Copyright
©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2026; 14(5): 117384
Published online Feb 16, 2026. doi: 10.12998/wjcc.v14.i5.117384
Published online Feb 16, 2026. doi: 10.12998/wjcc.v14.i5.117384
Fluoroscopy-guided transurethral resection with antegrade guidewire assistance for retrieval of a buried double-J stent: A case report
Panagiotis Deligiannis, Stamatios Katsimperis, Ioannis Kyriazis, Panagiotis Angelopoulos, Panagiotis Neofytou, Sotirios G Kapsalos-Dedes, Panagiotis Triantafyllou, Polyvios Arseniou, Stamatia Katelani, Athanasios Papatsoris, 2nd Department of Urology, National and Kapodistrian University of Athens, Athens 15127, Attikí, Greece
Co-first authors: Panagiotis Deligiannis and Stamatios Katsimperis.
Author contributions: Deligiannis P and Katsimperis S wrote the paper; Kyriazis I designed research; Angelopoulos P and Neofytou P performed research; Kapsalos S and Triantafyllou P contributed analytic tools; Arseniou P and Katelani S contributed to patient management and data collection; Papatsoris A contributed to literature review and revision of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Stamatios Katsimperis, MD, 2nd Department of Urology, National and Kapodistrian University of Athens, Sismanogliou 1, Athens 15127, Attikí, Greece.
Received: December 8, 2025
Revised: January 5, 2026
Accepted: February 2, 2026
Published online: February 16, 2026
Processing time: 66 Days and 16.2 Hours
Revised: January 5, 2026
Accepted: February 2, 2026
Published online: February 16, 2026
Processing time: 66 Days and 16.2 Hours
Core Tip
Core Tip: Buried ureteral stents pose a significant challenge when dense fibrosis obscures the distal end, preventing retrograde retrieval. This case presents a novel combined antegrade-retrograde technique integrating fluoroscopy-guided wire placement with transurethral resection to safely expose and remove a completely embedded double-J (DJ) ureteral stent. By using the antegrade guidewire to precisely localize the intramural ureter, this approach minimizes tissue trauma and offers an effective solution for managing complex DJ stent embedding in patients with malignancy-related fibrosis.