Knotting of ureteric stents is a rare complication, with only 30 cases being described and can be vexing to manage. A few strategies have been described in the literature in a very limited collection of case reports. Currently there are no reports of successful percutaneous removal in the setting of obstructive urosepsis. Herein we discuss our approach to this case, where a ureteric stent was placed for elective ureteric identification for an Abdominal Aortic Aneurysm repair and removed successfully with an antegrade approach without the use of nephroscopy.