innovative technique: ureteral stent removal by vaginal examination

ABSTRACT

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. 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. 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%]. 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