Abstract:
OBJECTIVE:To report experience with a minimally invasive technique for palliation of urinary fistula/incontinence complicating advanced pelvic malignancy or its treatment. PATIENTS AND METHODS:We used ureteric embolization with permanent nephrostomy drainage in eight renal units in five patients for palliation of symptoms. All procedures were done under local anaesthesia as day-case procedures. Nephrostomy tubes were changed at regular intervals on an outpatient basis. Embolization was repeated when required. RESULTS:The follow-up was 2-84 months; four patients died from the underlying malignancy during the follow-up. All patients were continent and had effective palliation of their symptoms. Two patients required repeat embolization. There were no embolization-related complications. CONCLUSIONS:Ureteric embolization is a safe and effective minimally invasive palliative treatment option in urinary fistulae or incontinence complicating advanced pelvic malignancy.
journal_name
BJU Intjournal_title
BJU internationalauthors
Natarajan V,Boucher NR,Meiring P,Spencer P,Parys BT,Oakley NE,Stent (Society for Endourology in North Trent) Group.doi
10.1111/j.1464-410X.2006.06522.xsubject
Has Abstractpub_date
2007-01-01 00:00:00pages
147-9issue
1eissn
1464-4096issn
1464-410Xpii
BJU6522journal_volume
99pub_type
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