Purpose: Double-pigtail ureteral stent is placed cystoscopically after ureteroscopy. Wedescribe a technique for fluoroscopic placement of ureteral stents and demonstrate its use in anon-randomized prospective study.Materials and methods: Double-pigtail stents were placed either fluoroscopically orcystoscopically in 121 consecutive patients. In the fluoroscopic method, the stent was placedover a guide wire using a stent pusher without the use of cystoscopy. Conversely, stents wereplaced through the working channel of the cystoscope under vision. The procedure, stentlength, width, type, method, ureteral dilation, and use of a retrieval string were noted.Results: A wide range of stent sizes were used. The success with fluoroscopic placement ofdouble-pigtail ureteral stents was 100% (89 of 89 cases). No stents migrated or requiredreplacement. Stents were placed after ureteroscopic laser lithotripsy (53/89) and ureteroscopictumor treatment (22/89). Cystoscopic visualization was used in 32 additional proceduresrequiring precise control (15 ureteral strictures and nine retrograde endopyelotomy).Conclusions: The fluoroscopic placement of ureteral stents is a safe and simple techniquewith a very high success rate. We have used cystoscopic placement only after incisionalprocedures such as retrograde endopyelotomy, stricture or ureterotomy.
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