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<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="urology" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">22</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2021.1401</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Urology</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>A Case of Successful Management of a Knotted Ureteral Stent in the Proximal Part of a JJ Stent&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Binjabaan</surname>
            <given-names>Bander</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alfulaij</surname>
            <given-names>Abdullah</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alabandi</surname>
            <given-names>Ali</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alnemer</surname>
            <given-names>Mutadah</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>30</day>
        <month>11</month>
        <year>-0001</year>
      </pub-date>
      <volume>1</volume>
      <issue>4</issue>
      <fpage>77</fpage>
      <lpage>80</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Ureteral stent usage is a routine practice in urology practice. They are usually safe, but complications may occur and are variable. They can be categorized into immediate, early and late complications. Stent knotting is a rare complication with less than 30 cases reported in the literature. We report a case of a 50-year-old man in which a complete knot was found in the proximal part of the JJ stent. The knotted stent was gently pulled and successfully removed under fluoroscopic guidance after failed attempts to use a guidewire as well as the use of a semi-rigid ureteroscopy. Gentle traction was used and resulted in complete removal of the stent without any complications. In conclusion, gentle traction of a knotted JJ stent of the proximal part is a successful method and can be used. However, careful planning and prediction of major injuries such as avulsion and kidney injury should be considered.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>ureteral stent</kwd>
        <kwd> knotted stents</kwd>
        <kwd> JJ stent</kwd>
        <kwd> Proximal stenting</kwd>
        <kwd> gentle traction</kwd>
        <kwd> successful management</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>