Ultrasound guided percutaneous nephrostomy for obstructive uropathy in benign and malignant diseases
Int. braz. j. urol
;
32(3): 281-286, May-June 2006. tab
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Obstrução Ureteral
/
Nefrostomia Percutânea
/
Ultrassonografia de Intervenção
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
Limite:
Adolescente
/
Adulto
/
Criança
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2006
Tipo de documento:
Artigo
País de afiliação:
Índia
Instituição/País de afiliação:
Indira Gandhi Medical College Shimla H.P/IN
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