Metallic Ureteric Stents a cost-effective alternative in the management of Obstructed Distal Ureters

Obstruction of the distal-pelvic ureters by neoplastic or in lammatory disease poses vexing problems. Surgical interventions, such as reimplantation of the ureter with psoas hitch, Boari lap or ureteroneocystostomy will re-establish drainage of urine from the kidney [1-3]. Creation of an orthotopic sigmoid neobladder will likewise effectively correct the obstruction and prevent permanent damage to renal function [4]. However, although initial results with reimplantation tend to be satisfactory, the eGFR deteriorates signi icantly over time in male patients [2]. Orthotopic neobladder s have an early complication-rate of 22.6% and a late complication-rate of 25% [4]. These surgical procedures are complex and attendant hospitalization time and cost are signi icant.