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[Percutaneous ureteral occlusion. Methods, results, problems].

H Schild1, G Voges, R Günther

  • 1Klinik mit Poliklinik für Radiologie, Johannes-Gutenberg-Universität Mainz.

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|May 1, 1991
PubMed
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Transrenal ureteral occlusion using glue or balloons achieved permanent occlusion in over half of cases. Mild complications were infrequent and easily managed, suggesting a safe procedure for ureteral occlusion.

Area of Science:

  • Interventional Radiology
  • Urology

Background:

  • Transrenal ureteral occlusion is a minimally invasive technique.
  • Various methods exist for achieving ureteral occlusion.

Purpose of the Study:

  • To evaluate the efficacy and safety of transrenal ureteral occlusion using glue and silicone-filled balloons.
  • To compare the success rates and complication profiles of different occlusion methods.

Main Methods:

  • 119 transrenal ureteral occlusions were performed in 71 patients.
  • Occlusion was achieved using glue (31 ureters), Gianturco coils with glue (21 ureters), or silicone-filled latex balloons (46 ureters).

Main Results:

  • Permanent occlusion was achieved in 55% of ureters treated with glue and 70% with balloons.

Related Experiment Videos

  • Re-occlusion was necessary in 42 cases, with earlier need for glue (2.5 weeks) versus balloons (19.5 weeks).
  • Mild, easily treated complications occurred in 7.5% of cases, with no lasting patient impact.

    • Conclusions:

    • Transrenal ureteral occlusion with glue and balloons demonstrates moderate to high success rates for permanent occlusion.
    • Both methods are associated with a low rate of mild complications, indicating a favorable safety profile.