Case report: percutaneous catheter management of persistent urine leak due to iatrogenic infundibular stenosis after partial nephrectomy

We describe two cases of persistent urine leak after partial nephrectomies that were both due to surgically induced isolated calices. We hypothesize that the isolated calices were created while suturing the collecting systems, with inadvertent closure of single infundibula. Both cases were managed b...

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Veröffentlicht in:	Journal of endourology 2009-01, Vol.23 (1), p.37-42
Hauptverfasser:	Bruner, Bryan, Ashley, Richard, Leibovich, Bradley, Blute, Michael, LeRoy, Andrew
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Catheterization Constriction, Pathologic - etiology Constriction, Pathologic - therapy Drainage Female Follow-Up Studies Humans Iatrogenic Disease Kidney - diagnostic imaging Kidney - pathology Kidney Pelvis - diagnostic imaging Kidney Pelvis - pathology Middle Aged Nephrectomy - adverse effects Nephrostomy, Percutaneous Tomography, X-Ray Computed Urinary Incontinence - etiology Urinary Incontinence - therapy
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container_title	Journal of endourology
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creator	Bruner, Bryan Ashley, Richard Leibovich, Bradley Blute, Michael LeRoy, Andrew
description	We describe two cases of persistent urine leak after partial nephrectomies that were both due to surgically induced isolated calices. We hypothesize that the isolated calices were created while suturing the collecting systems, with inadvertent closure of single infundibula. Both cases were managed by percutaneous nephrostomy tube drainage of the renal pelvises and the isolated calices, in addition to indwelling ureteral stents. This novel management technique has not been described in the literature and served as an effective management tool for this rare complication after partial nephrectomy.
doi_str_mv	10.1089/end.2008.0291
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subjects	Adult Catheterization Constriction, Pathologic - etiology Constriction, Pathologic - therapy Drainage Female Follow-Up Studies Humans Iatrogenic Disease Kidney - diagnostic imaging Kidney - pathology Kidney Pelvis - diagnostic imaging Kidney Pelvis - pathology Middle Aged Nephrectomy - adverse effects Nephrostomy, Percutaneous Tomography, X-Ray Computed Urinary Incontinence - etiology Urinary Incontinence - therapy
title	Case report: percutaneous catheter management of persistent urine leak due to iatrogenic infundibular stenosis after partial nephrectomy
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