학술논문

The optimal stent pusher position to achieve successful ureteral stent insertion under fluoroscopic guidance
Document Type
article
Source
Asian Journal of Urology, Vol 11, Iss 2, Pp 311-315 (2024)
Subject
Stent
Cystoscopy
Fluoroscopy
Ureter
Diseases of the genitourinary system. Urology
RC870-923
Language
English
ISSN
2214-3882
Abstract
Abstract:: Objective: To examine factors to predict the optimal stent pusher position when inserting ureteral stents under fluoroscopy. Methods: We retrospectively reviewed 327 patients who underwent ureteral stent insertion. We considered the pubic bone as a useful anatomical landmark to insert ureteral stents under fluoroscopic guidance. Thus, we categorized patients into three groups (proximal, middle, and distal groups) according to the position of the radiopaque tip of the push catheter when inserting the ureteral stent. Success was defined as a completely curled ureteral stent tail. We compared stent insertion success rates among the three groups. A multivariate analysis was performed to identify the factors affecting stent insertion success. Results: In men, 36 (63.2%) cases were deemed successful in the proximal group compared with 40 (80.0%) cases in the middle group and 12 (20.7%) cases in the distal group (p