7,590 results match your criteria Nephrostomy


Health Education Intervention for Patients Undergoing Placement of Percutaneous Nephrostomy Tube: A Randomized Controlled Trial.

J Wound Ostomy Continence Nurs 2021 Jun 9. Epub 2021 Jun 9.

Luis Manuel Fernández Cacho, PhD, Department of Radiology, Marqués de Valdecilla University Hospital, IDIVAL, School of Nursing, University of Cantabria, Santander, Spain Rosa Ayesa Arriola, PhD, Department of Psychiatry, Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Santander, Spain; Centro Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain.

Purpose: The purpose of this study was to compare the economic impact (cost) of percutaneous nephrostomy (PCN) tube care in patients following an educational intervention to no intervention.

Design: A randomized controlled trial.

Subjects And Setting: The sample comprised 178 patients recruited between May 2017 and April 2019. Read More

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[A Case of Robot-Assisted Radical Cystoprostatectomy for Locally Advanced Prostate Cancer with Bladder Infiltration].

Hinyokika Kiyo 2021 Apr;67(4):163-166

The Department of Urology, Tokushima University Graduate School of Biomedical Sciences.

While robot-assisted radical cystoprostatectomy (RARC) for locally advanced prostate cancer (LAPC) may sometimes prove to be excessive treatment, it can significantly reduce the risk of positive surgical margins and lower urinary tract obstruction in some cases. Here, we report a case of LAPC treated with RARC in a patient with right hydronephrosis due to bladder infiltration and left hypoplastic kidney. A 71-year-old man presented with frequent urination in August 2019. Read More

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[Two Cases of Renal Pelvic Rupture Due to Trauma in a Patient with Ureteropelvic Junction Stenosis].

Hinyokika Kiyo 2021 Apr;67(4):141-145

The Department of Urology, Ijinkai Takeda General Hospital.

A pathologic kidney with hydronephrosis is prone to rupture after minor trauma to the renal pelvis ; however, it is controversial whether drainage, such as nephrostomy and ureteral stenting, should be performed in this setting. Herein we report traumatic rupture of the renal pelvis in 2 patients with ureteropelvic junction stenosis at two centers. Case 1 : A 15-year-old boy sustained a blunt injury on his left back while playing football. Read More

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A perfect storm: Open surgical approach to iatrogenic abdominal aortic injury developed during percutaneous nephrostomy.

Turk Gogus Kalp Damar Cerrahisi Derg 2021 Apr 26;29(2):263-266. Epub 2021 Apr 26.

Department of Cardiovascular Surgery, Muş State Hospital, Muş, Turkey.

Percutaneous nephrostomy catheter insertion allows the diagnosis and treatment of many pathologies from kidney failure to infection and obstruction. Vascular injuries are considered one of the complications of percutaneous interventions and are rarely seen after percutaneous nephrostomy catheter insertion. Herein, we report the first case of the successful surgical treatment of iatrogenic abdominal aortic injury after percutaneous nephrostomy catheter insertion in a 78-year-old female patient who developed hydroureteronephrosis and acute renal failure due to obstructive ureteral stone in the right proximal ureter. Read More

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Comparison of standard- and mini-percutaneous nephrolithotomy for staghorn stones.

Arab J Urol 2021 Jan 21;19(2):147-151. Epub 2021 Jan 21.

Urology Unit, Al-Amiri Hospital, Kuwait City, Kuwait.

: To compare the outcomes of standard- and mini-percutaneous nephrolithotomy (PCNL) for the treatment of staghorn stones. : The data of consecutive adult patients who underwent PCNL for the treatment of staghorn stones, between July 2015 and December 2019 from three hospitals, were retrospectively reviewed. All cases were performed in a prone position under fluoroscopic guidance. Read More

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January 2021

Emergency vs elective ureteroscopy for a single ureteric stone.

Arab J Urol 2020 Aug 25;19(2):137-140. Epub 2020 Aug 25.

Urology Unit, Al-Amiri Hospital, Kuwait City, Kuwait.

Objective: To compare emergency with elective ureteroscopy (URS) for the treatment of a single ureteric stone.

Patients And Methods: The files of adult patients with a single ureteric stone were retrospectively reviewed. Patients with fever or turbid urine on passage of the guidewire beside the stone underwent ureteric stenting or nephrostomy drainage. Read More

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Egyptian clinical practice guideline for kidney transplantation.

Arab J Urol 2021 Jan 3;19(2):105-122. Epub 2021 Jan 3.

Nephrology Department, Kasr El-Einy Medical School, Cairo University, Cairo, Egypt.

