Abstract
One hundred and seven patients with an acute or chronic pelveoureteral obstruction were initially treated with a percutaneous nephrostomy. In 65/107 (61%) patients the obstruction was associated with a malignant disease while in 42/107 (39%) patients the cause of obstruction was benign, mostly an impacted ureteral stone.
The effect of the nephrostomy on the outcome of the underlying disease as well as procedure- and catheter-related complications and problems are evaluated. The mean survival in patients with malignant ureteral obstruction was 7.6 months (range: 4–21 months). In 22/27 (81%) patients where the obstruction was caused by an impacted ureteral stone it could be removed via the nephrostomy channel, In 8/107 (7.5%) patients a haemorrhage to the renal pelvis was recorded following the nephrostomy but ceased spontaneously. Dislodgement of the catheter occurred in 31/107 (28%), urinary leakage along the catheter was found in 20/107 (18%) and from a “fractured” catheter in 12/107 (11%) patients. Percutaneous nephrostomy is a well tolerated and very beneficial procedure in patients with an acute as well as chronic pelveourteral obstruction.
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Lukes, P., Wihed, A., Tidebrant, G. et al. Percutaneous nephrostomy in the management of acute and chronic pelveoureteral obstruction. Eur. Radiol. 2, 190–193 (1992). https://doi.org/10.1007/BF00595827
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DOI: https://doi.org/10.1007/BF00595827