Endoscopic laser treatment for urine leakage caused by an isolated calyx after robot‐assisted partial nephrectomy

Inoue, Ryo; Isoyama, Naohito; Ozawa, Sho; Kobayashi, Keita; Yamamoto, Yoshiaki; Yano, Seiji; Hirata, Hiroshi; Matsumoto, Hiroaki; Matsuyama, Hideyasu

doi:10.1002/iju5.12339

Cited by 2 publications

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References 8 publications

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“…In cases of persistent urinary fistula, various approaches have been reported, including double stenting, primary closure of the fistula (fibrin adhesive, N-butylcyanoacrylate and fulguration), reconstructive surgery including calyceal infundibular dilation, cryoablation, transarterial embolization (TAE), and nephrectomy [1][2][3][7][8][9][10][11]. Meeks et al reported that 5 of 21 cases of urinary fistula after partial nephrectomy presented anatomical causes, including two cases of infundibular stenosis of calix with a duration of the fistula of more than five months [2].…”

Section: Discussionmentioning

confidence: 99%

A case of refractory urinary fistula after partial nephrectomy treated with additional partial nephrectomy for suspected isolated calix

Katagiri

2023

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Introduction: Urinary fistula is the major complication after partial nephrectomy and is occasionally refractory to conservative treatments. Case Report: A 66-year-old man with renal cell carcinoma was treated with partial nephrectomy. Diagnosis of urinary fistula was triggered by drainage of perirenal abscess after surgery. Being refractory to ureteral stenting, a dilated ventral upper calix was detected in the subsequent fistulography, whereas the calix or its connection with the renal pelvis was not demonstrated in excretion phase of enhanced computed tomography. Considering the possibility of isolated calix due to infundibular injury besides the fistula communicating with the renal pelvis, we performed additional partial nephrectomy for the upper pole kidney and immediately closed the collecting system. The drain could be removed thereafter. Conclusion: We report the first case of refractory urinary fistula after partial nephrectomy treated with additional partial nephrectomy.

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Section: Discussionmentioning

confidence: 99%

A case of refractory urinary fistula after partial nephrectomy treated with additional partial nephrectomy for suspected isolated calix

Katagiri

2023

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Editorial Comment to Endoscopic laser treatment for urine leakage caused by an isolated calyx after robot‐assisted partial nephrectomy

Kobayashi

Shiota

2021

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Endoscopic laser treatment for urine leakage caused by an isolated calyx after robot‐assisted partial nephrectomy

Abstract: How to cite this article: Inoue, R, Isoyama N, Ozawa S, et al. Endoscopic laser treatment for urine leakage caused by an isolated calyx after robotassisted partial nephrectomy.

Cited by 2 publications

References 8 publications

A case of refractory urinary fistula after partial nephrectomy treated with additional partial nephrectomy for suspected isolated calix

A case of refractory urinary fistula after partial nephrectomy treated with additional partial nephrectomy for suspected isolated calix

Editorial Comment to Endoscopic laser treatment for urine leakage caused by an isolated calyx after robot‐assisted partial nephrectomy

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