Double-J Ureteral Stent
JJ stent · Double-J stent · Double pigtail stent · Ureteral stent · Pigtail stent · Indwelling ureteral stent
A soft, thin, hollow plastic tube with small drainage holes and a curl (J or pigtail) at each end. It is straightened over a guidewire to go in, and the ends curl up when the wire is pulled out. Some have a string (tether) on the bladder end.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Placed at the end of ureteroscopy, and often PCNL, over the guidewire, through the cystoscope or under fluoroscopyfloo-ROS-kuh-peeAn x-ray method that shows moving pictures of the inside of the body in real time.fluor/o glowing (from the fluorescent screen)-scopy looking, viewingFull entry alone. The scope makes the ureterYOOR-uh-terOne of the two tubes that carry urine from the kidneys down to the bladder.Full entry swell, and the stentstentA small tube, often of metal mesh, placed inside a vessel or duct to hold it open.Full entry keeps urine draining from the kidney to the bladder. One curl sits in the renal pelvis and one in the bladder so it cannot slip out. A stent pusher advances it along the wire.
Lengths and variants
3 Fr (children) up to 14 Fr; Alexander's lists 3 to 8.5 Fr for ureteropyeloscopy. Many lengths. Single-J, double-J and pigtail shapes. Made of polyurethane, copolymers, polyethylene, silicone or metal, often coated to slide in easily and resist crusting.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
In the order you meet it: before, during and after the case.
- During the case
Caution
What not to do with it, and why.Pro
Know it on sight.
With Pro, for every instrument in the library. Cancel any time.
Or scrub in free: 5 questions a day.
On 2 setups
Every setup it is laid out on.
Every setup this instrument is laid out on, with photos of each table.
See ProKnow this instrument?
Send a clearer photo, another name it goes by, or a fix for this page.
8 sources
- AST. Surgical Technology for the Surgical Technologist. 4th ed. Chapter 20 (Genitourinary Surgery), Procedure 20-5 (Ureteroscopy), p. 841
- Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 15 (Genitourinary Surgery), p. 469
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 24 (Genitourinary Surgery), p. 594-596
- Goldman MA. Pocket Guide to the Operating Room. 3rd ed. Chapter 19 (Genitourinary Surgery), p. 433
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 36 (Ureteroscopic Instrumentation), p. 320-321
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 37A (Ureteroscopic Management of Ureteral Calculi), p. 324
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 37B (Ureteroscopic Management of Renal Calculi), p. 328
- Hinman. Atlas of Urologic Surgery. 5th ed. Chapter 25 (Percutaneous Nephrolithotomy), p. 230
The rest of this card is Pro.
The photos, the description, the uses and the lengths stay free. Pro opens the rest on every instrument: the 3D model, the notes from the table, where it is kept, every setup it is on, and practice.
Free, for good. No card.
- All 3,323 instrument cards
- Every General setup in full
- 5 exam questions a day
- Your own preference cards
Pass your exam. Know every case.
Everything in Free, plus:
- All 298 setups in every specialty: back table, Mayo and every step
- Practice that never runs out and full timed exams for the CST, TS-C, CRCST, CSPDT and CSFA, with the why behind every answer
- Flashcards on any tray, timed to come back before you forget
- Every instrument card in full: the 3D model, cautions, inspection, how to pass it
Cancel any time from your account. Not worth it? Email us within 30 days of a charge for a refund, one per customer. Refund policy
Pro is also in the CSTSetup app, on the same account. Already have Pro? Log in
Send a photo or a fix
A photo of it on your tray, a name your OR calls it, or anything wrong on this page. Your email is only used to credit you. Submissions stay private and are reviewed by our team; accepted ones earn a Contributor credit here.