Evaluation of the Role of Application of Contact Lithotripsy in Large Occlusing Ureteral Stones

Іvashchenko, D. М.; Дудченко, Максим Андрійович; Kravtsiv, M.I.

doi:10.26724/2079-8334-2020-4-74-59-63

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…Гострий пієлонефрит -найчастіше інфекційне захворювання сечовидільної системи, яке дуже часто зустрічається у жінок, дітей, яке є супутником хворих на сечокам'яну хворобу [1], цукровий діабет, може виникати при тривалій катетеризації сечовивідних шляхів, під час оперативних втручань з приводу трансплантації нирки та операцій на мисковій системі нирок.…”

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Evaluation of the Effectiveness of Pyelovesical Bypass in the Treatment of Pyelonephritis

Іvashchenko¹,

Дудченко²,

Kravtsiv³

et al. 2021

Act. Probl. of the Modern Med.

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Based on the widespread incidence of acute pyelonephritis, which is one of the most common inflammatory diseases of the urinary system, it is important to conduct searching for improved treatment methods, which would ensure higher effectiveness of clinical regression of the process and minimize the extent of manipulations and pharmacotherapy. Pyelovesical bypass is one of these methods. The aim of this study is to investigate the efficacy of pyelovesical drainage of the urinary tract in the course of acute pyelonephritis in comparison with conservative methods of treatment in order to identify its advantages and disadvantages. To assess the effect of urinary tract drainage, we analyzed the clinical findings of patients with acute obstructive pyelonephritis, who underwent pyelovesical stenting and compared them with standard conservative treatment methods. According to the data obtained, we can conclude that pyelovesical stenting procedure in cases of acute obstructive pyelonephritis provides a statistically significant acceleration of the regression of clinical manifestations of kidney inflammation, such as hyperthermic reaction, pain syndrome, inflammatory changes in the blood and urine, parameters of ultrasonic dynamics. Thus, in the presence of clinical indications, appropriate technical conditions, devices and qualified surgeons to perform stenting, we can recommend this method as an effective means of integrated treatment for this renal pathology.

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