7,900 results match your criteria Nephrostomy


Percutaneous nephrostomy for nondilated renal collecting system with ultrasound and fluoroscopic guidance: The results of a 10-year experience.

Authors:

Diagn Interv Radiol 2022 May;28(3):244-248

PURPOSE This study aimed to evaluate the technical success rate, complications, and radiation doses of ultrasound- and fluoroscopy-guided percutaneous nephrostomy (PCN) in patients with a nondi- lated renal collecting system. METHODS Over a 10-year period, 50 patients were referred for PCN of 60 kidneys with a nondilated renal collecting system. The patients included 22 males and 28 females with a mean age of 63. Read More

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Updated evidence of the safety and efficacy of the miniaturized percutaneous nephrolithotomy with holmium laser lithotripsy for the treatment of recurrent nephrolithiasis.

Eur Rev Med Pharmacol Sci 2022 Jun;26(11):3886-3892

Hanoi Medical College, Hanoi, Vietnam.

Objective: The objective of the present communication is to report the safety and efficacy of applying miniaturized percutaneous nephrolithotomy (mini-PCNL) in Vietnamese patients with recurrent kidney stones using a miniature nephroscope through a 18F metal access sheath.

Patients And Methods: We performed a retrospective cohort study of patients who were diagnosed with recurrent nephrolithiasis and underwent mini-PCNL after previous treatments between 2017 and 2020. Clinical profile, preoperative characteristics, intraoperative events, and postoperative outcomes were obtained from the hospital database. Read More

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Hybrid CT-angiography (Angio-CT) for combined CT and fluoroscopic procedures in interventional radiology enhances utilization.

Abdom Radiol (NY) 2022 Jun 20. Epub 2022 Jun 20.

Section of Interventional Radiology, Department of Radiology, The University of Chicago Medical Center, 5841 S. Maryland Ave, Chicago, IL, 60637, USA.

Purpose: To investigate the utilization of an angiography-CT (Angio-CT) system and its advantages for single patient encounters.

Methods: Interventions utilizing both CT and fluoroscopy to perform multiple procedures in a single encounter or single interventions using both were identified. Cases were stratified by complexity (defined by RVUs). Read More

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Is percutaneous nephrolithotomy effective and safe for children with solitary kidney?

Pediatr Surg Int 2022 Jun 15. Epub 2022 Jun 15.

Health Sciences University, Adana City Training and Research Hospital Urology Clinic, Adana, Turkey.

Purpose: To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) in pediatric patients with solitary kidneys and kidney stones.

Methods: Thirty-nine patients (group A) with solitary kidney under 18 years of age who underwent PCNL between January 2015 and December 2021 were evaluated and analyzed. Forty-two patients (group B) with bilateral kidneys who underwent PCNL were determined as the control group and included in the analysis. Read More

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Understanding Causes for Admission in Planned Ambulatory Percutaneous Nephrolithotomy.

J Endourol 2022 Jun 14. Epub 2022 Jun 14.

University of California San Diego Health System, 21814, Urology, San Diego, California, United States;

Introduction: For treatment of nephrolithiasis, ambulatory percutaneous nephrolithotomy (aPCNL) is growing in popularity for select patients. The aim of this study was to investigate the safety and efficacy of a set of aPCNL selection criteria as well as search for predictors of failed aPCNL resulting in inpatient admission.

Methods And Materials: We reviewed all PCNL patients from 2016-2020. Read More

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Prognostic factors for overall survival in malignant ureteral obstruction.

Can J Urol 2022 Jun;29(3):11162-11169

Georgetown University School of Medicine, Washington, DC, USA.

Introduction: To identify prognostic factors for overall survival (OS) in patients with malignant ureteral obstruction (MUO) from gynecologic malignancy (GM), with the goal of improving patient selection for urinary diversion.

Materials And Methods: Retrospective review of 126 patients with MUO from GM at two academic centers from 2011-2019. Factors related to OS identified by Cox regression proportional hazard model. Read More

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Complications and outcomes of tubeless versus nephrostomy tube in percutaneous nephrolithotomy: a systematic review and meta-analysis of randomized clinical trials.

Urolithiasis 2022 Jun 8. Epub 2022 Jun 8.

Urology Unit, Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona, Faculty of Medicine, School of Urology, Università Politecnica delle Marche, Via Conca 71, 60126, Ancona, Italy.

We aimed to perform a systematic review of randomized trials to summarize the evidence on the safety and stone-free rate after Tubeless percutaneous nephrolithotomy (PCNL) (ureteral stent/catheter, no nephrostomy) compared to Standard PCNL (nephrostomy, with/without ureteral stent/catheter) to evaluate if the tubeless approach is better. The inverse variance of the mean difference with a random effect, 95% Confidence Interval (CI), and p values was used for continuous variables. Categorical variables were assessed using Cochran-Mantel-Haenszel method with the random effect model, and reported as Risk Ratio (RR), 95% CI, and p values. Read More

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Pregnancy and delivery after augmentation cystoplasty: A case report and review of literature.

