Treatment of urological complications related to aorto-iliac pathology and surgery
| Autor: | C. Vandeberg, Pierre Bonnet, Raymond Limet |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Pathology Percutaneous nephrostomies medicine.medical_treatment Ureterolysis Cohort Studies Aortic aneurysm Blood Vessel Prosthesis Implantation Risk Factors Medicine Humans Ureteral Diseases Inflammatory abdominal aortic aneurysm Urovascular fistula Vascular prosthesis infection Aged Retrospective Studies Medicine(all) business.industry Incidence (epidemiology) Endoureteral catheter Retrospective cohort study Middle Aged medicine.disease Nephrectomy Abdominal aortic aneurysm Surgery Blood Vessel Prosthesis Iliac Aneurysm Female Radiology Cardiology and Cardiovascular Medicine business Abdominal surgery Cohort study Aortic Aneurysm Abdominal |
| Zdroj: | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 26(6) |
| ISSN: | 1078-5884 |
| Popis: | Objectives. Proximity of ureters with iliac arteries makes them prone to damage by aorto-iliac pathology or surgery. The aim of this retrospective study is to analyse the incidence, the predisposing factors, and the optimal treatment of ureteral stenosis (US) or leakages (UL). Design. Retrospective study. Material. Fiftyone ureteral lesions in 41 patients referred to the urologist in a fourteen years period in the same institution. Methods. Lesions are classified in three groups: A, preoperative; B, less than 3 months postoperatively; and C, more than 3 months postoperatively. Group A comprises 10 abdominal aortic aneurysm (AAA) patients; eight of the AAA are of the inflammatory type. Group B comprises 16 patients, 11 US and 9 UL. Group C comprises 15 patients and 15 US. Results. Endoureteral treatment was successful in most of the group B patients. Some of them, however, had to be submitted to secondary open surgery, so that the global success rate is 70% in group B. In group C, the response is poor following endourological treatment alone (12.5% success) and open surgery is more often needed (3 ureterolyses and 1 nephrectomy). Global success rate is 40%. Conclusion. Early diagnosis is associated to better results with less invasive procedure; late diagnosis is accompanied by a lower success rate of endourological treatment and requires more often primary open surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect