DOI: https://doi.org/10.36347/sasjs.2025.v11i08.004

Pages: 863-866

Aim: The retrograde double-J (JJ) catheter (DJC) stenting is the gold standard treatment of the ureteral obstruction. This technique can be replaced by the antegrade approach, which in many cases can be a successful option. Therefore, herein we reviewed the indications for antegrade JJ ureteral insertion, its success rate, and associated complications. Methods: This retrospective descriptive study included 644 patients who underwent successful antegrade DJC insertion at the Interventional Radiology Department, King Hussein Medical Hospital, between (June 2019 and October 2024). The medical and radiological data were reviewed. Data on patient characteristics, the antegrade JJ stent insertion procedure, and recorded complications were collected. The patients were followed-up for 12 weeks. Results: Enrolment of (702) antegrade DJC manipulations and discussion were done herein. A percutaneous nephrostomy catheter was functioning in most patients (n = 601) due to initial treat¬ment for hydronephrosis. Obstructive ureteral stones were the most prevalent indication for JJ stenting (n = 436). JJ stents were successfully inserted in 644 of the 702 obstructed kidneys. In 279 cases, the retrograde ureteral stent¬ing was failed, but was then followed by successful antegrade ureteral stenting. The complicated cases were (82) as follows: 67 infections, 13 false tract and 2 mal-positions. Conclu¬sion: JJ stenting, typically performed in a retrograde technique, has a viable alternative choice in antegrade percutaneous insertion.