Ultrasound guided percutaneous nephrostomy for obstructive uropathy in benign and malignant diseases
Int. braz. j. urol
;
32(3): 281-286, May-June 2006. tab
Article
Dans Anglais
| LILACS
| ID: lil-433372
ABSTRACT
OBJECTIVE:
Analyze the success rate, complications and overall benefit of ultrasound guided percutaneous nephrostomy (PCN) for the relief of obstructive uropathy in benign and malignant diseases. MATERIALS ANDMETHODS:
PCN was performed in 50 kidneys of 32 patients. It was performed in emergency rooms totally under ultrasound guidance by general surgeons. Seldinger technique was used in all cases. Changes in renal function after the procedure were analyzed using paired t-test.RESULTS:
The procedure was successfully completed in 42 out of 50 kidneys (84 percent). There has been no major complication and 28 percent minor complications. The renal function improved significantly when PCN was performed for benign conditions (mean creatinine 3.52 mg/dL before and 2.18 mg/dL after PCN), however in malignancy there has been no significant improvement in renal function (before PCN mean creatinine 6.39 mg/dL and after PCN 5.41 mg/dL).CONCLUSION:
We conclude that PCN can be effectively performed under ultrasound guidance and should be the initial procedure in acutely obstructed kidneys with pyonephrosis and poor renal function. In malignant cases, however, improvement in renal function is possible only if the procedure is carried out at an early stage.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Obstruction urétérale
/
Néphrostomie percutanée
/
Échographie interventionnelle
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
Limites du sujet:
Adolescent
/
Adulte
/
Enfant
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Int. braz. j. urol
Thème du journal:
Urologie
Année:
2006
Type:
Article
Pays d'affiliation:
Inde
Institution/Pays d'affiliation:
Indira Gandhi Medical College Shimla H.P/IN
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