{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T08:30:12Z","timestamp":1786437012710,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the efficacy and safety of the HuaXi technique of a lateral drainage Memokath\u2122 metal ureteric stent (MMUS; Pnn Medical A\/S, Kvistgaard, Denmark) for \u2018Y\u2010shaped\u2019 branch obstructive incomplete duplicated collecting systems (IDCS) and intra\u2010pelvic branch atresia (IPBA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Between November 2023 and December 2024, a prospective study and follow\u2010up observations were conducted on 20 patients who underwent MMUS placement for IDCS and IPBA at our centre. Surgical success was defined as the initially implanted stents requiring no replacement during follow\u2010up and maintaining unobstructed drainage, or following planned stent replacement or removal performed, there was no worsening of renal hydronephrosis in the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Based on the lateral drainage characteristics of the MMUS, it was selected for treating four distinct types of \u2018Y\u2010shaped\u2019 branch obstructive uropathy. During the 1\u2010year follow\u2010up period, the overall success rate of MMUS placement reached 85.0%. At 1 month postoperatively, hydronephrosis volume significantly decreased (mean [standard deviation (SD)] 64.2 [63.8] vs 35.6 [39.7]\u2009cm\n                      <jats:sup>3<\/jats:sup>\n                      ,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.028), with serum creatinine levels (mean [SD] 97.2 [57.9] vs 90.6 [54.8]\u2009\u03bcmol\/L,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.046) and urea nitrogen levels (mean [SD] 5.2 [1.0] vs 4.9 [0.8]\u2009mmol\/L,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.036) were significantly reduced, while glomerular filtration rate remained stable (mean [SD] 81.1 [23.1] vs 80.3 [22.8]\u2009mL\/min\/1.73\u2009m\n                      <jats:sup>2<\/jats:sup>\n                      ,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.083). The 1\u2010year postoperative outcomes were similar to those at 1 month postoperatively. During follow\u2010up, no patients experienced uncontrollable postoperative complications. Stent\u2010related complications primarily involved haematuria (15.0%). All complications resolved spontaneously after symptomatic management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Short\u2010term follow\u2010up indicates that lateral drainage MMUS offers a safe and effective treatment for \u2018Y\u2010shaped\u2019 branch obstructive uropathy. For patients unsuitable or unwilling to undergo urinary tract reconstruction surgery, endoscopic MMUS placement provides an optimal and viable alternative.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70323","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T06:05:47Z","timestamp":1780293947000},"page":"417-423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lateral drainage metal ureteric stent for the treatment of \u2018Y\u2010shaped\u2019 branch obstructive uropathy"],"prefix":"10.1111","volume":"138","author":[{"given":"Yixiong","family":"Zhan","sequence":"first","affiliation":[{"name":"Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital Sichuan University  Chengdu Sichuan P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7464-4251","authenticated-orcid":false,"given":"Yuchong","family":"He","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital Sichuan University  Chengdu Sichuan P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jixiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital Sichuan University  Chengdu Sichuan P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital Sichuan University  Chengdu Sichuan P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital Sichuan University  Chengdu Sichuan P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoshuai","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital Sichuan University  Chengdu Sichuan P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital Sichuan University  Chengdu Sichuan P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8764-3428","authenticated-orcid":false,"given":"Xin","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital Sichuan University  Chengdu Sichuan P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,31]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(76)80121-3"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)41044-5"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-017-3904-z"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-023-01190-5"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000485466"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-73125-0"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000003806"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000002384"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajur.2016.04.002"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40258-018-0389-3"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1203\/PDR.0b013e3181d22b91"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-019-1608-6"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000002578"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2024.1445808"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000841"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2014.0056"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.124210"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605241274591"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001299"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.70323","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bju.70323","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.70323","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T08:01:19Z","timestamp":1786435279000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.70323"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/bju.70323"],"URL":"https:\/\/doi.org\/10.1111\/bju.70323","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,31]]},"assertion":[{"value":"2026-05-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}