{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T23:56:23Z","timestamp":1784937383572,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Ureteral stent insertion and subsequent removal remains one of the most common procedures performed in endourology. We aimed to evaluate a novel, one\u2010step method, permitting simultaneous stent removal and guidewire passage using a self\u2010constructed suture snare via standard cystoscopy. This method should be used prior to ureteroscopy, in cases of minimal stent encrustation and peri\u2010ureteral mucosal oedema, where identification and subsequent cannulation of the ureteral orifice may be a challenge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A self\u2010constructed suture snare is constructed using an open\u2010ended ureteral catheter to facilitate this novel \u2018Switch\u2019 technique. Operative duration, cost feasibility and potential complications with this novel method were assessed in patients with an indwelling stent duration above 100\u2009days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Age inclusion in this study ranged from 21 to 35\u2009years, with kidney, ureter and bladder scores below 6, in the five patients assessed. Previous ureteral stent indwelling time ranged from 106 to 315\u2009days. Reasons for (pre\u2010stented) ureteroscopy were mostly stone related. The overall recorded procedure time for the Switch technique was successfully performed in less than 96\u2009s (range 68\u201395\u2009s) in all cases within this series. No procedure\u2010related complications were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Utilizing the suture snare, the novel Switch technique was successfully performed in all cases assessed. This method is both time and cost feasible and could be easily utilized in resource\u2010limited areas, regional centres or in cases where a stent grasper is not available, may have malfunctioned or cannot adequately approximate due to distal ureteral stent encrustation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16621","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T04:00:22Z","timestamp":1612497622000},"page":"571-577","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["<scp>Trans\u2010urethral<\/scp> snare stent removal: a novel, self\u2010constructed innovation for simultaneous ureteral stent removal and safety guidewire insertion"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9069-3282","authenticated-orcid":false,"given":"Ahmed","family":"Adam","sequence":"first","affiliation":[{"name":"Division of Urology, Department of Surgery, Faculty of Health Sciences The University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit S.","family":"Bhattu","sequence":"additional","affiliation":[{"name":"Department of Urology, Miller School of Medicine The University of Miami  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Lawrentschuk","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery, EJ Whitten Prostate Cancer Research Centre at Epworth Urologic Oncologist, Peter MacCallum Cancer Centre The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14119"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.05.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2017.0051"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-014-1394-2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.12.022"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2020.03.027"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2011.0385"},{"key":"e_1_2_9_9_1","first-page":"e147","article-title":"Risk factor analysis and management of ureteral double\u2010j stent complications","volume":"12","author":"Ahallal Y","year":"2010","journal-title":"Rev. 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