with a single pigtail and shortened to a length sufficient to span the proximal ureter and ureterotomy site. Relevance and novel information The advantages of this approach as a surgical option for feline obstructive ureterolithiasis are demonstrated, including the avoidance of disruption, or bypass, of the ureterovesicular junction, minimisation of implanted foreign material and avoidance of intravesicular stent mass, maintenance of the physiological route of urine flow, including preservation of active distal ureteral function, and limitation of the potential complications of ureterotomy. The clinical efficacy of this adaptation of the previously published endoluminal stenting technique is demonstrated with its applicability de novo and in the revision of other stenting procedures.https://doi.org/10.1177/20551169231210449
spellingShingle Teng-Xiang Khoo
Shaojing Wang
Brenton Chambers
Angus McMillan
Guy Yates
Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats
Journal of Feline Medicine and Surgery Open Reports
title Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats
title_full Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats
title_fullStr Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats
title_full_unstemmed Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats
title_short Modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats
title_sort modified endoluminal ureteral stenting for the management of proximal ureteral obstruction in two cats
url https://doi.org/10.1177/20551169231210449
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