ABSTRACT
Objective: to document outcome of DJ stent removal by trained operation theater nurse under topical anesthesia in female patients
Study design: descriptive study
Place and Duration of study: department of Urology Jinnah Postgraduate Medical Center, Karachi from June 2015 to February 2016
Methodology: Female patients, for DJ stent removal, who did not give consent for the procedure to be performed by the male doctors, were included. Patients in whom DJ stent placement duration was more than 4 months with radiological evidence of encrustation and those in whom ureteric re-implantation done, were excluded. All double J Stents were removed by trained female senior theater nurse under supervision of consultant urologists. All operative and postoperative problems were recorded
Results: a total of 30 patients underwent DJ stent removal during the study period. Age of the patients ranged from 15 year to 55 year. Mean age was 27 year. Most common indication for DJ stent placement was obstructive renal stones in 36.6%. Out of the total two patients required general anesthesia and ureteroscopy for its removal. In one case there was encrustation around DJ stent and in other patient it was due to broken DJ stent. Minimal complications were noted in follow-up
Conclusion: it was safe to assign the task of DJ stent removal to the female nurse after adequate training. This produced was suited for female patients reluctant to have this procedure done by male doctors in a conservative society like Pakistan