Migrated Double-J Stents in Pediatric Urological Procedures: A Two-Year Retrospective Analysis

Objective: To evaluate the incidence, risk factors, and management strategies of migrated double-J (DJ) stents in pediatric patients at our tertiary care hospital in Vadodara, Gujarat, India.

Methods: A retrospective observational study was conducted at our tertiary care hospital in Vadodara, from January 2023 to December 2024. Information on patient profiles, stent details, migration trends, and outcomes was collected and analyzed.

Results: Among 247 children who had DJ stents placed, 23 stents (9.3 percent) showed migration. The average age was 8.6 years (ranging from 2 to 14), with migration most common in those with complex renal issues like ureteropelvic junction obstruction (52.2% or vesicoureteral reflux (34.8%). Migration occurred around 6.5 weeks (on an average) after placement (ranging from 2 to 12 weeks). In 16 cases upward migration happened, accounting for 69.6%, while downward toward urethra happened in 7 cases (30.4%). Endoscopic removal was done in 18 cases (78.3%, while 5 (21.7%) needed open surgery.

Conclusion: DJ Stent migration is a notable challenge in pediatric urological procedures. Proper patient selection, correct placement using imaging guidance, and regular monitoring can help reduce the risks.