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[Percutaneous antegrade pyelography with a fine needle]
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|September 15, 1980
Summary
Percutaneous antegrade pyelography effectively diagnosed mute kidney and urinary stasis when conventional urography failed. This minimally invasive procedure offers a safe, cost-effective diagnostic tool for complex renal cases.
Area of Science:
- Urology
- Diagnostic Imaging
- Nephrology
Context:
- Conventional urography is often insufficient for diagnosing mute kidney and urinary stasis.
- Percutaneous antegrade pyelography (PAP) offers an alternative diagnostic approach.
- Retrograde pyelography was deliberately avoided in this study.
Purpose:
- To evaluate the efficacy of percutaneous antegrade pyelography in clarifying mute kidney and urinary stasis.
- To assess the diagnostic yield and safety of PAP in challenging renal cases.
Summary:
- Percutaneous antegrade pyelography was performed on 15 patients with mute kidney or urinary stasis.
- The procedure successfully clarified mute kidney in 8 cases and urinary stasis in 4 cases.
- Renal calyces were not visualized in 3 mute kidney cases; no complications occurred.
Impact:
- PAP is a secure, low-stress, and cost-effective diagnostic measure for specific renal conditions.
- PAP remains valuable despite advancements in sonography and CT scans.
- This technique aids in diagnosing conditions not clearly visualized by other imaging modalities.