: To present the first Egyptian clinical practice guideline for kidney transplantation (KT). : A panel of multidisciplinary subspecialties related to KT prepared this document. The sources of information included updates of six international guidelines, and review of several relevant international and Egyptian publications. Read More

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January 2021

Evolution of Urology Services in Pakistan.

Authors:
Manzoor Hussain

J Coll Physicians Surg Pak 2021 Jun;30(6):746-748

Department of Urology, Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan.

Urology has been separated from its parent generic specialty at different times during the last 150 years in different countries. In Pakistan, from 1947 to 1970s, urology was part of surgery and was done by general surgeons. There were only two urology units from late 1950s to early 1960s. Read More

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Novel AVPR2 mutations and clinical characteristics in 28 Chinese families with congenital nephrogenic diabetes insipidus.

J Endocrinol Invest 2021 Jun 8. Epub 2021 Jun 8.

Department of Endocrinology, Key Laboratory of Endocrinology, NHC, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China.

Aims: To investigate genotype and phenotype of congenital nephrogenic diabetes insipidus caused by AVPR2 mutations, which is rare and limitedly studied in Chinese population.

Methods: 88 subjects from 28 families with NDI in a department (Beijing, PUMCH) were screened for AVPR2 mutations. Medical records were retrospectively reviewed and characterized. Read More

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Conservative management of grade 4 and 5 renal injuries: A high-volume trauma center experience.

Urologia 2021 Jun 2:3915603211022293. Epub 2021 Jun 2.

Department of Urology, General Hospital of Athens "G. Gennimatas", Athens, Greece.

Introduction: Traumatic renal injuries represent a major public health issue concerning mostly young men. Over the last decades there is growing debate regarding the management of high-grade renal injuries due to the emerging role of conservative treatment. The aim of this study is to present our experience in the conservative management of patients presenting with grade 4 or grade 5 renal injuries in our department. Read More

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Urinary tract infection caused by Enterococcus spp.: Risk factors and mortality. An observational study.

Rev Clin Esp (Barc) 2021 May 29. Epub 2021 May 29.

Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla (HUMV), Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain.

Background And Objective: Urinary tract infections (UTIs) are frequently caused by Enterococcus spp. This work aims to define the risk factors associated with UTIs caused by Enterococci and to determine its overall mortality and predictive risk factors.

Materials And Methods: A retrospective study was conducted on bacteremic UTIs caused by Enterococcus spp. Read More

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Single-Centre Experience with Three Metallic Ureteric Stents (Allium® URS, Memokath™-051 and Resonance®) for Chronic Ureteric Obstruction.

J Endourol 2021 Jun 2. Epub 2021 Jun 2.

Imperial College Healthcare NHS Trust, 8946, Imperial Endourology, London, United Kingdom of Great Britain and Northern Ireland;

Purpose: Patients with chronic ureteric obstruction (CUO) are traditionally managed with polymer stents/nephrostomy. However, these are prone to failure and require regular exchange. This study evaluates efficacy of Allium® URS, Memokath™-051 and Resonance® metallic ureteric stents in managing patients with CUO. Read More

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Outcomes Related to Percutaneous Nephrostomies (PCN) in Malignancy-Associated Ureteric Obstruction: A Systematic Review of the Literature.

J Clin Med 2021 May 27;10(11). Epub 2021 May 27.

Department of Urology, University Hospital Southampton, Southampton SO16 6YD, UK.

Background: Malignant ureteric obstruction occurs in a variety of cancers and has been typically associated with a poor prognosis. Percutaneous nephrostomy (PCN) can potentially help increase patient longevity by establishing urinary drainage and treating renal failure. Our aim was to look at the outcomes of PCN in patients with advanced cancer and the impact on the patients' lifespan and quality of life. Read More

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Spontaneous subcapsular renal haematoma in a diabetic patient with acute pyelonephritis.

Trop Doct 2021 May 27:494755211017019. Epub 2021 May 27.

Junior Resident, Department of radio-diagnosis, Dr RPGMC, Tanda, India.

Spontaneous renal subcapsular haematoma is not a common clinical condition. It is mainly caused by renal tumours, vascular diseases, trauma, anticoagulation, and urological interventions. Patients present with sudden onset abdominal pain mainly in the flank region, haematuria, and abdominal tenderness. Read More

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Hyperammonemic encephalopathy associated with post-radiotherapy vesicointestinal fistula following cervical cancer.

J Obstet Gynaecol Res 2021 May 26. Epub 2021 May 26.

Department of Urology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.

