Dear Editor, Radioscopy-guided antegrade percutaneous implantation of a double-J catheter may be an alternative to retrograde insertion via cystoscopy in cases of neoplastic obstruction of the bladder trigone or anatomical distortions of the lower urinary tract that prevent retrograde catheterization.(,) It is an alternative to nephrostomy, which can be performed simultaneously or afterwards, offering lower risks of infection, accidental loss of nephrostomy, and increased patient’s quality of life.(,) […]