Double-J Ureteral Stent Change

Procedure Steps

  1. Position
  2. Prep
  3. Drape
  4. Access Bladder (KMP + Bentson or 7 Fr Dilator+Bentson)
  5. Instill bladder with dilute contrast
  6. Snare Catheter(s) using gooseneck snare via guiding catheter (eg. Liebermann, 9Fr Sheath, MPA guiding catheter)
  7. Wire up to kidney (Amplatz)
  8. Old stent out
  9. KMP/MPA to kidney, inject contrast
  10. New stent in
  11. Form proximal loop by pulling back wire and stiffener halfway into stent
  12. Push up stent into bladder
  13. Pull wire and stiffener
  14. Cut one of the suture strings
  15. Jiggle out the suture without  pulling out stent (under fluoro)

Contributing Authors

Kevin Liu