6,290 results match your criteria Percutaneous Nephrostomy

Diagnostic and Interventional Radiology Management of Ureteral Iatrogenic Leakage after Gynecologic Surgery.

Diagnostics (Basel) 2021 Apr 22;11(5). Epub 2021 Apr 22.

Diagnostic and Interventional Radiology Department, Ospedale Di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.

Objective: To report safety and efficacy of interventional radiology procedures in the treatment of gynecologic iatrogenic urinary leaks.

Methods: A retrospective analysis of iatrogenic ureteral lesions treated between November 2009 to April 2019 was performed. Under ultrasound (US) and fluoroscopy guidance, an attempt to place a ureteral stent and nephrostomy was carried out in the same session using an anterograde percutaneous approach. Read More

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Case of flank pain from ureteral injury after lumbar laminectomy.

BMJ Case Rep 2021 Apr 28;14(4). Epub 2021 Apr 28.

Urology, Sengkang General Hospital, Singapore.

We present a case of an iatrogenic complete left proximal ureteric injury after a lumbar 1 laminectomy and intradural tumour excision and lumbar 4/5 transforaminal lumbar interbody fusion. Initial management included a percutaneous nephrostomy for urinary diversion followed by definitive urinary reconstruction with an ileal ureter. Read More

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Factors Affecting Survival Outcome After Percutaneous Nephrostomy as Palliative Urinary Diversion in Obstructive Uropathy due to Advance Cervical Cancer Patients.

Asian Pac J Cancer Prev 2021 Apr 1;22(4):1211-1216. Epub 2021 Apr 1.

Department of Urology, Faculty of Medicine Universitas Padjadjaran/Hasan Sadikin General Hospital, Bandung, Indonesia.

Introduction: Cervical cancer is the 3rd most common cancer in women. In late stages, obstructive uropathy due to mass infiltration is common and the mainstay of treatment for this condition is palliative urinary diversion through percutaneous nephrostomy. Nevertheless, complications due to nephrostomy may have adverse effects on some patients. Read More

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Appendicitis Mimicking Urinoma: A Challenging Emergency Presentation Secondary to Ureteric Stone.

Cureus 2021 Mar 21;13(3):e14027. Epub 2021 Mar 21.

Medicine, Qatar University, Doha, QAT.

This article describes the case of a 38-year-old male who presented to the ED with three days history of gradually progressing right-sided lower abdominal pain, which had increased in severity two hours prior to his ED visit. The patient was anorexic but denied experiencing any fever, urinary malfunctions, or chills. Blood tests showed an elevated serum creatinine level of 123 umol/L and a high C-reactive protein level of 62 mg/L. Read More

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A comparative study of morbidity between percutaneous nephrolithotomy and laparoscopic pyelolithotomy for renal pelvic calculus.

Urol Ann 2021 Jan-Mar;13(1):56-61. Epub 2020 Nov 4.

Department of Urology, Government Medical College, Kozhikode, Kerala, India.

Objective: In this study, our objective is to compare the morbidity (up to 3 months) between percutaneous nephrolithotomy (PCNL) and laparoscopic pyelolithotomy (LPL) in patients undergoing surgery for renal pelvic calculus in our population.

Materials And Methods: This was a retrospective study done in a urology tertiary care center from January 1, 2016, to December 31, 2018, among patients who had undergone PCNL or LPL for renal pelvic calculus. The sample size was 70, with 35 cases in each group. Read More

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November 2020

A Management of Ureteral Obstruction After Lichtenstein Tension-Free Hernia Repair in a Kidney Transplant Recipient: A Case Report.

Transplant Proc 2021 Apr 20. Epub 2021 Apr 20.

Department of Transplantation and General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.

Background: The number of renal transplants has been increasing in recent years. Recent literature data show that abdominal operations performed on patients who undergo renal transplant have higher morbidity and mortality.

Case Presentation: A 49-year-old man who had received a renal transplant from a living donor 19 years ago underwent Lichtenstein tension-free hernia repair. Read More

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Role of interventional radiology in the management of complex pediatric surgical cases.

Int J Surg Case Rep 2021 Apr 16;82:105886. Epub 2021 Apr 16.

Department of Neonatal and Paediatric Intensive Care, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.

Introduction: Minimally-invasive techniques offered by interventional radiology (IR) are really helpful in the management of challenging surgical cases. The current report highlights a series of four complex pediatric surgical cases which were successfully managed by specific image-guided techniques.

Case Presentation: The first two cases in the present report were infants. Read More

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Interventional Radiology in Renal Trauma.

Semin Intervent Radiol 2021 Mar 15;38(1):113-122. Epub 2021 Apr 15.

Division of Interventional Radiology, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts.

