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Impassable ureteric obstruction (benign or malignant) can cause a real challenge to every endoluminal endourologist. Usually a percutaneous nephrostomy is the initial approach to drain the obstructed kidney and often becomes the long term option if reconstruction is not possible. We describe the case of a patient awaiting cardiovascular repair for severe valvular disease who was denied surgery due to his long term nephrostomy for an impassable ureter. His nephrostomy was internalised via an extra-anatomical subcutaneous tract into the bladder using a Patterson-Forrester stent ridding him of the tube and allowing him to be listed for life saving heart surgery. Following heart surgery his fitness will be reassessed and definitive treatment will be planned accordingly.
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2. Hepperlen TW, Mardis HK, Kammandel H. The pigtail ureteral stent in the cancer patient. J Urol 1979;148:17–8.
3. Tahir W, Hakeem A, White A, Irving HC, Loyd SN, Ahmad N. Am J Transplant 2014;14:1927–30.
4. Lloyd SN. Ureteric Stenting [online]. Wiley Blackwell Publishing. Lloyd SN.
5. Jurczok A, Loertzer H, Wagner S et al. Subcutaneous nephrovesical and nephrocutaneous bypass: palliative approach to ureteral obstruction caused by pelvic malignancy. Gynae Obstet Invest 2005;59:144–8.
6. Lloyd SN, Al Jaafari F. Insertion and exchange of extra-anatomical stents. BJUI Knowledge video library.