Percutaneous nephrostomy versus retrograde ureteral stent for acute upper urinary tract obstruction with urosepsis

نویسندگان

چکیده

PurposeWe aimed to compare the efficacy of percutaneous nephrostomy (PCN) versus retrograde ureteric stent (RUS) for acute upper urinary tract obstruction with urosepsis.Materials and methodsWe performed a random study, comparing PCN RUS, treatment patients requiring emergency drainage due urosepsis between January 2019 March 2020. Data collected included patient characteristics, stone material, microbiological laboratory data. Statistical analysis was by student's t-test or Mann-Whitney U test chi-squared Fisher exact test.ResultsAt first, total 75 were eligibly assessed enrollment. Among them, 3 cases excluded declining participate 7 failed treated RUS. At last, 35 (53.85%) 30 RUS (46.15%) analyzed. There 24 (36.92%) men 41 (63.08%) women. The median age 65 years. Emergency decompression achieved in (46.15%). Urine culture positive 32 (49.23%) patients, which 17 (53.13%) had E. coli. Postoperative C-reactive protein value normal temperature recovery time group significantly lower than group(P < .05).ConclusionPCN better outcome urosepsis, especially severe inflammation fever.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Urinary Incontinence and Urosepsis due to Forgotten Ureteral Stent

Case report of a patient who, while being under study due to total urinary incontinence and multiple urinary tract infections, interoccurs with urosepsis due to a forgotten and encrusted double-J stent. An open surgery is performed with two surgical approaches, suprapubic and minimal lumbotomy, in which a nephrectomy of the atrophic kidney, a resection of the urether with a calcified double-J i...

متن کامل

Ureteroscopy-Assisted Retrograde Nephrostomy for Percutaneous Nephrolithotomy after Urinary Diversion

A 33-year-old male with an ileal conduit was referred to our department for the treatment of left renal calculi. After inserting a ureteral access sheath, a ureteroscopy-assisted retrograde nephrostomy was made. Percutaneous nephrolithotomy was successfully achieved using this nephrostomy.

متن کامل

Role of percutaneous nephrostomy (PCN) in malignant ureteral obstruction.

OBJECTIVE To assess whether PCN placement in patients having malignant ureteric obstruction can provide patient benefit or increase morbidity. METHODS A prospective study was conducted in the department of Urology CMCH Larkana from 1st January 2004 to December 2006. Patients having malignant ureteric obstruction admitted in our department either directly or referred from other departments wit...

متن کامل

MR-guided percutaneous nephrostomy of the nondilated upper urinary tract in a porcine model.

OBJECTIVE The purpose of this study was to assess the safety and feasibility of MR-guided percutaneous nephrostomy of the nondilated contrast-enhanced upper urinary tract in a porcine model. SUBJECTS AND METHODS Six MR-guided percutaneous nephrostomies of the nondilated upper urinary tract were performed in four domestic farm pigs (body weight range, 20-25 kg) using a 0.2-T system. Ten minute...

متن کامل

Adult Ureterocele Presenting with Ureteral Obstruction and Urosepsis during Pregnancy.

INTRODUCTION Ureteroceles are cystic dilatations of the distal ureter that occur due to congenital ureteric wall weakness. They can be orthotopic, occurring in normal ureteric locations and most commonly seen in adults. On the other hand, heterotopic ureteroceles are located in ectopic ureters or in ectopic duplex renal systems, and are more common in children. Ureterocele causing obstruction i...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Journal of Infection and Chemotherapy

سال: 2021

ISSN: ['1437-7780', '1341-321X']

DOI: https://doi.org/10.1016/j.jiac.2020.11.022