Traumatic injuries to the kidney and collecting system can range widely from small lacerations to significant bleeding and its sequelae. Urinary obstruction can occur in the renal pelvis, ureters, or urethra. Interventional radiology plays a significant role in treatment and management, in many cases requiring emergent action. Read More

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Subcutaneous nephrovesical bypass in a patient with advanced prostate cancer.

Urol Case Rep 2021 Sep 26;38:101656. Epub 2021 Mar 26.

Department of Urology, Medical University Pleven, Bulgaria.

In the presence of hydronephrosis, as a result of ureteral malignant invasion, advanced pelvic tumor or retroperitoneal fibrosis, we most often perform a double J stent or percutaneous nephrostomy. In the search for a better quality of life for our patients in recent years in urological practice is increasingly becoming the use of subcutaneous nephrovesical bypass due to its proven safety, effectiveness and minimal invasiveness. Read More

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September 2021

Antegrade endoscopic dilatation as an alternative approach to primary obstructive megaureter.

Cir Pediatr 2021 Apr 1;34(2):100-104. Epub 2021 Apr 1.

Interventional Radiology Department. La Paz University Hospital. Madrid (Spain).

Objectives: Congenital primary obstructive megaureter (POM) is caused by ureterovesical junction stenosis, reduced peristalsis, and the resulting dilatation. Even though ureteral re-implantation remains the current gold standard technique, retrograde dilatation is considered as an effective therapeutic alternative with good results and growing proponents - to the extent it has become the technique of choice in some healthcare facilities. The objective was to present an alternative approach for treatment purposes. Read More

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Cutaneous seeding of transitional cell carcinoma of the urinary bladder after placement of a subcutaneous ureteral bypass device in a dog with bilateral ureteral obstruction.

J Am Vet Med Assoc 2021 Apr;258(8):877-882

Case Description: A 12-year-old spayed female Jack Russell Terrier was presented with pollakiuria and stranguria.

Clinical Findings: Transitional cell carcinoma (TCC) of the urinary bladder trigone and urethra was diagnosed via CT, cystoscopic, and histologic examinations. Azotemia developed 2 weeks following diagnosis, secondary to bilateral ureteral obstruction. Read More

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Percutaneous drainage with the injection of ethanol as the sclerosing agent for treatment of simple kidney cysts: A new modification.

J Endourol 2021 Apr 6. Epub 2021 Apr 6.

Tabriz University of Medical Sciences, 48432, Urology Department, Tabriz, East Azerbaijan, Iran (the Islamic Republic of);

Introduction: Simple kidney cysts are the most common type of benign kidney tumors in adults and they are usually asymptomatic. Symptomatic cysts are treated with percutaneous aspiration with or without sclerosing agent injection, laparoscopic decortication or with open surgery in rare cases. Considering the probable complications of anesthesia in open surgery and laparoscopic methods, we tend use an innovative method by percutaneous aspiration, inserting nephrostomy catheter for 24 hours and injection of sclerosing agents, leaving the agent inside the cyst while catheter is removed immediately. Read More

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[InsKid Mobile application for the reconstruction of the internal view of the collecting system].

Urologiia 2021 Mar(1):56-59

Department of urology of North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.

Introduction: patients with urinary stone disease during consultation often cannot realize their condition and features of upcoming procedure. Creation of 3D printed models is also not always available or too expensive.

Aim: to create a special program that allows for virtual intrarenal visualization of the collecting system and kidney stone on devices based on the Android operating system and evaluate its efficiency in counseling patients before the upcoming percutaneous nephrolithotomy (PCNL). Read More

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Safety of neoadjuvant chemotherapy in patients with muscle-invasive bladder cancer and malignant ureteric obstruction.

BJU Int 2021 Mar 29. Epub 2021 Mar 29.

Department of Medical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.

Objectives: To determine whether patients with carcinoma invading bladder muscle (MIBC) and ureteric obstruction can safely receive cisplatin-based neoadjuvant chemotherapy (C-NAC), and to determine whether such patients require relief of obstruction with a ureteric stent or percutaneous nephrostomy prior to beginning C-NAC.

Patients And Methods: We performed a single-institution retrospective analysis of MIBC patients receiving C-NAC and falling into three groups: no ureteric obstruction (NO); relieved ureteric obstruction (RO); and unrelieved ureteric obstruction (URO). To address whether patients with obstruction can safely receive C-NAC, we compared patients with NO to those with RO, with the primary outcome of premature chemotherapy discontinuation. Read More

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Trends of percutaneous nephrolithotomy in Saudi Arabia.

Urol Ann 2020 Oct-Dec;12(4):352-359. Epub 2020 Oct 15.

Department of Urology, King Fahd Hospital, Jeddah, Saudi Arabia.

