t-shaped tube as a stent/ureterostomy is a useful adjutant among the urologic armamentarium

ABSTRACT

This study aimed to assess the clinical use of T-tube as a stent/ureterostomy. In 36 cases subjected to open surgical procedures on the kidney and/or ureter, T-shaped tube ureterostomy was done using 37 tubes. The tube should be modulated before placement to enhance its drainage and facilitate its later removal. The tube should not traverse the ureterovesical junction. Transtubal ureterogram was done before tube removal. The T-tube was used for ureteric drainage in the presence of obstruction distal to the site of intervention [thirteen cases], potentially obstructing stones proximal to that site [four cases] or intraoperative stone migration [seven cases]. In occasional need for open nephrostomy for obstructive anuria, T-tube upper ureterostomy was easy and safe. The tube was used as a ureteric stent [eight cases] and to stent the injured pelviureteric junction [two cases]