Ureteral Stent Exchange Operative Note Preoperative Diagnosis: @PRINCIPALPROBLEM@ Postoperative Diagnosis: Same Procedure(s) Performed: 1. *** Surgeons: @ORSURGPANEL@ Anesthesia: @ORANESSTAFF@ {pganesthesia:32268} Indications for Surgery: *** Operative Findings: *** Procedure Details: The patient was correctly identified in the preoperative holding area where written informed consent as well potential risks and complications were reviewed. The patient was brought back to the operative suite where a pre-induction timeout was performed. After correct information was verified, {pganesthesia:32269:o} was induced via {pganesthesia:32268:o}. The patient was then placed in {pgpositioning:32272:o} position. Sequential compression devices were placed for VTE prophylaxis. The patient was prepped and draped in the usual sterile fashion and appropriate peri-procedural antibiotics were administered. A second timeout was performed. We began with a 22 French rigid cystoscope. We performed pan cystourethroscopy with findings as above. We turned our attention to the {Blank single:19197::"Right", "Left"} ureteral orifice with stent J curl emanating {Blank single:19197::"with", "without"} *** encrustation. We then {Blank single:19197::"grasped the stent tip with a flexible grasper and brought it to the urethral meatus. This was cannulated with a sensor wire without difficulty and the stent was removed under fluoroscopic guidance", "passed a sensor wire alongside the stent into the renal pelvis under fluoroscopic guidance without difficulty and removed the stent using a flexible grasper without difficulty"}. We then passed a 5Fr open ended catheter over the sensor wire to the level of the {RIGHT LEFT:23290} {RPG Locations:37709} and removed the sensor wire under fluoroscopic guidance. Retrograde pyelogram was then performed with findings as stated above. The sensor wire was then re-advanced through the 5Fr open ended catheter to the level of the *** and the 5Fr open ended catheter was removed under fluoroscopic guidance. We then advanced a ***French x ***cm {Blank single:19197::"JJ", "Multilength"} ureteral stent {Blank single:19197::"with string", "without string"} with the assistance of a pusher over our wire under direct {Blank multiple:19196::"visual", "fluoroscopic", "visual and fluoroscopic"} guidance without difficulty. Wire removal demonstrated satisfactory stent curl proximally in renal pelvis and distally in the bladder. The patient's bladder was emptied and all instrumentation was removed. The patient was woken up from anesthesia and taken to the recovery unit for routine postoperative care. Estimated Blood Loss: Minimal*** Drains: None Total IV Fluids: See anesthesia record Specimens: none Implants: @ORIMPLANT3@ Complications: None Disposition: {Op note disposition:31782} Condition: {stable/unstable:60080} Post-Op Plan/Instructions: 1. ***