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[Interventional sonography after kidney transplantation]
H Feiber1, L Rohrmoser, C Jürgens
1Urologische Universitätsklinik, Marburg/Lahn.
Helvetica Chirurgica Acta
|September 1, 1991
Summary
Ultrasound-guided percutaneous nephrostomy effectively treats urinary fistulae and lymphoceles. This minimally invasive technique preserves renal function in ureterostenosis and distal fistulae, aiding surgical planning.
Area of Science:
- Nephrology
- Urology
- Interventional Radiology
Background:
- Post-kidney transplant complications like urinary fistulae, lymphoceles, and ureterostenosis require effective management.
- Percutaneous nephrostomy is an established interventional radiology technique.
Purpose of the Study:
- To evaluate the efficacy of ultrasound-guided percutaneous nephrostomy in managing operative complications after kidney transplantation.
- To assess the role of anterograde pyelography in localizing ureteral stenosis.
Main Methods:
- Ultrasound-guided percutaneous nephrostomy was performed for urinary fistulae and lymphoceles.
- Percutaneous nephrostomy was utilized for ureterostenosis and distal fistulae.
- Anterograde pyelography was employed to precisely locate ureteral stenosis.
Main Results:
- Ultrasound-guided percutaneous nephrostomy yielded good results in treating urinary fistulae and lymphoceles.
- Percutaneous nephrostomy successfully preserved renal function in cases of ureterostenosis and distal fistulae.
- Anterograde pyelography accurately identified stenosis, facilitating improved surgical procedures.
Conclusions:
- Interventional ultrasound, specifically ultrasound-guided percutaneous nephrostomy, is a valuable option for managing post-kidney transplant complications.
- This technique offers a minimally invasive approach to preserve renal function and guide surgical interventions.