{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:11:41Z","timestamp":1753891901010,"version":"3.41.2"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The purpose of this study was to describe the prolene suture-assisted cystoscopic removal of double J ureteral stents in infants and summarize the safety, operability, and effectiveness of this approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The clinic data of patients who underwent double J ureteral stent removal by prolene suture-assisted cystoscopy were reviewed. The operation procedure was as follows: First, a folded 4-0 prolene suture was preset into the cystoscope sheath, and the telescope was placed. Second, the cystoscopy was performed by inserting the cystoscope into the urinary bladder and finding the end of the double J ureteral stent under cystoscopy. Subsequently, the folded suture was pushed out of the sheath to form a coil that was used to hook 1\u20132\u2005cm of the end of the stent. Finally, the stent was caught by tightening the prolene coil while the cystoscope was retracted into the cystoscope sheath; the removal was accompanied by exiting the cystoscope. Cystoscopy was repeated to confirm no additional damage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 15 double J ureteral stents were retrieved in 15 infants, whose average age was 3.78\u2009\u00b1\u20091.2 months, average weight was 5,951\u2009\u00b1\u2009797\u2005g, average residence time of the stents in the ureter was 31.20\u2009\u00b1\u20092.14 days, and the average operation time was 3.5\u2009\u00b1\u20091.2\u2005min. No complications, such as urethral injury, occurred during the operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Prolene suture-assisted cystoscopy is one of the simple, safe, and effective technique for the removal of double J ureteral stents, especially suitable for infants or patient in whom the grasping forceps cannot pass through the matching cystoscope sheath.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2025.1555402","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T07:20:45Z","timestamp":1740554445000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prolene suture-assisted cystoscopic removal of double J ureteral stents in infants"],"prefix":"10.3389","volume":"13","author":[{"given":"Xinhao","family":"Zeng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Lian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1007\/s11255-015-0963-7","article-title":"Revisiting the tethered ureteral stents in children: a novel modification","volume":"47","author":"Kajbafzadeh","year":"2015","journal-title":"Int Urol Nephrol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.urology.2016.03.026","article-title":"Non-cystoscopic removal of retained ureteral stents with mild sedation in children","volume":"94","author":"Lin","year":"2016","journal-title":"Urology"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e9540","DOI":"10.1097\/MD.0000000000009540","article-title":"Noncystoscopic removal of retained ureteral stents in children: a retrospective study from a single-center","volume":"97","author":"Shao","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"B4","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1016\/S0022-5347(17)57613-2","article-title":"Self-retained internal ureteral stents: a new approach","volume":"119","author":"Hepperlen","year":"1978","journal-title":"J Urol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1016\/j.jpurol.2021.03.009","article-title":"A systematic review and meta-analysis of conventional laparoscopic versus robot-assisted laparoscopic pyeloplasty in infants","volume":"17","author":"Chandrasekharam","year":"2021","journal-title":"J Pediatr Urol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"858","DOI":"10.5114\/aoms.2019.84496","article-title":"Laparoscopic versus open pyeloplasty in children: experience of 226 cases at one centre","volume":"16","author":"Polok","year":"2020","journal-title":"Arch Med Sci"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1135","DOI":"10.1007\/s00383-021-04914-1","article-title":"Functional outcomes of pediatric laparoscopic pyeloplasty: post-operative functional recovery is superior in infants compared to older children","volume":"37","author":"Chandrasekharam","year":"2021","journal-title":"Pediatr Surg Int"},{"key":"B8","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1007\/s11255-013-0594-9","article-title":"External extension of double-J ureteral stent during pyeloplasty: inexpensive stent and non-cystoscopic removal","volume":"46","author":"Kajbafzadeh","year":"2014","journal-title":"Int Urol Nephrol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1991","DOI":"10.1089\/end.2009.0170","article-title":"Retrograde percutaneous access for kidney internal splint stent catheter placement in pediatric laparoscopic pyeloplasty: avoiding stent removal in the operating room","volume":"23","author":"Hadley","year":"2009","journal-title":"J Endourol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1649","DOI":"10.1007\/s00345-020-03339-0","article-title":"Feasibility and safety of magnetic-end double-J ureteral stent insertion and removal in children","volume":"39","author":"Chalhoub","year":"2021","journal-title":"World J Urol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1089\/end.2017.0051","article-title":"Magnetic ureteral stent removal without cystoscopy: a randomized controlled trial","volume":"31","author":"Rassweiler","year":"2017","journal-title":"J Endourol"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1555402\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T07:20:47Z","timestamp":1740554447000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1555402\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":11,"alternative-id":["10.3389\/fped.2025.1555402"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1555402","relation":{},"ISSN":["2296-2360"],"issn-type":[{"type":"electronic","value":"2296-2360"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"article-number":"1555402"}}