Ureteric stricture formation following ureteric instrumentation in patients with a nephrostomy drain in place

Autor: D. C. O'sullivan, M. Dunn, M.C. Bishop, C. P. Bates, R. J. Lemberger
Rok vydání: 1994
Předmět:
Zdroj: British Journal of Urology. 74:165-169
ISSN: 1464-410X
0007-1331
DOI: 10.1111/j.1464-410x.1994.tb16580.x
Popis: Objective To determine what effect the presence of a nephrostomy, left on free drainage, might have on the rate of occurrence of ureteric strictures after ureteric instrumentation. Patients and methods Eighteen patients were identified in this unit who had had ureteric instrumentation while a nephrostomy was in place. Results Eight of 11 patients in whom the nephrostomy was left open developed ureteric strictures. None of seven patients in whom the lumen was maintained by stenting and and/or clamping of the nephrostomy developed strictures. The strictures needed dilatation and stenting in seven patients and ureter had to be reimplanted in the other. Conclusion In patients in whom a nephrostomy is in place, the opening should be occluded after ureteric instrumentation or a stent should be inserted if it is to be left on free drainage.
Databáze: OpenAIRE