World J Clin Cases 2022 May;10(13):4177-4184

Department of Urology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Augmentation cystoplasty, first described by Mikulicz in 1899 involves segments of bowel, stomach or mega-ureter to increase bladder capacity in those with inadequate bladder function or lack of detrusor compliance. The most widely used bowel segment is a detubularised patch of ileum. When ileum is not suitable for augmentation, sigmoid colon is the alternative. Read More

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New clinic workflow improves compliance for routine PCN exchanges.

Clin Imaging 2022 Apr 19;89:18-22. Epub 2022 Apr 19.

Division of Interventional Radiology, Department of Radiology, Weill Cornell Medicine, United States of America. Electronic address:

Purpose: To examine the effect of a clinic workflow intervention on follow-up for routine ercutaneous nephrostomy tube (PCN) exchanges.

Methods: An intervention consisting of automated electronic tracking for all PCN placements and exchanges followed by phone call reminders to schedule a follow-up exchange 60 days post-procedure was introduced on March 19, 2019. All PCN exchanges performed from March 19, 2018 to September 18, 2019 were identified through a local electronic database search to assess the impact of intervention as a quality improvement project. Read More

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Retroperitoneal fibrosis requiring prompt nephrostomy in a case with immunoglobulin A vasculitis.

Scand J Rheumatol 2022 Jun 6:1-3. Epub 2022 Jun 6.

Department of Clinical Immunology, Osaka City University Graduate School of Medicine, Osaka, Japan.

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Emphysematous pyelonephritis: Six case reports and review of literature.

World J Clin Cases 2022 Apr;10(10):3268-3277

Department of Emergency, Beijing Jishuitan Hospital, The Fourth Clinical Medical College of Peking University, Beijing 100035, China.

Background: Emphysematous pyelonephritis (EPN) is a severe acute necrotizing infection of the renal parenchyma and surrounding tissues that causes the presence of gas in the renal parenchyma, collecting system, or perinephric tissue and has a poor prognosis. EPN occurs primarily in people with diabetes mellitus (DM), but can occur in those without DM when the associated renoureteral unit is obstructed.

Case Summary: We describe our experience with six patients who developed EPN. Read More

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Outcome of percutaneous drainage for septic complications coexisted with COVID-19.

World J Radiol 2022 Apr;14(4):91-103

Department of Radiology, Mansoura University, Mansoura 35516, Egypt.

Background: The resulting tissue hypoxia and increased inflammation secondary to severe coronavirus disease 2019 (COVID-19) combined with viral load, and other baseline risk factors contribute to an increased risk of severe sepsis or co-existed septic condition exaggeration.

Aim: To describe the clinical, radiological, and laboratory characteristics of a small cohort of patients infected by severe acute respiratory syndrome coronavirus 2 who underwent percutaneous drainage for septic complications and their post-procedural outcomes.

Methods: This retrospective study consisted of 11 patients who were confirmed to have COVID-19 by RT-PCR test and required drain placement for septic complications. Read More

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Percutaneous nephrostomy in Ureteropelvic junction obstruction with poorly functioning kidney: Is it still pertinent in adults?

Turk J Urol 2022 May;48(3):229-235

Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Objective: To determine the pertinence of percutaneous nephrostomy drainage in adult patients of primary ureteropelvic junction obstruction with poorly functioning kidneys (<20% split renal function).

Material And Methods: Clinical records of all patients with primary ureteropelvic junction obstruction with poorly functioning kidneys who underwent percutaneous nephrostomy drainage in our institute between February 2015 and January 2020 were retrospectively reviewed. The patients were divided into 4 groups according to their split renal function obtained from the Tc-99m ethylenedicysteine diuretic renogram. Read More

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Which objective emergency department parameters leads to expedited intervention in patients with acute urinary tract calculi.

Curr Urol 2022 Mar 15;16(1):1-4. Epub 2021 Dec 15.

Urology, Metro Health Hospital, Wyoming, MI, USA.

Objectives: To retrospectively determine which objective measurements had an increased likelihood of requiring immediate surgical intervention in patients presenting to the emergency department (ED) with acute ureteral calculi.

Materials And Methods: Employing our institution's electronic medical record system, we conducted a retrospective cohort study of 4366 patients who presented to the ED with an acute ureteral calculus over an 8-year period. Data consisting of relevant demographic information, vital signs, laboratory parameters, and interventional history was obtained and analyzed. Read More

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Bilateral Ureterovesical Junction Obstruction Resulting in Anuria in a Three-Week-Old Infant.

Urology 2022 May 24. Epub 2022 May 24.

