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Nephroscopy in chronic unilateral hematuria
The Journal of Urology
|September 1, 1981
Summary
Nephroscopy successfully identified bleeding sources in chronic unilateral gross hematuria cases unresponsive to other treatments. This renal exploration led to successful treatment and no recurrence in all patients.
Area of Science:
- Urology
- Nephrology
- Surgical Oncology
Background:
- Chronic unilateral gross hematuria presents diagnostic challenges.
- Standard investigations often fail to identify the bleeding source.
- Patients experience significant physical and emotional distress.
Observation:
- Thirteen patients with chronic unilateral gross hematuria underwent renal exploration with nephroscopy.
- Previous diagnostic studies including angiography were inconclusive.
- Nephroscopy was performed after failure of conservative management.
Findings:
- Nephroscopy precisely localized bleeding sites in all thirteen patients.
- Submucosal hemangiomas were identified in 5 patients; bleeding from a single calix in 7.
- Twelve patients underwent partial nephrectomy, one nephrectomy, with no recurrence to date.
Implications:
- Renal exploration with nephroscopy is a valuable tool for diagnosing and treating chronic gross hematuria.
- Conservative partial nephrectomy offers a curative solution.
- Early diagnosis and treatment can alleviate patient suffering and improve outcomes.