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CONGRESS OF THE ESPU
15:47–15:49
S3-7 (CP)
USE OF METALLIC DOUBLE J STENT IN A CHILD
WITH RETROPERITONEAL FIBROSIS: FIRST CASE REPORT
Simona GEROCARNI NAPPO
1
, Michele INNOCENZI
1
, Paolo CAIONE
2
, Laura DEL
PRETE
1
and Nicola CAPOZZA
1
1) BAMBINO GESU’ CHILDREN’S HOSPITAL, DIVISION OF PAEDIATRIC UROLOGY, Rome, ITALY - 2) Bambino
Gesu Hospital, Paediatric Urology, Rome, ITALY
PURPOSE
Ureteric stenting is required in selected cases of abdominal or pelvic masses and hydronephrosis.
In some patients long term stenting may become necessary, with repeated stent substitutions.
Metallic double J stents is a innovative therapeutic option. Resonance TM (Cook medical, Ireland)
is a new stent made of a strict metallic spiral, not compressable, which has shown improved urinary
drainage compared with polymeric stents. To our knowledge, metallic stents have not been used
in children so far.
MATERIAL AND METHODS
A child of 12 year was seen for retroperitoneal fibrosis and bilateral grade 4 hydronephrosis. The
mass was regarded as not respondent to any therapy. Double J stent was placed 3 years in ad-
vance and changed yearly. Parents looked for a more definitive solution but refused nephrostomy.
RESULTS
At cystoscopy the ureteric orifices were hard to find due to the posterior bulking mass. On bot sides
a guidewire was inserted up the renal pelvis, and the ResonanceTM 6 fr 22 cm (right side) and
24 cm (left side) stents were inserted after placement of the appropriate outer sheat of 8 fr diameter.
Placement of the metallic stent is described step by step. The procedure was bilaterally successful.
At 12 month follow-up the metallic stents are well tolerated and creatinine is normal.
CONCLUSIONS
Metallic stents are a new endourological device and can be used successfully in very selected
children requiring long lasting ureteric stenting, thus obviating the need of nephrostomy.
15:49–15:51
S3-8 (CP)
COMPLEX OBSTRUCTIVE UROPATHY WITH EARLY END
STAGE RENAL FAILURE – A SUCCESSFUL OUTCOME
Anupam LALL
1
, Sally JOHNSON
2
and David TALBOT
3
1) Great North Childrens Hospital, Department of Paediatric Urology, Newcastle, UNITED KINGDOM - 2) Great North
Childrens Hospital, Deapartment of Paediatric Nephrology, Newcastle, UNITED KINGDOM - 3) Freeman Hospital,
Department of Transplantation, Newcastle, UNITED KINGDOM
PURPOSE
We describe successful bladder rehabilitation of baby born with complex obstructive uropathy,
bilateral dysplastic kidneys needing renal replacement therapy from birth.