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[Percutaneous treatment of Fraley syndrome]
M Fernández Arjona1, D Tagarro, J L Moyano Calvo
1Departmento de Urología, Hospital de la Princesa, Universidad Autónoma de Madrid, España.
Objective:
A case of upper calyx obstruction of the left kidney from an artery encroaching on the infundibulum is described. Treatment was by percutaneous insertion of a prosthesis. The results show the usefulness of the percutaneous approach in the treatment of this condition.
Methods:
A Palmaz prosthesis was inserted into the obstructed infundibulum through a nephrostomy. Intravenous urography was performed immediately postoperatively and at 3, 6 and 12 months.
Results:
No complications were observed postoperatively. At one-year follow-up the patient is asymptomatic and the urographic controls show improvement.
Conclusions:
Percutaneous insertion of a prosthesis in the treatment of infundibular stenosis had achieved good results in the case described herein, although a larger series and long-term follow-up are required to determine the usefulness of this approach.