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[Percutaneous pyelostomy: technic and indications].

M Rossi, F Stacul, R Agostini

    La Radiologia Medica
    |March 1, 1983
    PubMed
    Summary
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    Percutaneous nephrostomy effectively diverts urine in 24 patients, primarily for ureteral obstruction from pelvic neoplasms. While catheter dislodgement occurred in 25%, the procedure offered a safe alternative to surgery.

    Area of Science:

    • Urology
    • Nephrology
    • Oncology

    Background:

    • Urinary diversion is crucial for obstructive nephropathies.
    • Percutaneous nephrostomy offers a minimally invasive approach.
    • Neoplasms frequently cause ureteral obstruction requiring intervention.

    Purpose of the Study:

    • To evaluate the outcomes of percutaneous nephrostomy.
    • To identify indications, techniques, and complications.
    • To assess its role as an alternative to surgical nephrostomy.

    Main Methods:

    • Retrospective analysis of 24 percutaneous nephrostomy procedures.
    • Documentation of indications, techniques, and patient outcomes.
    • Evaluation of procedural advantages, limitations, and complications.

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    Main Results:

    • Pelvic neoplasms were the primary indication (71%).
    • Successful catheter placement was achieved in all cases.
    • Catheter dislodgement was the most frequent complication (25%).
    • No serious complications were reported.

    Conclusions:

    • Percutaneous nephrostomy is a feasible urinary diversion method.
    • It is particularly useful for patients with neoplastic ureteral obstruction.
    • It serves as a safe alternative to surgical nephrostomy, despite potential drawbacks like dislodgement.