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[Ultrasound-guided percutaneous ureterostomy]
P Mangin1, J M Navarro, J F Charles
1Unité d'Urologie, CHU Morvan, Brest.
Annales D'Urologie
|January 1, 1987
Summary
A novel ultrasound-guided technique allows percutaneous ureterostomy for upper urinary tract drainage. This method offers an alternative to nephrostomy, especially in cases with ureteral dilation.
Area of Science:
- Urology
- Medical Imaging
- Surgical Techniques
Background:
- Percutaneous drainage of the upper urinary tract is crucial for managing various renal and ureteral conditions.
- Traditional methods like nephrostomy can be challenging in specific anatomical situations.
- Ultrasonography offers real-time guidance for minimally invasive procedures.
Observation:
- A new technique for percutaneous ureterostomy using a direct lumbar transureteric approach was developed.
- Ultrasonographic control was utilized throughout the procedure.
- The technique was successfully applied in two patients requiring upper urinary tract drainage.
Findings:
- Ultrasound-guided percutaneous ureterostomy effectively drained the upper urinary tract in both cases.
- The procedure also allowed for evaluation of the adjacent renal parenchyma.
- Ureterostomy was chosen over nephrostomy due to technical difficulties with nephrostomy and significant ureteral dilation.
Implications:
- This technique provides a viable alternative to nephrostomy for upper urinary tract drainage.
- It may be particularly beneficial in patients with dilated ureters or when nephrostomy is technically challenging.
- Further research could explore the broader applicability and long-term outcomes of this approach.