Role of percutaneous urinary diversion in malignant and benign obstructive uropathy.

Abstract:

OBJECTIVES:We evaluated the feasibility and effectiveness of percutaneous urinary diversion in patients with obstructive uropathy. PATIENTS AND METHODS:A total of 206 percutaneous nephrostomies (PCNs) (right-sided in 54, left in 56, and bilateral in 48) were performed in 102 male and 57 female patients 18 to 94 years old. In 125 patients, malignancy was the underlying cause of the obstruction and in 30, benign disease. In four patients, the cause remained unknown. In most patients (N = 154), the access was guided with both ultrasound and fluoroscopy. RESULTS:Percutaneous nephrostomy was successful in 158 patients (99%). Antegrade ureteral stenting was attempted in 48 patients with a success rate of 81%. Fifteen days postprocedure, the mean urea and creatinine concentrations had declined from 160.8 mg/mL to 63 mg/mL and from 6.9 mg/dL to 2.2 mg/dL, respectively. In 66% of the patients, renal function returned to normal. In 28%, it improved with no need for hemodialysis, while in 6%, there was no improvement. Advanced age and prostate cancer were negative predictive factors for the improvement of renal function, whereas the BUN and creatinine concentrations before the procedure and performance of unilateral v bilateral nephrostomies were not. We did not have severe complications. Three patients received transfusions, and in one patient, a urinoma was drained percutaneously. Patients with malignancy had a median survival of 227 days. CONCLUSION:Percutaneous urinary diversion under radiologic guidance is a safe and effective procedure for patients with obstructive uropathy.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Pappas P,Stravodimos KG,Mitropoulos D,Kontopoulou C,Haramoglis S,Giannopoulou M,Tzortzis G,Giannopoulos A

doi

10.1089/end.2000.14.401

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

401-5

issue

5

eissn

0892-7790

issn

1557-900X

journal_volume

14

pub_type

杂志文章
  • Percutaneous stone implantation in the pig kidney: a new animal model for lithotripsy research.

    abstract:PURPOSE:This report describes a new animal model for research on the parameters of shockwave delivery and the mechanisms of shockwave action in SWL. MATERIALS AND METHODS:Female pigs (approximately 45 kg) were anesthetized for creation of an upper pole peripheral caliceal access. The tract was dilated with a 30F Nephr...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277902320913215

    authors: Paterson RF,Lingeman JE,Evan AP,Connors BA,Williams JC Jr,McAteer JA

    更新日期:2002-10-01 00:00:00

  • Clinical and histologic predictors of renal function decline after laparoscopic partial nephrectomy.

    abstract:BACKGROUND AND PURPOSE:Clinical and surgical factors predict renal function decline after laparoscopic partial nephrectomy (LPN). Additional histopathologic predictors may be found in the specimen's nonneoplastic tissue but were not studied. This study investigated the significance of histologic findings in addition to...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2010.0646

    authors: Lifshitz DA,Shikanov SA,Razmaria AA,Eggener SE,Liao C,Chang A,Shalhav AL

    更新日期:2011-09-01 00:00:00

  • New cannula for endoscopic reflux operation in children and infants.

    abstract::A new semiflexible and steerable cannula was designed for endoscopic reflux operations on infants and children. Because of its small diameter (0.6 mm; < 2F), it fits even through the 9F infant cystoscope. ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1994.8.131

    authors: Froehlich GA,Stratmeyer RO

    更新日期:1994-04-01 00:00:00

  • Urolithiasis as a hazard of sulfonamide therapy.

    abstract::We identified 40 patients (25 men and 15 women) who developed calculi composed totally or partially of sulfonamides (acetylsulfamethoxazole, sulfadiazine, and acetylsulfisoxazole) between 1980 and 1987. The incidence of sulfonamide stones is less than 1% of stones. Patient characteristics were determined from question...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1994.8.401

    authors: Albala DM,Prien EL Jr,Galal HA

    更新日期:1994-12-01 00:00:00

  • Biomaterials in Urology II: future usage and management.

    abstract::It seems likely, and indeed inevitable, that medical device usage will continue its rapid increase over the next 10 to 20 years and beyond. For surgeons, these new inventions will come in many forms but should take into account biocompatibility and resistance to encrustations and to microorganisms. This review focuses...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.1999.13.1

    authors: Reid G,Millsap K,Denstedt J

    更新日期:1999-02-01 00:00:00

  • Number of needle passes does not correlate with the diagnostic yield of renal fine needle aspiration cytology.