The majority of hyperammonemic encephalopathy is due to liver cirrhosis. However, urinary tract infection caused by urease-producing bacteria increases ammonia in urine and can lead to hyperammonemic encephalopathy, especially in cases with obstructive uropathy and vesicointestinal fistula. This is the first case report of hyperammonemic encephalopathy in a cervical cancer patient associated with postradiotherapy vesicointestinal fistula. Read More

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The Whitaker Test in the Follow-up of Complex Upper Urinary Tract Reconstruction: Is It Clinical Useful or Not.

Urol J 2021 May 22. Epub 2021 May 22.

Department of Urology, Peking University First Hospital. Institute of Urology, Peking University. National Urological Cancer Center, Beijing, P.R. China.

Purpose: To evaluate the feasibility and guiding significance in postoperative management of the Whitaker test after complex reconstruction of the upper urinary tract.

Materials And Methods: Patients who underwent complex ureteral reconstruction and received the Whitaker test after surgery between December 2018 and December 2019 were included. We judged it abnormal that the renal pelvis pressure was higher than 22 cmH2O or the pressure difference was greater than 15 cmH2O. Read More

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Rare case: Ureteropelvic junction complication presenting with bilateral labial abscesses and urosepsis requiring nephrectomy.

Urol Case Rep 2021 Jul 7;37:101705. Epub 2021 May 7.

Department of Pediatric Urology, Augusta University, 1446 Harper St. Augusta, GA, 30912, USA.

Ureteropelvic junction obstruction (UPJO) is the most common cause of urinary tract obstruction in pediatric patients. Debates in management include ureteral stent versus nephrostomy tube placement prior to surgical correction if intervention is warranted. We present a female patient with left UPJO, diagnosed at 15-years-old, treated with ureteral stent placement. Read More

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Application of the "Yang-Monti principle" in children with iatrogenic ureteral injuries.

J Pediatr Urol 2021 May 8. Epub 2021 May 8.

Department of Urology, Ramaiah Medical College and Hospital, Bangalore, 560054, India. Electronic address:

Background: Iatrogenic ureteral injuries in children are rare, due to its retroperitoneal position. The Yang -Monti ileal substitution serves as a good surgical option in such injuries associated with long segment defects of the ureter.

Objectives: To review our experience using the Yang Monti principle of ileal ureter substitution in children with long segment ureteric defects and analyse its intermediate term outcomes. Read More

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Graft kidney hydronephrosis caused by transplant ureter inguinal hernia: A case report.

Medicine (Baltimore) 2021 May;100(21):e25965

Department of Radiology, China Medical University Hospital.

Rationale: Ureteral obstruction of the graft kidney is a common complication of kidney transplantation. However, ureteral obstruction caused by inguinal hernia has rarely been reported. We present a rare case of ureteral obstruction with allograft dysfunction caused by an inguinal hernia. Read More

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Every nephron deserves a second chance before nephrectomy in obstructed uropathy due to urolithiasis.

Urologia 2021 May 22:3915603211019019. Epub 2021 May 22.

Department of Urology, Istanbul University Istanbul School of Medicine, Istanbul, Turkey.

Objective: In this case report, we aimed to present our clinical experience in a patient with hydronephrotic and atrophic kidney due to impacted lower ureteral stone.

Case Description: A 56-year-old male was admitted to our emergency department with flank pain and nausea. A computed tomography scan revealed a 3 cm stone at the distal ureter, causing severe hydroureteronephrosis. Read More

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Nationwide Trends in Tube-Related Genitourinary Interventions for Medicare Beneficiaries.

J Am Coll Radiol 2021 May 19. Epub 2021 May 19.

Department of Radiology, Ohio State University Wexner Medical Center, Columbus, Ohio. Electronic address:

Purpose: To evaluate national trends in tube-related genitourinary interventions, with specific attention to primary operator specialty.

Methods: Using a 5% national sample of Medicare claims data from 2005 to 2015, all claims associated with nephrostomy tube, nephro-ureteral tube and ureteral stent placement and exchange were identified. The annual volume of the nine billable were analyzed to evaluate trends in the number of procedures performed and primary operator specialty over time. Read More

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Ureteric Trauma following Stent Removal in Kidney Transplant Recipient: A Unique Case of Prolonged Morbidity.

Case Rep Transplant 2021 30;2021:9959074. Epub 2021 Apr 30.

Department of Transplant, Augusta University Medical Center, Medical College of Georgia, 1120 15th Street, AD, 3401 Augusta, Georgia.

A 52-year-old African-American male patient with end-stage renal disease due to hypertension underwent deceased donor kidney transplant procedure with no immediate complications. The postprocedure complications, interventions, and course were abstracted by chart review. The ureteric stent was removed with flexible cystoscopy on postoperative day (POD) 24. Read More

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Deep-learning-aided forward optical coherence tomography endoscope for percutaneous nephrostomy guidance.

