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Paper Information

Journal:   JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S)   SPRING 2007 , Volume 25 , Number 84; Page(s) 96 To 102.
 
Paper: 

AN INNOVATIVE TECHNIQUE: URETERAL STENT REMOVAL BY VAGINAL EXAMINATION

 
 
Author(s):  ZARGHAM M.*, ABBASI H., MOSHKI I., REZVANI M.
 
* DEPARTMENT OF UROLOGY, ST. ALI-ASGHAR HOSPITAL, ISFAHAN, IRAN
 
Abstract: 

Background: Finding manual skills for special circumstances would be important both for the urologist and the patient. In this study a simple technique was examined to facilitate the removal of ureteral stent by vaginal examination in some female patients under special condition.
Methods: Overall, 32 female patients (37 ureteral stent) underwent Stent Removal by Vaginal (SVR) examination technique. The patient was positioned in lithotomic position and was asked to keep her bladder semi-full. The ureteral stent in the ureteral orifice was touched by the index finger between the anterior vaginal wall and the bladder trigone; then the grasping forceps held by the other hand entered the bladder through the urethra to reach the end of the stent and pull it gently and completely.
Findings: The technique was done successfully in stents. No significant side effect was observed after using SRV technique, but gross hematuria was seen in eight patients (23%).
Conclusion: S.R.V. technique is a simple and effective procedure that dose not require additional equipments or personnel. Was more useful in elderly women with atrophic vaginitis and without cystocele.

 
Keyword(s): URETERAL STENT, VAGINAL EXAMINATION, CYSTOCELE
 
References: 
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