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  3. Percutaneous Antegrade Ureteric Stenting in Patients with Failed Retro…
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Percutaneous Antegrade Ureteric Stenting in Patients with Failed Retrograde Approach: A Prospective Study

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Annals of Medicine and Medical Sciences Volume 04 (2025), Version 12 October 3, 2025 pp. 1159 - 1163
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Abstract

Aim: To evaluate procedural success rate and complications in percutaneous antegrade ureteric stenting. Materials and Methods: A total of 21 patients (12 males, 9 females, mean age 48 years) with obstructive hydronephrosis, of benign or malignant origin with failure of retrograde stent placement were enrolled in our study. Primary stenting was attempted in 10(48%) patients and rest of the patients was subjected to conventional two stage procedure. End point assessments were technical and clinical success rate, procedural complications. Results: A total of 26 procedures in 21 patients were done in the study: 16 procedures in 11 patients were in the secondary group and 10 procedures in 10 patients were in the primary group. Our technical success rates were 87% and 80% in secondary and primary groups, respectively. Overall technical and clinical success rate in our study was 84.6% and 85% respectively. Five out of 21 patients developed (23.8%) minor complications; however there were no major complications in our study. Conclusion: Percutaneous antegrade ureteral stent placement is a safe and effective method for manage-ment of ureteric obstructions due to both malignant and benign causes when the retrograde approach has failed and when the retrograde approach is difficult.

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