Biomed Opt Express 2021 Apr 29;12(4):2404-2418. Epub 2021 Mar 29.

Stephenson School of Biomedical Engineering, University of Oklahoma, Norman, OK 73072, USA.

Percutaneous renal access is the critical initial step in many medical settings. In order to obtain the best surgical outcome with minimum patient morbidity, an improved method for access to the renal calyx is needed. In our study, we built a forward-view optical coherence tomography (OCT) endoscopic system for percutaneous nephrostomy (PCN) guidance. Read More

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Transient ureteric obstruction following pelvic floor reconstruction.

BMJ Case Rep 2021 May 13;14(5). Epub 2021 May 13.

Obstetrics & Gynaecology, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, Cheshire, UK.

We describe the first reported case of transient distal ureteric obstruction attributed to post-surgical oedema in a patient with a solitary kidney. This occurred following combined pelvic floor repair and sacrospinous fixation for recurrent pelvic organ prolapse and manifested clinically as anuria, radiological hydroureter and acute kidney injury in the postoperative period. The transient nature of this obstruction, which was managed by a temporary percutaneous nephrostomy, indicates that it was caused by ureteric compression secondary to soft tissue oedema following surgery. Read More

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Implementation of Supine Percutaneous Nephroscopic Surgery to Remove an Upward Migration of Ureteral Catheter in Infancy: A Case Report.

Res Rep Urol 2021 5;13:215-219. Epub 2021 May 5.

Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.

Background: Double-J stents are favorably utilized after pyeloplasty. In rare situations, the stent may migrate upward. Here, we demonstrate the implementation and result of a supine percutaneous nephroscopic surgery (PNS) to retrieve a proximately migrated ureteral catheter in a pediatric patient. Read More

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Evolving case of emphysematous pyelonephritis in a second renal allograft.

Urol Case Rep 2021 Sep 31;38:101663. Epub 2021 Mar 31.

Department of Urology, New York Medical College/Westchester Medical Center, Valhalla, NY, USA.

Emphysematous pyelonephritis is an acute necrotizing infection with gas in the kidney that portends a poor prognosis. Patients present with sepsis, requiring fluid resuscitation, glucose control, and broad-spectrum antibiotics. Surgical intervention ranges from relief of urinary obstruction (nephrostomy tube or stent), percutaneous drainage or nephrectomy. Read More

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September 2021

Nephrostomy catheter entering the right renal vein during an exchange procedure: A case report and literature review.

IJU Case Rep 2021 May 11;4(3):168-171. Epub 2021 Mar 11.

Department of Urology Nippon Medical School Tokyo Japan.

Introduction: We encountered an extremely rare case of a nephrostomy catheter entering the right renal vein during an exchange procedure.

Case Presentation: An 80-year-old man underwent radical cystectomy. Urinary diversion was achieved through right percutaneous nephrostomy. Read More

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The SCQ-SCORE: initial validation of a new scoring system for elective stone surgery prioritization in the COVID-19 era.

Cent European J Urol 2021 11;74(1):81-88. Epub 2021 Mar 11.

University Hospital Complex of Santiago de Compostela, Epidemiology Unit, Santiago de Compostela, Spain.

Introduction: Endourology waiting lists have increased during the COVID-19 pandemic and prioritization strategies are needed. Some tiered classifications have been put forward aimed at prioritizing patients by using criteria related with clinical severity or social impact of stone disease, yet no quantitative system has been published to date. The objective of this study is to present a new quantitative scoring system for elective stone surgery prioritization and show its intra- and inter-rater reliability. Read More

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Preservation of Renal Function after Major Bleeding Events due to Ultrasound-Guided Parenchymal Renal Biopsy.

J Vasc Interv Radiol 2021 May 5. Epub 2021 May 5.

Department of Radiology, Mayo Clinic, Rochester, MinneNsota.

The clinical outcomes of major bleeding events following ultrasound-guided native and allograft parenchymal renal biopsy were evaluated. Forty-eight bleeding complications after biopsy (Society of Interventional Radiology adverse event grade ≥ 2) from 2002 to 2018 were identified. The primary outcome assessed was renal function. Read More

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[Unilateral combination of staghorn stone with kidney tumor].

Authors:
A D Kochkin

Urologiia 2021 May(2):106-108

Privolzhskiy Research Medical University, Nizhny Novgorod, Russia.

This manuscript provides an overview of the available literature about unilateral combination of nephrolithiasis and renal tumor. Analysis of publications has shown that ipsilateral staghorn calculus and kidney tumors are an extremely rare combination. The majority of these infrequent papers describe case reports where the method of treating such patients is limited by the capabilities and competence of the surgeon or clinic. Read More

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