https://doi.org/10.4081/aiua.2020.3.248

Nephroureterostomy as a treatment of obstructive uropathy: A single center experience

Vol. 92 No. 3 (2020)
Submitted: April 24, 2020
Accepted: May 22, 2020
Published: October 2, 2020
nephroureterostomy, nephrostomy, JJ stent, palliation, obstructive uropathy
Abstract Views: 723
PDF: 449
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Authors

Muhammad Faisal Khan
hellodrpk@yahoo.com
Urology Department North Devon Hospital, Barnstaple, United Kingdom.
Maira Saeed Babar
Urology Department North Devon Hospital, Barnstaple, United Kingdom.
Georgios Tsampoukas
Urology Department Princess Alexandra Hospital, Harlow, United Kingdom.
Soumya Misra
Urology Department North Devon Hospital, Barnstaple, United Kingdom.

Objective: To report the outcomes of percutaneous nephroureterostomies performed in a single center a period of ten years.
Materials and methods: We retrospectively collected and analyzed data for 52 nephroureterostomy procedures that were performed from September 2008 to August 2018. We present patient’s demographics, indications for the procedure, type of anesthesia, technical difficulties, length of stay in hospital and complications.
Results: A total of 52 procedures including 13 bilateral nephroureterostomies were performed on 39 patients. Taking into account the need for replacement of nephroureterostomy procedures during the study period, total number of procedures was 168. Out of a total 39 patients, 32 (84%) of patients had advanced cancer. All procedures were performed as day cases using sedation and had no immediate or early complications. Ten patients or 16% (27 nephroureterostomies out of total 168 procedures) had minor complications.
Conclusions: To the best of author’s knowledge, this is the largest case series reporting the outcome of percutaneous nephroureterostomies. We can therefore conclude that percutaneous nephroureterostomy is a useful palliative procedure to relieve ureteric obstruction, when other measures are not possible, and it has low incidence of complications. However, further studies are warranted to compare different procedures used to relieve ureteric obstruction.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Bell ET. Renal Diseases. 2nd ed. Philadelphia: Lea & Febiger, 1950: 122-125.
Wong LM, Cleeve LK, Milner AD, Pitman AG (2007). Malignant ureteral obstruction: outcomes after intervention. Have things changed? J Urol. 2007 Jul; 178(1): 178-83;
Erik Kouba, Eric M. Wallen and Raj S. Pruthi (2008). Management of Ureteral Obstruction Due to Advanced Malignancy: Optimizing Therapeutic and Palliative Outcomes. J Urol. 2008 Aug;180(2):444-50. doi: 10.1016/j.juro.2008.04.008 DOI: https://doi.org/10.1016/j.juro.2008.04.008
Sachin Agarwal, Christian T. Brown, Elizabeth A. Bellamy, Ravi Kulkarni (2008). The thermo‐expandable metallic ureteric stent: an 11‐year follow‐up. BJU Int. 2009 Feb; 103(3): 372-6. doi: 10.1111/j.1464-410X.2008.08018.x DOI: https://doi.org/10.1111/j.1464-410X.2008.08018.x
New F, Deverill S, Somani BK (2018). Role of percutaneous nephrostomy in end of life prostate cancer patients: a systematic review of the literature. Cent European J Urol. 2018; 71(4): 404-409. doi: 10.5173/ceju.2018.1780 DOI: https://doi.org/10.5173/ceju.2018.1780
Danilovic A1, Antonopoulos IM, Mesquita JL, Lucon AM. (2005). Likelihood of retrograde double-J stenting according to ureteral obstructing pathology. Int Braz J Urol. 2005 Sep-Oct;31(5):431-6
