Objective: The aim is to report the indications and results of upper urinary tract diversion using a double J catheter in central Ivory Coast. This was a retrospective descriptive study from December 1, 2021 to December 31, 2022, on the records of patients who had a JJ catheter insertion as a type of upper tract diversion. Results: Twenty-seven patient records were included. The average age of patients was 35 years, ranging from 16 to 85 years. Women accounted for 55.56% of cases. The sex ratio was 1.26. Ureterohydronephrosis was the main indication for JJ upregulation. The etiologies were dominated by urinary lithiasis with 51.85% of cases. The JJ catheter insertion was performed without fluoroscopic control (blind) under spinal anesthesia with a success rate of 57.14%. Conclusion: JJ catheter insertion is an effective alternative technique for urinary diversion. Its safety should be assessed for improved management.
References
[1]
Ray, R., Mahapatra, R., Mondal, P. and Pal, D. (2015) Long-term Complications of JJ Stent and Its Management: A 5 Years’ Review. UrologyAnnals, 7, 41-45. https://doi.org/10.4103/0974-7796.148599
[2]
Ouédraogo, B., Traoré, O., Karama, H., Hafing, T., Sama, P., Sikpa, H.K. and Kaboré, F.A. (2020) JJ Probe Insertion at the Tengandogo University Hospital Center (Ouagadou-gou): Indications and Results. Health Sciences and Diseases, 21, 60-62.
[3]
Nourparvar, P., Leung, A., Shrewsberry, A.B., Weiss, A.D., Patil, D., Atallah, H., et al. (2016) Safety and Efficacy of Ureteral Stent Placement at the Bedside Using Local Anesthesia. Journal of Urology, 195, 1886-1890. https://doi.org/10.1016/j.juro.2015.11.083
[4]
Al-Marhoon, M.S., Shareef, O. and Venkiteswaran, K.P. (2012) Complications and Outcomes of JJ Stenting of the Ureter in Urological Practice: A Single-Centre Experience. Arab Journal of Urology, 10, 372-377. https://doi.org/10.1016/j.aju.2012.08.004
[5]
Ecke, T.H., Bartel, P., Hallmann, S. and Ruttloff, J. (2010) Evaluation of Symptoms and Patients’ Comfort for JJ-Ureteral Stents with and without Antireflux-Membrane Valve. Urology, 75, 212-216. https://doi.org/10.1016/j.urology.2009.07.1258
[6]
Zakou, A.R.H., Ndoye, M., Niang, L., Jalloh, M., Labou, I. and Gueye, S.M. (2018) Dérivation du haut appareil urinaire par une sonde JJ: Indications et résultats dans une étude rétrospective et monocentrique. African Journal of Urology, 24, 303-307. https://doi.org/10.1016/j.afju.2018.08.001
[7]
Coulibaly, N., Dje, K., Yao, H., Boka, M., et al. (2016) Upper Urinary Tract Obstruction—Diagnosis Circumstances and Drainage Methods. Revue d’Urologie et d’Andrologie de l’ASU, 5, 348-350.
[8]
ElSheemy, M.S., Shouman, A.M., Shoukry, A.I., ElShenoufy, A., Aboulela, W., Daw, K., et al. (2014) Ureteric Stents vs Percutaneous Nephrostomy for Initial Urinary Drainage in Children with Obstructive Anuria and Acute Renal Failure Due to Ureteric Calculi: A Prospective, Randomised Study. BJU International, 115, 473-479. https://doi.org/10.1111/bju.12768
[9]
Ngai, H., Salih, H.Q., Albeer, A., Aghaways, I. and Buchholz, N. (2013) Double-J Ureteric Stenting in Pregnancy: A Single-Centre Experience from Iraq. Arab Journal of Urology, 11, 148-151. https://doi.org/10.1016/j.aju.2013.02.002
