Ureteric stenting allows palliative treatment of strictures resulting from trauma, surgery, neoplasm or from scarring following treatment of malignancy. Retrograde and antegrade approaches can be used (Mitty et al, 1986; Shore et al, 1987) but, in a small proportion of patients, neither approach is successful, and patients with ureters which are completely occluded present a problem. We describe a combined antegrade and retrograde technique analogous to that used in biliary stenting (Robertson et al, 1987; Freeman et al, 1991) as a useful method in such cases. Three cases are described which illustrate the salient features. A 56-year-old man was admitted for insertion of a stent across an obstructed right distal ureteric orifice. His well-differentiated bladder tumour had been treated by several endoscopic resections over the previous 5 years and one course of intravesical chemotherapy had been given 16 months earlier.