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OBJECTIVES To investigate the feasibility and efficacy of live renal ultrasonography to guide double-J ureteral stent placement at the bedside. PATIENTS AND METHODS Between April 12 and June 5, 2020, patients presenting with acute ureteral obstruction requiring decompression were prospectively selected for ultrasound-guided bedside ureteral stent placement. During stent placement, upper tract access confirmed using ultrasound with or without retrograde injection of ultrasound contrast prior to double-J stent insertion. A post-procedural abdominal x-ray was obtained for stent position confirmation. RESULTS Eight patients (4 men, 4 women) were offered bedside ultrasound-guided ureteral stent placement, and all 8 consented to proceed. Stents were successfully placed in 7 of 8 patients. One patient had an impacted ureterovesical junction stone and stricture requiring ureteroscopy and laser lithotripsy in the operating room. All patients tolerated procedures without immediate complications. CONCLUSION Live renal ultrasonography can facilitate a high success rate for bedside ureteral stent placement outside the operating room. This approach is an attractive alternative to fluoroscopy-guided stent placement in the operating room and is of particular value in the COVID-19 era when judicious use of these resources is salient.
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Live renal ultrasonography facilitates double-J ureteral stent insertion at the bedside: a pilot study for the COVID-19 era.
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