Stents After Pediatric Pyeloplasty: Protection, Habit, or Selective Drainage?

Stenting after pediatric pyeloplasty is one of those surgical decisions that often feels automatic. But should it be?In this episode, we examine double-J stents, external drainage, stentless pyeloplasty, urinary leakage, stent morbidity, and stent duration. The central idea: a stent is not a marker of surgical quality. It is a selective drainage strategy.The expert question is not, “Do you always stent?”The expert question is, “What problem is this stent solving?”Keywords: UPJO, pyeloplasty, double-J stent, pediatric urology, stentless pyeloplasty, urinary leakage.