Icahn School of Medicine at Mount Sinai, Deparment of Urology; New York, NY.

Bilateral megaureter with ureterovesical junction obstruction is exceedingly rare. We present a case of a 3-week-old boy who presented in acute renal failure and found to have bilateral megaureter. He was initially decompressed with bilateral percutaneous nephrostomy tubes and once stable underwent bilateral ureterostomy. Read More

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Interventional Radiology in Obstetric Emergencies.

Indian J Crit Care Med 2021 Dec;25(Suppl 3):S273-S278

Department of Radio-diagnosis, University College of Medical Sciences, New Delhi, India.

Postpartum hemorrhage (PPH) is one of the common causes of morbidity as well as mortality among pregnant women. Obstetric hemorrhage embolization (OHE)/uterine artery embolization (UAE) is the preferred treatment for PPH which has failed medical therapy. In cases of placental accreta spectrum (PAS), balloon catheter can be prophylactically placed in internal iliac arteries (IIAs) bilaterally before delivery to enable postpartum control of bleeding. Read More

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December 2021

Retrograde intrarenal surgery for impacted upper ureteral stone in a patient with advanced lumbar scoliosis and lower-extremity development defect: a case report.

Authors:
Yavuz Güler

J Med Case Rep 2022 May 26;16(1):204. Epub 2022 May 26.

Private Safa Hospital, Rumeli Universty, İstanbul, Turkey.

Background: Today, retrograde intrarenal surgery is the most preferred and very successful treatment method for upper ureteral stones that do not spontaneously pass and/or do not benefit from extracorporeal wave lithotripsy. However, perioperative complications are more common in retrograde intrarenal surgery if the stone in the ureter is impacted. Moreover, urosepsis and renal dysfunction are detected more frequently in patients with impacted stones. Read More

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Intermittent peri-tubal instillation of dexamethasone and ropivacaine on postoperative analgesia after percutaneous nephrolithotomy: A prospective randomized controlled trial.

Int J Urol 2022 May 21. Epub 2022 May 21.

Department of Urology, PGIMER, Chandigarh, India.

Objectives: Percutaneous nephrolithotomy and placement of nephrostomy tube are performed for renal stones >2 cm in diameter. Attempts have been made to infiltrate local anesthetics with or without adjuvants into the surgical site to reduce pain. We hypothesized that there would be a significant prolongation of the analgesic effect of local anesthetic instillation along the nephrostomy tube due to the adjuvant dexamethasone. Read More

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Editorial Comment: Validity of a patient-specific percutaneous nephrolithotomy (PCNL) simulated surgical rehearsal platform: impact on patient and surgical outcomes.

Int Braz J Urol 2022 Jul-Aug;48(4):724-725

Unidade de Pesquisa Urogenital - Universidade do Estado do Rio de Janeiro - Uerj, Rio de Janeiro, RJ, Brasil.

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Spontaneous renal tract rupture from obstructing vesico-ureteric junction calculus.

Clin Case Rep 2022 May 9;10(5):e05820. Epub 2022 May 9.

University Hospitals of Leicester NHS Foundation Trust Glenfield Hospital Leicester UK.

Spontaneous or non-traumatic rupture of the renal tract is an infrequent presentation, and it is most frequently caused by ureteric obstruction. Rupture could occur at any level of the upper urinary tract. However, it is most common at the renal calyces and complications that could arise include; urinoma, and or hematoma collection which could progress to abscess formation and sepsis. Read More

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Robot-Assisted Nephroureterectomy for Upper Tract Urothelial Carcinoma in a Patient with an Ileal Conduit.

Case Rep Urol 2022 4;2022:5321613. Epub 2022 May 4.

Geisinger, Urology Associate, 1000 E. Mountain Boulevard, Wilkes-Barre, PA 18702, USA.

Background: Upper tract urothelial carcinoma remains an uncommon disease that is clinically difficult to identify early and surveil. Open nephroureterectomy is the gold standard for patients with high-grade disease, especially for patients in whom surveillance is complicated such as those with prior cystectomies/ileal conduits. This report presents a case of a patient with a history of radical cystectomy and ileal conduit construction who underwent a successful minimally invasive robotic surgery for treatment of upper tract urothelial carcinoma. Read More

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Urolithiasis in pregnancy: Advances in imaging modalities and evaluation of current trends in endourological approaches.

Actas Urol Esp (Engl Ed) 2022 Jun 9;46(5):259-267. Epub 2022 May 9.

Department of Urology, Louisiana State University Health Sciences Center, Shreveport, USA. Electronic address:

Objective: Given the challenges involved in diagnosis and treatment of pregnant women with urolithiasis, we aim to review the imaging modalities and current endourological management of these patients.

Materials And Methods: We performed a review of the available literature on urolithiasis in pregnancy. This included evaluation, diagnostic imaging, and therapeutic options. Read More

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Primary retrograde urinary drainage using image and endoscopy guidance via urostomies.

