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Percutaneous transrenal ureteral occlusion: indication and technique
W Hübner1, M Knoll, P Porpaczy
1Department of Urology, Policlinic Hospital, Vienna, Austria.
Summary
Palliative ureteral occlusion using detachable balloons or the Harzmann Olive improved quality of life in six of seven patients with malignant diseases. Complications were minimal, with Harzmann
Area of Science:
- Urology
- Oncology
- Interventional Radiology
Background:
- Malignant diseases can obstruct ureters, impacting patient quality of life.
- Palliative ureteral occlusion is a treatment option for such cases.
Purpose of the Study:
- To evaluate the efficacy and safety of two ureteral occlusion techniques.
- To compare detachable balloon occlusion with the Harzmann Olive method.
Main Methods:
- Nine ureteral occlusions were performed on seven patients.
- Techniques used: detachable balloon and Harzmann Olive.
- Initial complete occlusion was assessed, with potential for re-intervention.
Main Results:
- Complete ureteral occlusion was achieved initially in all cases.
- Two patients required a second occlusion intervention after 6 and 14 weeks.
- Six of seven patients experienced marked improvement in quality of life.
- Complications were minimal.
Conclusions:
- Both techniques achieved initial ureteral occlusion.
- The Harzmann Olive method appears simpler and more developed than other techniques.
- Ureteral occlusion is a safe and effective palliative option, especially for advanced cancer.