The article describes the author’s method of retroperitoneoscopic decapsulation of the kidney with removal of purulent foci, sanitation and drainage of the retroperitoneal space with subsequent catheterization of the renal artery with continuous intraarterial infusion of alprostadil in combined treatment of patients with acute purulent pyelonephritis. The results of treatment of 13 patients showed high efficiency as described above. The possibility and expediency of using of described technique is shown. (For citation: Anan’ev VA, Antonov AV. Our own method of combined treatment of acute purulent pyelonephritis: first results. Urologicheskie vedomosti. 2017;7(3):34-37. doi: 10.17816/uroved7334-37).

During 2017–2021 in the facilities of the orthopedic department of the Khabarovsk Krai Clinical Hospital named after prof. O.V. Vladimirtseva patients with avascular necrosis of the femoral head (ANFH) stages 0, 1 and 2 have been surgically treated with minimally invasive two-stage decompression with bone alloplasty. The results of radiological diagnosis and arthroscopic picture in the initial stages of the disease were evaluated. The results obtained, the identity of the MRI diagnostic data and the arthroscopic featers indicate the unreasonableness of performing therapeutic and diagnostic arthroscopy in combination with tunnelization, revision of the femoral head cyst and further alloplasty in stages 1 and 2 of the disease, which does not exclude the possibility of using this technology in other stages of ANFH