Objective: The objective of the study was to present the current practice patterns on percutaneous nephrolithotomy (PCNL) in Saudi Arabia and to compare it with the international patterns and to observe the adherence to the guidelines.

Materials And Methods: A survey consisting of 28 questions was sent to urologists working in Saudi Arabia using a Google Forms questionnaire. The questioner covered most aspects of performing PCNL starting from preparing the patient till discharging him. Read More

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October 2020

Managing Patient With Coexisting Emphysematous Pyelonephritis And Cystitis.

J Ayub Med Coll Abbottabad 2021 Jan-Mar;33(1):162-164

Department of Urology and Kidney Transplant, Pakistan Kidney and Liver Institute, Lahore Pakistan.

Emphysematous pyelonephritis (EPN) is a type of critical renal infection having dire consequences at times. It is said to be result of gases produced inside renal parenchymal tissue or pelvicalyceal system. Rarely coexistence of emphysematous pyelonephritis and emphysematous cystitis (EC) may lead to an intimidating condition in case it is not dealt with swiftly. Read More

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Introducing Trifecta for percutaneous nephrolithotomies: a proposal for standard reporting outcomes after treatment for renal stones.

Minerva Urol Nephrol 2021 Mar 26. Epub 2021 Mar 26.

Department of Urology, San Bassiano Hospital, Bassano del Grappa, Vicenza, Italy.

Background: In literature, the reports of outcomes after percutaneous nephrolithotomies are rather heterogeneous. This may influence studies comparison, it may also render difficult to evaluate surgical adequacy, peri-operative morbidity and patient's quality of life between studies. For this reason, we propose to introduce PNL-Trifecta as composite measure to standardize data reporting outcomes after percutaneous nephrolithotomies. Read More

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Risk factors for hospital readmission following complicated urinary tract infection.

Sci Rep 2021 Mar 25;11(1):6926. Epub 2021 Mar 25.

Department of Medicine E, Beilinson Hospital, Rabin Medical Center, Petah-Tiqva, Israel.

Hospital readmissions following severe infections are a major economic burden on the health care system and have a negative influence on patients' quality of life. Understanding the risk factors for readmission, particularly the extent to which they could be prevented, is of a great importance. In this study we evaluated potentially preventable risk factors for 60-day readmission in patients surviving hospitalization for complicated urinary tract infection (cUTI). Read More

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Percutaneous nephrostomy versus retrograde ureteral stenting for acute upper obstructive uropathy: a systematic review and meta-analysis.

Sci Rep 2021 Mar 23;11(1):6613. Epub 2021 Mar 23.

Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.

Acute obstructive uropathy is associated with significant morbidity among patients with any condition that leads to urinary tract obstruction. Immediate urinary diversion is necessary to prevent further damage to the kidneys. In many centres, the two main treatment options include percutaneous nephrostomy (PCN) and retrograde ureteral stenting (RUS). Read More

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Machine learning-assisted decision-support models to better predict patients with calculous pyonephrosis.

Transl Androl Urol 2021 Feb;10(2):710-723

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

Background: To develop a machine learning (ML)-assisted model capable of accurately identifying patients with calculous pyonephrosis before making treatment decisions by integrating multiple clinical characteristics.

Methods: We retrospectively collected data from patients with obstructed hydronephrosis who underwent retrograde ureteral stent insertion, percutaneous nephrostomy (PCN), or percutaneous nephrolithotomy (PCNL). The study cohort was divided into training and testing datasets in a 70:30 ratio for further analysis. Read More

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February 2021

The retrospective experience of day-surgery semi tubeless ultra-mini percutaneous nephrolithotomy.

Transl Androl Urol 2021 Feb;10(2):654-661

Department of Urology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Background: To retrospectively assess the experience of day-surgery semi tubeless ultra-mini percutaneous nephrolithotomy (UMP) for the treatment of kidney stones by experienced surgeons.

Methods: Clinical data of 358 patients with kidney stones (254 males and 104 females; mean age: 59.60±11. Read More

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February 2021

X-Ray-Free Endoscopic Combined Intrarenal Surgery for Complex Proximal Ureteral Stone: A Case Report.

Res Rep Urol 2021 4;13:121-125. Epub 2021 Mar 4.

Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia.

X-ray-free endoscopic combined intra renal surgery (ECIRS) is a feasible alternative to avoid radiation exposure to both surgical teams and patients, but has not been reported prior. The aim of this report is to present our first-hand experience of performing X-ray-free ECIRS for complex ureteral stone. A 57-year-old female presented with right flank pain, fever, dysuria, and leukocytosis. Read More

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Urological management and surgical procedures in migrants from Sub-Saharan Africa with urogenital schistosomiasis.

Actas Urol Esp 2021 May 5;45(4):309-319. Epub 2021 Mar 5.