    abstract:BACKGROUND AND PURPOSE:Renal Fine Needle Aspiration Cytology (FNAC) has gained popularity due to increasing options in management of renal lesions such as energy ablation and active surveillance. The diagnostic yield of renal FNAC varies between 40-90%. We hypothesized that adequate and diagnostic FNA samples would be ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.9724

    authors: Andonian S,Okeke Z,Okeke DA,Sugrue C,Wasserman PG,Lee BR

    更新日期:2008-10-01 00:00:00

  • How to build your own laparoscopic trainer.

    abstract:PURPOSE:To enable all personnel involved with laparoscopy to obtain cheap and ready practice in a variety of situations. MATERIALS AND METHODS:A number of components are required to practice laparoscopic techniques: a cavity, lighting, video imaging, instruments, operating sutures, etc. and operative tissue. Alternati...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.19.748

    authors: Blacker AJ

    更新日期:2005-07-01 00:00:00

  • Laparoendoscopic single-site plus one port nephroureterectomy: single center initial experience.

    abstract:BACKGROUND AND PURPOSE:Nephroureterectomy (NU) with bladder cuff excision is the gold standard treatment for patients with upper urinary tract urothelial cancer. We report our initial experience with laparoendoscopic single-site plus one port (LESS POP) technique for NU and bladder cuff excision. PATIENTS AND METHODS:...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0735

    authors: Tsivian A,Tsivian M,Stanevsky Y,Benjamin S,Sidi AA

    更新日期:2014-06-01 00:00:00

  • Impacted upper-ureteral calculi >1 cm: blind access and totally tubeless percutaneous antegrade removal or retrograde approach?

    abstract:PURPOSE:To compare blind access and totally tubeless percutaneous antegrade removal and pneumatic transurethral ureterolithotripsy for the management of impacted upper-ureteral calculi >1 cm. PATIENTS AND METHODS:Seventy patients (41 male, 29 female) with impacted upper-ureteral calculi >1 cm were selected in randomiz...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2006.20.616

    authors: Karami H,Arbab AH,Hosseini SJ,Razzaghi MR,Simaei NR

    更新日期:2006-09-01 00:00:00

  • Use of ureteral stents in the management of major renal trauma with urinary extravasation: is there a role?

    abstract::Five patients with major (Grade IV) renal trauma required ureteral stent placement to facilitate urinary drainage. Three of these patients had stents placed for recurrent gross hematuria with flank pain. All three had obstructing blood clots present at the time of stent placement. The fourth patient had a stent placed...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1998.12.545

    authors: Haas CA,Reigle MD,Selzman AA,Elder JS,Spirnak JP

    更新日期:1998-12-01 00:00:00

  • Robot-assisted excision of seminal vesicle cyst associated with ipsilateral renal agenesis.

    abstract::Seminal vesicle cysts associated with other genitourologic abnormalities are rare. We describe the first known robot-assisted excision of a cystic seminal vesicle associated with ipsilateral renal agenesis in a symptomatic pediatric patient. The patient was discharged home on postoperative day 1 and remains symptom fr...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.2006.0279

    authors: Moore CD,Erhard MJ,Dahm P

    更新日期:2007-07-01 00:00:00

  • Patients with pathologically proven renal disease have similar declines in renal function following robot-assisted partial nephrectomy.

    abstract:OBJECTIVE:To determine if patients with pathological, medical renal disease, defined as evidence of pathological abnormalities indicative of renal damage in the non-neoplastic partial nephrectomy specimens, have worsened functional outcomes following robot-assisted partial nephrectomy (RPN). MATERIALS AND METHODS:Sixt...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0228

    authors: Mobley JM,Kim EH,Larson JA,Figenshau RS,Vetter JM,Johnson MH,Bhayani SB

    更新日期:2014-12-01 00:00:00

  • Biomaterials used in urology: current issues of biocompatibility, infection, and encrustation.

    abstract::This review focuses on the biomaterials used in urology, in particular, the properties of urethral catheters and ureteral stents currently being used in clinical practice. The importance of biomaterial type, biocompatibility, and encrustations are discussed and explained. Current management of bacterial infection and ...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.1998.12.493

    authors: Denstedt JD,Wollin TA,Reid G

    更新日期:1998-12-01 00:00:00

  • Emergency room management of ureteral calculi: current practices.

    abstract:OBJECTIVE:To evaluate current practice patterns in U.S. emergency departments (EDs) for the diagnosis, treatment, and counseling of patients with ureteral calculi. METHODS:Hospital-based ED physicians were invited by e-mail to participate in a Survey-Monkey survey. E-mails were delivered in March 2008 by Direct Medica...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0615

    authors: Phillips E,Kieley S,Johnson EB,Monga M

    更新日期:2009-06-01 00:00:00

  • Functional and oncologic outcomes comparing interfascial and intrafascial nerve sparing in robot-assisted laparoscopic radical prostatectomies.