Uthappa MC, Cowan NC. (2005). Retrograde or antegrade double-pigtail stent placement for malignant ureteric obstruction? Clin Radiol. 2005 May;60(5):608-12
North Devon District Hospital leaflet for “percutaneous Insertion of a Nephroureterostomy tube”. Available from: URL: https://www.northdevonhealth.nhs.uk/wp-content/uploads/2015/05/percutaneous_insertion_nephroureterostomy_tube.pdf
Gemender, M., Rinzler, E., Werder, G. and Trace, A. (2017). Seeding of a high-grade papillary urothelial carcinoma of the bladder along a nephroureterostomy tract. Radiology Case Reports, 12(3), pp.542-545. DOI: https://doi.org/10.1016/j.radcr.2017.05.006
Makramalla, A. and Zuckerman, D. (2011). Nephroureteral Stents: Principles and Techniques. Seminars in Interventional Radiology, 28(04), pp.367-379. DOI: https://doi.org/10.1055/s-0031-1296079
Taveres, A., Manaboriboon, N., Lorenzo, A. and Farhat, W. (2008). Insertion of an Internal-External Nephroureteral Stent During Pediatric Laparoscopic Pyeloplasty: Description of the Technique. Urology, 71(6), pp.1199-1202. DOI: https://doi.org/10.1016/j.urology.2007.11.124
Hadley, D., Wicher, C. and Wallis, M. (2009). Retrograde Percutaneous Access for Kidney Internal Splint Stent Catheter Placement in Pediatric Laparoscopic Pyeloplasty: Avoiding Stent Removal in the Operating Room. Journal of Endourology, 23(12), pp.1991-1994. DOI: https://doi.org/10.1089/end.2009.0170
Hatzidakis, A., Kozana, A., Glaritis, D. and Mamoulakis, C. (2014). Right-sided Bochdalek hernia causing septic ureteric obstruction. Percutaneous treatment with placement of a nephroureteral double pigtail. Case Reports, 2014(oct31 1), pp.bcr2014207247-bcr2014207247
Monsky, W., Molloy, C., Jin, B., Nolan, T., Fernando, D., Loh, S. and Li, C. (2013). Quality-of-Life Assessment After Palliative Interventions to Manage Malignant Ureteral Obstruction. CardioVascular and Interventional Radiology, 36(5), pp.1355-1363. DOI: https://doi.org/10.1007/s00270-013-0571-9
Braga, L., Lorenzo, A., Farhat, W., Bägli, D., Khoury, A. and Pippi Salle, J. (2008). Outcome Analysis and Cost Comparison Between Externalized Pyeloureteral and Standard Stents in 470 Consecutive Open Pyeloplasties. Journal of Urology, 180(4S), pp.1693-1699. DOI: https://doi.org/10.1016/j.juro.2008.05.084
Spradling, K., Elliott, C., Vo, H. and Reese, J. (2019). Percutaneous Nephroureteral Tube: A Useful Tool for Management of Intractable Hematuria. Urology, 126, pp.232-235. DOI: https://doi.org/10.1016/j.urology.2019.01.003
A.Mahajan, R. Pugash, G. Annamalai, E. Davic, C. Dey. Conference abstract only. International Symposium on Endovascular Therapy (ISET) 2013. JVIR ISET Abstracts 145.e25 -145.e26
Tal, R., Bachar, G., Baniel, J. and Belenky, A. (2004). External-internal nephro-uretero-ileal stents in patients with an ileal conduit: long-term results. Urology, 63(3), pp.438-441. DOI: https://doi.org/10.1016/j.urology.2003.09.062
Ali SM, Mehmood K, Faiq SM, Ali B, Naqvi SA, Rizvi AU. (2013). Frequency of complications in image guided percutaneous nephrostomy. J Pak Med Assoc. 2013 Jul;63(7):816-20
Lee WJ, Patel U, Patel S, Pillari GP. Emergency percutaneous nephrostomy: results and complications. J Vasc Interv Radiol. 1994 Jan-Feb;5(1):135-9. DOI: https://doi.org/10.1016/S1051-0443(94)71470-6

How to Cite

Khan, M. F., Babar, M. S., Tsampoukas, G., & Misra, S. (2020). Nephroureterostomy as a treatment of obstructive uropathy: A single center experience. Archivio Italiano Di Urologia E Andrologia, 92(3). https://doi.org/10.4081/aiua.2020.3.248

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