V02-08 SIMPLE, REAL-TIME INTRAOPERATIVE INTRARENAL PRESSURE MONITORING: METHODS AND APPLICATIONS

You have accessJournal of UrologyMisc. Benign Disease & Transplant Renovascular (V02)1 Sep 2021V02-08 SIMPLE, REAL-TIME INTRAOPERATIVE INTRARENAL PRESSURE MONITORING: METHODS AND APPLICATIONS Nabeel Shakir, and Lee Zhao ShakirNabeel Shakir More articles by this author , ZhaoLee View All Author Informationhttps://doi.org/10.1097/JU.0000000000001979.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION: OBJECTIVE: Historic methods measuring intrarenal pressure such as the Whitaker test required specialized equipment needing precise calibration. With advent sophisticated anesthesia monitors, transducers are available in most operating rooms. We present our technique for (IRP) intraoperatively with common equipment. Our hypothesis is that relief obstruction, IRP will decrease remain low. METHODS: Sterile arterial line tubing zeroed connected a nephrostomy tube Luer lock adapter three way stopcock allow periodic venting. A urethral catheter keeps bladder drained. The transduced recorded automatically log. Initially, rises due urine accumulating renal pelvis, an unrelieved obstruction. When beyond preset threshold, rise again until obstruction relieved. corrected, it should RESULTS: cases where we implemented technique. first case left ureteral transection managed robotic Boari flap. ureter incised, there rush pressurized urine. Concomitantly, decreases, remains low during reconstruction. second ureterolysis retroperitoneal fibrosis. Here demonstrate venting nephrostomy, which allows safely. Concurrent ureteroscopy demonstrates no synchronous intrinsic has decreased low, without further need drain nephrostomy.The final bilateral Here, right ureteropelvic junction seen bed dense been incised anteriorly drop noted simultaneously. This persists while being spatulated. Patency outcomes date excellent (6/7 patients) additional morbidity secondary measurement. CONCLUSIONS: now routine component upper urinary tract reconstructive practice, leveraging commonplace There minimal cost or time. Apart from allowing measurement, verifying potential future applications include stone disease. Further investigation into significance pressure, other measured parameters, may yield greater insights obstructive Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e135-e136 Advertisement Copyright Permissions© Inc.MetricsAuthor Information Expand Loading ...