Double‐J stent placement during laparoscopic ureterolithotomy. The “seagull” technique

Laparoscopic ureterolithotomy (LUL) may be advocated as the primary treatment for a very large proximal ureteral stone or as one of the treatment options in case of refractory calculi from either failed ureteroscopy or ESWL. Although some debate exists over the necessity of ureteral stenting after LUL, placing a double J stent (DJ) represents an effective internal drainage method that maintains the patency of the urinary tract, prevents prolonged urinary leakage and allows for a better healing, thus preventing the narrowing of the ureteral lumen. Aim of the study is to present a new technique of double-J stent (DJ) placement during transperitoneal LUL.