    abstract:INTRODUCTION:The impact of intrafascial versus interfascial nerve sparing during radical prostatectomy on oncologic and postoperative outcome is still controversial. This manuscript compares the outcomes of intrafascial versus interfascial techniques of nerve sparing used during robot-assisted laparoscopic radical pros...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2009.0369

    authors: Potdevin L,Ercolani M,Jeong J,Kim IY

    更新日期:2009-09-01 00:00:00

  • Successful Diabetic Control as Measured by Hemoglobin A1c Is Associated with Lower Urine Risk Factors for Uric Acid Calculi.

    abstract:INTRODUCTION AND OBJECTIVES:To examine the association of glycemic control, including strict glycemic control, with 24-hour urine risk factors for uric acid and calcium calculi. MATERIALS AND METHODS:With institutional review board (IRB) approval, we identified 183 stone formers (SFs) with 459 twenty-four-hour urine c...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2018.0376

    authors: Maciolek KA,Penniston KL,Jhagroo RA,Best SL

    更新日期:2018-08-01 00:00:00

  • The comparison of three renal tumor scoring systems: C-Index, P.A.D.U.A., and R.E.N.A.L. nephrometry scores.

    abstract:BACKGROUND AND PURPOSE:The centrality-index (C-Index), preoperative aspects and dimensions used for anatomic (P.A.D.U.A.) classification, and radius.exophyic/endophytic.nearness.anterior/posterior.location (R.E.N.A.L.) nephrometry schemes were developed as standardized scoring systems (SS) to quantify anatomic characte...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0301

    authors: Okhunov Z,Rais-Bahrami S,George AK,Waingankar N,Duty B,Montag S,Rosen L,Sunday S,Vira MA,Kavoussi LR

    更新日期:2011-12-01 00:00:00

  • Clinical and Metabolic Correlates of Calcium Oxalate Stone Subtypes: Implications for Etiology and Management.

    abstract:: Introduction: Calcium oxalate (CaOx) is the predominate component within renal calculi and can be divided into two subtypes: CaOx-monohydrate (COM) and CaOx-dihydrate (COD). COM and COD form in differing urinary environments, which suggest differential underlying metabolic...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0245

    authors: Bamberger JN,Blum KA,Kan KM,Parkhomenko E,Gallante B,Gupta M

    更新日期:2019-09-01 00:00:00

  • Laparoscopic management of caliceal diverticulum: our experience, literature review, and pooling analysis.

    abstract::Caliceal diverticulum management has been performed using various modalities, including ureteroscopy, percutaneous treatment, and laparoscopy. We present our experience with laparoscopic management of caliceal diverticulum in two patients with large caliceal diverticulum and a history of failed open surgery because of...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.2012.0526

    authors: Basiri A,Radfar MH,Lashay A

    更新日期:2013-05-01 00:00:00

  • Metabolic evaluation of stone disease patients: a practical approach.

    abstract::In the last three decades, minimally invasive techniques have progressed significantly, replacing traditional open surgery as the mainstay of stone disease surgical treatment. The challenge for the next millennium remains medical prevention of calcium urolithiasis, a field where less dramatic progress has been achieve...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.1999.13.669

    authors: Lifshitz DA,Shalhav AL,Lingeman JE,Evan AP

    更新日期:1999-11-01 00:00:00

  • Single center comparison of laparoscopic cryoablation and CT-guided percutaneous cryoablation for renal tumors.

    abstract:BACKGROUND AND PURPOSE:Cryoablation has demonstrated therapeutic effectiveness for selected renal tumors. We compared our perioperative and short-term outcomes of laparoscopic (LAP) v percutaneous (PERC) renal cryoablation. PATIENTS AND METHODS:Thirty-four patients (18 men/16 women) underwent a LAP and 26 patients (19...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0196

    authors: Derweesh IH,Malcolm JB,Diblasio CJ,Giem A,Rewcastle JC,Wake RW,Patterson AL,Gold R

    更新日期:2008-11-01 00:00:00

  • Laparoscopic adrenalectomy for large adrenal tumors.

    abstract:BACKGROUND AND PURPOSE:Laparoscopic adrenalectomy remains a controversial procedure for large tumors. We examined the outcome and complications of laparoscopic adrenalectomy for such lesions. PATIENTS AND METHODS:A total of 178 patients underwent laparoscopic adrenalectomy, of whom 29 patients had large (>or =5 cm) tu...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2005.19.537

    authors: Tsuru N,Suzuki K,Ushiyama T,Ozono S

    更新日期:2005-06-01 00:00:00

  • The effect of nerve-sparing robot-assisted radical cystoprostatectomy on erectile function in a preoperatively potent population.