Department of Oncologic, Minimally-Invasive Urology and Andrology, Careggi Hospital, University of Florence, Florencia, Italia.

Introduction And Objectives: An increasing number of urogenital schistosomiasis (UGS) is being diagnosed in Europe following the unprecedented migratory flux from Sub-Saharan Africa (SSA). This phenomenon represent a challenge for urologists working in a non-endemic area. The aim of this study is to describe the urological management and the surgical procedures of patients with UGS in a tertiary referral centre. Read More

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Large distal ureteric stone with high burden urothelial cancer of the entire ureter and renal pelvis: a dual pathology.

Ann R Coll Surg Engl 2021 Apr 5;103(4):e136-e139. Epub 2021 Mar 5.

Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Upper-tract urothelial cancer comprises only 3% of all urothelial cancers. Risk factors include tobacco smoking, recurrent urinary infection, urolithiasis and analgesic abuse. Urolithiasis-induced chronic inflammation leads to urothelial proliferation and eventual malignant transformation. Read More

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Efficacy and safety of modified tract dilation technique using simultaneous pulling of proximal and distal ends of a guidewire for percutaneous nephrolithotomy in modified supine position.

Investig Clin Urol 2021 Mar;62(2):186-194

Department of Urology, School of Medicine, Kyungpook National University, Daegu, Korea.

Purpose: Recently, the needs for supine percutaneous nephrolithotomy (PCNL) have become more increased because of an easy approach for endoscopic combined intrarenal surgery. However, making a nephrostomy tract during supine PCNL is more difficult than prone position due to movable kidney. To overcome this limitation, we used a modified nephrostomy tract dilation (MTD) technique using guidewire traction. Read More

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Comparison of retrograde intrarenal surgery and percutaneous nephrolithotomy in multiple calyceal stones: A match pair analysis of 190 cases.

Arch Esp Urol 2021 Mar;74(2):247-253

Department of Urology. Karabuk University School of Medicine. Karabuk. Turkey.

Objectives: The current nephrolithia-sis guidelines have no recommendation about multiple calyceal stones treatment. We aimed to compare the results of two effective methods of RIRS and PNL operations in the treatment of multicalyx stones.

Methods: Data of patients who underwent RIRS or PNL for multicalyx stones between September 2014 and May 2019 in our clinic were evaluated retrospectively. Read More

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Semi-closed-circuit vacuum-assisted MiniPCNL system in pediatric patients.

J Pediatr Urol 2021 04 10;17(2):275-276. Epub 2021 Feb 10.

Urology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.

Surgical treatment of kidney stones has changed over the years. The use of Mini Percutaneous Nephrolithotomy (MiniPCNL) instrumentation is associated with a reduction of major complications but it lengthens the operative time (OT). This limit may be overcome by a semi-closed-circuit vacuum-assisted MiniPCNL system, characterized by a continuous inflow and a suction-controlled outflow. Read More

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Ureteral Rest is Associated With Improved Outcomes in Patients Undergoing Robotic Ureteral Reconstruction of Proximal and Middle Ureteral Strictures.

Urology 2021 Feb 25. Epub 2021 Feb 25.

Lewis Katz School of Medicine at Temple University, Philadelphia, PA.

Objectives: To evaluate the effect of ureteral rest on outcomes of robotic ureteral reconstruction.

Methods: We retrospectively reviewed all patients who underwent robotic ureteral reconstruction of proximal and/or middle ureteral strictures in our multi-institutional database between 2/2012-03/2019 with ≥12 months follow-up. All patients were recommended to undergo ureteral rest, which we defined as the absence of hardware (ie. Read More

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February 2021

Giant hydronephrosis secondary to ureteral calculi in adults: Case report and literature review.

Urol Case Rep 2021 May 3;36:101591. Epub 2021 Feb 3.

Urology Department, CHU Ibn Rochd, Casablanca, Morocco.

Giant hydronephrosis is rare to be seen in adults and is often the cause of misdiagnosis, It is usually caused by ureteropelvic junction syndrome. We here report the unusual case of a patient hospitalized with giant hydronephrosis secondary to ureteral calculi, associated with impaired general condition. Diagnosis was based on CT scan. Read More

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Gender differences in acute stone admissions - should we have a lower threshold for treatment in female patients?

BJU Int 2021 Feb 12. Epub 2021 Feb 12.

Department of Urology, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.

Objectives: To examine the gender-related differences in the presentation, management and outcomes of patients admitted with acute renal colic at our institution.

Patients And Methods: A retrospective analysis of 231 consecutive patients requiring inpatient admission for acute renal colic between October 2015 and March 2018. For each admission, data on demographics, admission blood results, stone characteristics, management and outcomes were collected. Read More

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February 2021