Systematic use of magnetic double J stent in pediatric kidney transplantation: A single‐center experience

Background The intraoperative insertion of a double J stent (DJS) is known to reduce urological complications and is broadly accepted in kidney transplant (KTx) patients. The magnetic ureteral DJS (mDJS) represents a valid alternative device as it can be removed without cystoscopy, using a transuret...

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Veröffentlicht in:Pediatric transplantation 2023-06, Vol.27 (4), p.e14529-n/a
Hauptverfasser: Spagnoletti, Gionata, Larghi Laureiro, Zoe, Marincola, Giuseppe, Guzzo, Isabella, Dello Strologo, Luca, Spada, Marco
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container_issue 4
container_start_page e14529
container_title Pediatric transplantation
container_volume 27
creator Spagnoletti, Gionata
Larghi Laureiro, Zoe
Marincola, Giuseppe
Guzzo, Isabella
Dello Strologo, Luca
Spada, Marco
description Background The intraoperative insertion of a double J stent (DJS) is known to reduce urological complications and is broadly accepted in kidney transplant (KTx) patients. The magnetic ureteral DJS (mDJS) represents a valid alternative device as it can be removed without cystoscopy, using a transurethral magnet. This is of particular importance in the pediatrics, allowing us to avoid cystoscopy requiring general anesthesia (GA) in this population. To date, few data are available on the systematic use of mDJS in pediatric patients undergoing KTx. Methods We report a retrospective analysis of 32 consecutive pediatric KTx at our center from July 2020 to December 2021. Results Ureteral stents remained in place for a median of 35 days (range: 12–76). Non‐surgical magnetic removal of the mDJS was attempted in all cases without complications. In most cases (69%), the removal procedure was performed in an outpatient clinic. In 10 cases, the mDJS was removed in the operating room under sedation before removal of the abdominal Tenckhoff catheter. All patients were clinically followed (range: 3–15 months). Conclusions We confirm the safety and feasibility of systematic use of mDJS in the setting of pediatric KTx. The systematic use of this device contributes to reduce the need for GA and the rate of hospital admission.
doi_str_mv 10.1111/petr.14529
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The magnetic ureteral DJS (mDJS) represents a valid alternative device as it can be removed without cystoscopy, using a transurethral magnet. This is of particular importance in the pediatrics, allowing us to avoid cystoscopy requiring general anesthesia (GA) in this population. To date, few data are available on the systematic use of mDJS in pediatric patients undergoing KTx. Methods We report a retrospective analysis of 32 consecutive pediatric KTx at our center from July 2020 to December 2021. Results Ureteral stents remained in place for a median of 35 days (range: 12–76). Non‐surgical magnetic removal of the mDJS was attempted in all cases without complications. In most cases (69%), the removal procedure was performed in an outpatient clinic. In 10 cases, the mDJS was removed in the operating room under sedation before removal of the abdominal Tenckhoff catheter. All patients were clinically followed (range: 3–15 months). Conclusions We confirm the safety and feasibility of systematic use of mDJS in the setting of pediatric KTx. The systematic use of this device contributes to reduce the need for GA and the rate of hospital admission.</description><identifier>ISSN: 1397-3142</identifier><identifier>EISSN: 1399-3046</identifier><identifier>DOI: 10.1111/petr.14529</identifier><identifier>PMID: 37062038</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Anesthesia ; Child ; Humans ; Implants ; Kidney transplantation ; Kidney Transplantation - methods ; Kidney transplants ; Magnetic Phenomena ; outcome ; Patients ; pediatric kidney transplantation ; Pediatrics ; quality‐of‐life ; Retrospective Studies ; Stents ; surgical ; Transplants &amp; implants ; Ureter - surgery ; Ureteral stents</subject><ispartof>Pediatric transplantation, 2023-06, Vol.27 (4), p.e14529-n/a</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC.</rights><rights>2023 The Authors. Pediatric Transplantation published by Wiley Periodicals LLC.</rights><rights>2023. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Anesthesia
Child
Humans
Implants
Kidney transplantation
Kidney Transplantation - methods
Kidney transplants
Magnetic Phenomena
outcome
Patients
pediatric kidney transplantation
Pediatrics
quality‐of‐life
Retrospective Studies
Stents
surgical
Transplants & implants
Ureter - surgery
Ureteral stents
title Systematic use of magnetic double J stent in pediatric kidney transplantation: A single‐center experience
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