Hidronephrosis - what is best? - Forum

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Resident

Hidronephrosis - what is best? - Ärzteforum

Post#1 »

Hidronephrosis caused by ureteral lesion, detected 48 h. postoperatively. What is best? Operation with an attempt to repair, or percutaneous nephrostomy and later repair?.


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Surgeon

Re: Hidronephrosis - what is best? - Ärzteforum

Post#2 »

Often the Urologist can put up a stent (via cystoscopy) - this would be the best if at all possible.

bonjorno

Re: Hidronephrosis - what is best? - Ärzteforum

Post#3 »

What kind of surgical damage:section full,tear with suture or non advertissed damage at teh intraop??Have the patient urinary fistula or uroperitoneum? A IV Pielogram may be useful?

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A Doctor

Re: Hidronephrosis - what is best? - Ärzteforum

Post#4 »

What kind of operation was it? Have you tried cystoscopy with retrograde ureterograms +\- placing ureteral stent? If a stent can be passed, it will usually take care of the problem if left in for 4-6 weeks.

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Re: Hidronephrosis - what is best? - Ärzteforum

Post#5 »

Unknown. No urinoma or urinary fistula. The urologist cannot pass a catheter by cystoscopy. What is better? Surgical treatment or previous nephrostomy?

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Re: Hidronephrosis - what is best? - Ärzteforum

Post#6 »

In cystoscopy the urologist is not able to surpass the ureteral stops with a catheter, so he recommends percutaneous nephrostomy. Isn't better to try a operative repair?

The best surgeon

Re: Hidronephrosis - what is best? - Ärzteforum

Post#7 »

I am not an expert, but I think it is better to go with the nephrostomy if the injury is discovered at 48 hours and leave the definitive repair for later (6 weeks?).

Noro

Re: Hidronephrosis - what is best? - Ärzteforum

Post#8 »

Nephrostomy, with imaging and stenting if necessary and feasible.

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Re: Hidronephrosis - what is best? - Ärzteforum

Post#9 »

The patient underwent nephrostomy previous to surgical repair.

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