PROCEDURE: Percutaneous double J ureteral stent placement

DATE:    

CLINICAL INDICATION:    

OPERATING PHYSICIANS:  John Doe, MD (Attending)/Jane Doe, MD (Fellow)    

MEDICATIONS:    , Levaquin 500 mg IV 

ACCESS:    

CONTRAST: Approximately     mL of nonionic contrast

FLUOROSCOPY TIME:     minutes

COMPLICATIONS: None

IMPLANTABLE DEVICE: 8 French x ___ cm double J ureteral stent 

 

PROCEDURE:

After written and informed consent was obtained, the patient was placed prone on the procedure table. Constant physiologic monitoring and conscious sedation were provided by radiology nursing. The     flank and existing catheter were prepped and draped in standard sterile fashion. A scout image was obtained. A small amount of contrast was injected through the tube to confirm positioning within the renal collecting system. The skin surrounding the catheter was infiltrated with local. The catheter was cut to release the Cope loop. A 0.035 inch Bentson guidewire was advanced to the catheter and coiled in the renal pelvis. The catheter was removed over the guidewire. A 40 cm 5 French Kumpe catheter was advanced over the guidewire into the renal pelvis. The Bentson guidewire was exchanged for a 0.035 inch Glidewire. The Glidewire and Kumpe catheter were used to access the ureter and bladder. The Glidewire was exchanged for the Bentson guidewire, which was used to measure the ureteral length. The Bentson guidewire was exchanged for a 0.035 inch extra stiff Amplatz guidewire. The Kumpe catheter was removed. Over the Amplatz guidewire, an 8 French x__ cm double J ureteral stent was advanced into position under fluoroscopic guidance. The proximal pigtail was formed and positioned in the renal pelvis. The pusher and guidewire were removed. A sterile bandage was applied. The patient tolerated the procedure well without immediate complications.

 

FINDINGS:     The new double J ureteral stent is appropriately positioned with the distal pigtail in the bladder and the proximal pigtail in the renal pelvis.

 

IMPRESSION:  Successful placement of a____double J ureteral stent and removal of the percutaneous nephrostomy tube.