    abstract:OBJECTIVE:To evaluate the effects on the potency of a bilateral cavernosal nerve-sparing approach to robot-assisted radical cystectomy (RARC) in a preoperatively potent population. PATIENTS AND METHODS:We conducted a retrospective review of 254 patients who underwent RARC between 2003 and 2012 at our single institutio...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0315

    authors: Haberman K,Wittig K,Yuh B,Ruel N,Lau C,Wilson TG,Chan KG

    更新日期:2014-11-01 00:00:00

  • Ergonomics in endourology and laparoscopy: an overview of musculoskeletal problems in urology.

    abstract:PURPOSE:This study aims to provide an overview of type and frequency of musculoskeletal complaints among urologists. In addition, the urologists' knowledge about ergonomic conditions during minimally invasive urology was assessed, and they were asked how they would prefer to gain knowledge about this topic. MATERIALS ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0654

    authors: Tjiam IM,Goossens RH,Schout BM,Koldewijn EL,Hendrikx AJ,Muijtjens AM,Scherpbier AJ,Witjes JA

    更新日期:2014-05-01 00:00:00

  • Differences in grip forces among various robotic instruments and da Vinci surgical platforms.

    abstract:INTRODUCTION:The da Vinci surgical platform is becoming increasingly available and utilized. Due to the lack of haptic feedback, visual cues are necessary to estimate grip forces and tissue tensions during surgery. We directly measured the grip forces of robotic EndoWrist instruments using the three available da Vinci ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2010.0306

    authors: Mucksavage P,Kerbl DC,Pick DL,Lee JY,McDougall EM,Louie MK

    更新日期:2011-03-01 00:00:00

  • Hand-assisted laparoscopic nephrectomy for inflammatory renal conditions.

    abstract:PURPOSE:Laparoscopic surgery for large renal lesion or kidneys with chronic inflammation has proved to be technically challenging. Hand-assisted laparoscopic surgery might be useful in these complex cases, as it provides surgeons the benefits of tactile feedback, digital retraction, and facilitated dissection of the re...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2004.18.770

    authors: Tan YH,Siddiqui K,Preminger GM,Albala DM

    更新日期:2004-10-01 00:00:00

  • Parenchymal Volumetric Assessment as a Predictive Tool to Determine Renal Function Benefit of Nephron-Sparing Surgery Compared with Radical Nephrectomy.

    abstract:PURPOSE:To develop a preoperative prediction model using a computer-assisted volumetric assessment of potential spared parenchyma to estimate the probability of chronic kidney disease (CKD, estimated glomerular filtration rate [eGFR] <60 mL/min/1.73 m(2)) 6 months from extirpative renal surgery (nephron-sparing surgery...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2015.0411

    authors: Liss MA,DeConde R,Caovan D,Hofler J,Gabe M,Palazzi KL,Patel ND,Lee HJ,Ideker T,Van Poppel H,Karow D,Aertsen M,Casola G,Derweesh IH

    更新日期:2016-01-01 00:00:00

  • Laparoscopic transperitoneal repair of retrocaval ureter: report of two cases.

    abstract::We report our experience in the laparoscopic transperitoneal repair of retrocaval ureter in two cases, highlighting a new technique of stenting. ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/08927790360587397

    authors: Ramalingam M,Selvarajan K

    更新日期:2003-03-01 00:00:00

  • The importance of an expansion chamber during standard and tandem extracorporeal shock wave lithotripsy.

    abstract:BACKGROUND AND PURPOSE:It is known that extracorporeal shock wave lithotripsy (SWL) may be improved by increasing cavitation using tandem shock waves. However, fluid is needed for the cavitation to work. The purpose of this research was to evaluate the importance of a fluid-filled expansion chamber in enhancing stone f...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0334

    authors: Fernández F,Fernández G,Loske AM

    更新日期:2009-04-01 00:00:00

  • Robot-Assisted Laparoscopic Extravesical Ureteral Reimplantation in Children: Top-Down Suturing Technique Without Stent Placement.

    abstract::Extravesical robotic-assisted laparoscopic ureteral reimplantation in children is a challenging procedure. Our top-down suturing technique facilitates this reconstructive surgery. After mobilization of the ureter without the use of ureteral stent placement, the detrusor muscle is divided. Once adequate muscle flaps ar...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0815

    authors: Silay MS,Baek M,Koh CJ

    更新日期:2015-08-01 00:00:00