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Percutaneous nephrostomy for symptomatic hypermobile kidney: a single centre experience
Radosław Starownik1, Tomasz Golabek2, Krzysztof Bar1
1Department of Urology and Urological Oncology, Medical University of Lublin, Lublin, Poland.
This study presents a minimally invasive percutaneous nephropexy technique for symptomatic hypermobile kidney (nephroptosis). The procedure is simple, cost-effective, and shows high efficacy in resolving kidney pain, offering a valuable alternative to traditional surgeries.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Nephrology
Background:
- Symptomatic hypermobile kidney (nephroptosis) is typically managed with nephropexy, a surgical fixation to the retroperitoneum.
- While open and endoscopic nephropexy are effective, they carry risks of complications, prolonged hospital stays, and high costs.
Purpose of the Study:
- To describe a percutaneous technique for nephropexy.
- To evaluate the efficacy of percutaneous nephrostomy insertion in managing symptomatic nephroptosis.
Main Methods:
- Retrospective analysis of 11 female patients with symptomatic right nephroptosis treated between 2005 and 2011.
- A single-point percutaneous nephrostomy technique was employed for nephropexy.
Main Results:
- Successful percutaneous nephropexy in all 11 patients with a mean operative time of 20 minutes.
- Minimal blood loss and no intraoperative complications; average hospital stay was 2 days.
- Nine patients experienced complete pain resolution; two had persistent discomfort. One patient required re-operation with satisfactory results.
Conclusions:
- Percutaneous nephropexy is a simple, cost-effective, and efficient treatment for symptomatic hypermobile kidney.
- This technique offers a valuable alternative to open, laparoscopic, and robotic nephropexy for floating kidney fixation.
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