Clin Radiol 2022 Jul 10;77(7):553-557. Epub 2022 May 10.

Department of Radiology, Section of Interventional Radiology, Northwestern Memorial Hospital, Chicago, IL, USA. Electronic address:

Aim: To report the technical success of image and endoscopy-guided retrograde trans-urostomy urinary drainage as a primary catheter placement method performed by interventional radiology (IR).

Materials And Methods: Nine patients (15 attempted drain placements) with ureteric obstruction following radical cystectomy and urostomy creation were included. The patients were referred to IR for urinary drainage. Read More

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A surgical case of high-grade urothelial carcinoma of the renal pelvis complicated with giant hydronephrosis, giving rise to diagnostic difficulties on a cytological examination.

Diagn Pathol 2022 May 11;17(1):47. Epub 2022 May 11.

Kanazawa Medical University Hospital, 1-1, Ishikawa, 920-0293, Uchinada, Japan.

Background: We report a surgical case of urothelial carcinoma of the renal pelvis, resulting in diagnostic difficulties on cytological examination.

Case Presentation: A man in his late 70s underwent nephrectomy for giant hydronephrosis and renal cysts after nephrostomy and renal cyst puncture and drainage. On all cytological examinations performed before surgery, including nephrostomy urine, renal cyst fluid, catheterized bladder urine, and bladder washings, we were unable to make any conclusive diagnosis of malignancy. Read More

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Feasibility, safety, and effectiveness of adult-sized instruments in pediatric percutaneous nephrolithotomy: A systematic review and meta-analysis.

J Pediatr Urol 2022 Jun 22;18(3):303-310. Epub 2022 Apr 22.

Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Introduction: Little evidence exists regarding the benefits and disadvantages of adult-sized instruments for Percutaneous Nephrolithotomy (PCNL) in pediatric patients. This systematic review aims to clarify the safety and efficacy of this approach.

Materials And Methods: We conducted a systematic literature review using databases of PubMed, Scopus, Embase, Web of Science, and Cochrane and included studies that evaluated PCNL in children. Read More

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Role of Retrograde Intrarenal Surgery in the Management of Diabetic Renal Papillary Necrosis.

J Endourol 2022 Jun 22. Epub 2022 Jun 22.

Department of Urology, Asian Institute of Nephrology & Urology, Hyderabad, India.

It is challenging to diagnose diabetic renal papillary necrosis (RPN) radiologically due to the limitation in performing a contrast study in patients with compromised renal function. Endoscopic management by Double 'J' (DJ) stenting or percutaneous nephrostomy is the preferred treatment. The aim of our study was to analyze the role of retrograde intrarenal surgery (RIRS) in the management of RPN by retrieving necrosed papillae. Read More

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The Impact of COVID-19 Pandemic on Urological Emergencies, 8 Months Results of a Multicenter Retrospective Study From Turkey.

Sisli Etfal Hastan Tip Bul 2022 28;56(1):49-54. Epub 2022 Mar 28.

Department of Urology, University of Health Sciences Turkey, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey.

Objectives: We aimed to reveal the change of urological emergencies during the COVID-19 pandemic compared to the same period of the previous year.

Methods: The number of admissions to the emergency department (ED), admissions to the urology outpatient clinic, emergency urological consultations, and urological and emergency urological surgeries during the periods April-November-2019 and April-November-2020 were recorded. The data of the COVID-19 period were compared with the previous year. Read More

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Finger touching combined X-ray-guided percutaneous nephrolithotomy in 640 cases: an 8-years' experience.

Eur Rev Med Pharmacol Sci 2022 Apr;26(8):2867-2874

Department of Urology, Institute of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.

Objective: We aimed to evaluate the safety and efficacy of finger touching combined X-ray-guided percutaneous nephrolithotomy, and the feasibility of avoiding damage in medical staff caused by X-ray.

Patients And Methods: From January 2013 to December 2020, 640 cases of percutaneous nephrolithotomy were performed through the 18-24-F channel. Among those cases, 22 (3. Read More

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Retrograde stent with external string for pediatric robotic pyeloplasty: does it reduce cost and complications?

J Robot Surg 2022 Apr 29. Epub 2022 Apr 29.

Section of Gastroenterology, Hepatology and Nutrition, Center for Pediatric and Adolescent Comparative Effectiveness Research, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.

Robotic-assisted pyeloplasty (RAP) is a mainstay in the treatment of ureteropelvic junction obstruction (UPJO) in children. At our institution, to limit planned operating rooms visits we have placed a ureteral stent with an external string (SWES) immediately prior to RAP. In this study, we sought to quantify the operative time, complications, and costs associated with this approach compared to the traditional approach, requiring subsequent stent removal in the operating room. Read More

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