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Related Experiment Videos

Transrenal ureteral embolization

R Günther, M Marberger, K Klose

    Radiology
    |August 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Transrenal ureteral closure using butyl-2-cyanoacrylate successfully managed inoperable fistulas in 3 patients. This technique provided urinary diversion and permanent ureteral embolization, avoiding bilateral nephrostomy.

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    Area of Science:

    • Urology
    • Interventional Radiology

    Background:

    • Vesicovaginal and vesicosacral fistulas present complex management challenges, particularly in inoperable cases.
    • Supravesical urinary diversion and definitive fistula closure are critical for patient well-being.

    Observation:

    • Transrenal ureteral closure with butyl-2-cyanoacrylate and balloon occlusion was employed in three patients with inoperable fistulas.
    • Unilateral percutaneous nephrostomy facilitated urinary diversion and ureteral embolization access.
    • In one patient, a contralateral renal artery embolization ("radiological nephrectomy") was performed to avoid bilateral nephrostomy.

    Findings:

    • Successful palliative management of inoperable vesicovaginal and vesicosacral fistulas was achieved in all three patients.
    • The transrenal approach allowed for permanent ureteral embolization, effectively managing urinary diversion.

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  • Selective renal artery embolization in a non-fistula kidney prevented the need for bilateral nephrostomy.

    • Implications:

    • This technique offers a minimally invasive option for managing complex fistulas when traditional surgical repair is not feasible.
    • Butyl-2-cyanoacrylate embolization represents a viable strategy for ureteral occlusion and palliative urinary diversion.
    • The combination of ureteral closure and selective renal artery embolization demonstrates an innovative approach to complex urological conditions.