Ureteric embolization: an alternative treatment strategy for urinary fistulae complicating advanced pelvic malignancy

Natarajan, Vaithianathan; Boucher, N. R.; Meiring, P. De Vroos; Spencer, Paul; Parys, Bo; Oakley, Neil

doi:10.1111/j.1464-410x.2006.06522.x

“…[2][3][4] As well, its use as palliation for urinary incontinence in patients with advanced pelvic malignancy has been described with excellent outcomes. 5 The use of this embolization procedure outside of these parameters is not well described given the lack of indications beyond symptom palliation.…”

Section: Discussionmentioning

confidence: 99%

Images – Urinary tract reconstruction following ureteral coil embolization for ureterovaginal fistula in a young female patient

Singh

¹

,

Smith

²

,

Westney

³

2021

CUAJ

4

0

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“…A surgical approach is usually avoided due to postoperative complications and stickiness. In recent years, several approaches including a retrograde ureteral 6 approach and percutaneous nephrostomy have been developed in the field of endourology to address this complicated consequence, but neither of these two options is easy to accomplish [18][19][20][21] .…”

Section: Discussionmentioning

confidence: 99%

Conservative treatment for urinary fistula following ileal conduit urinary diversion : a simple method

Ye

¹

,

Liang²,

Tan³

et al. 2019

Preprint

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Background The presence of urinary fistula after ileal conduit urinary diversion is a challenging complication , and this study investigated the role of the intra-conduit negative pressure system (NPS) in the presence of urinary fistula following ileal conduit (IC) urinary diversion as a conservative treatment. Methods Using the intra-conduit NPS, a minor drainage tube was placed within a silicon tube to suck urine from the conduit with consistent negative pressure. Patients with urinary fistula following IC from August 2012 to July 2017 were recorded, and the clinical characteristics and outcome were retrospectively analyzed. Results The intra-conduit NPS was used as a primarily conservative treatment for 13 patients who suffered from urinary fistula and presented with a large amount of abdominal/pelvic drainage without other significant morbidities. The median age was 60 years old (42-74 years), and 7 patients were male. The median duration between the IC operation and the presence of urinary fistula was 15 days (2-28 days), and elevated creatinine levels were detected in the abdominal/pelvic drainage with a median level of 2114 µmol/L (636-388 µmol/L). A significant decrease in abdominal/pelvic drainage was identified in 12 patients. The median time that the NPS was used was 9 days (7-11 days). The other patient did not show any improvements after 2 days of observation and then underwent open surgery. With ureteral stenting, 2 abdominal drainage tubes and the intra-conduit NPS were placed during operation, no urine leakage was observed in the abdominal/pelvic field, and the patient was cured in 9 days. With a median follow-up of 22 months, no fistula recurrence or hydronephrosis was detected. Conclusion The intra-conduit negative pressure system is a feasible and promising way to cure urinary fistula following ileal conduit urinary diversion. Because this procedure is a mini-invasive and simple approach, it might represent an alternative in selected patients.

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“…A surgical approach is usually avoided due to postoperative complications and stickiness. In recent years, several approaches including a retrograde ureteral approach and percutaneous nephrostomy have been developed in the field of endourology to address this complicated consequence, but neither of these two options is easy to accomplish [18][19][20][21] .…”

Section: Discussionmentioning

confidence: 99%

Conservative treatment for urinary fistula following ileal conduit urinary diversion : a simple method

Ye

¹

,

Liang²,

Tan³

et al. 2019

Preprint

0

View full text Add to dashboard Cite

Background The presence of urinary fistula after ileal conduit urinary diversion is a challenging complication , and this study investigated the role of the intra-conduit negative pressure system (NPS) in the presence of urinary fistula following ileal conduit (IC) urinary diversion as a conservative treatment. Methods Using the intra-conduit NPS, a minor drainage tube was placed within a silicon tube to suck urine from the conduit with consistent negative pressure. Patients with urinary fistula following IC from August 2012 to July 2017 were recorded, and the clinical characteristics and outcome were retrospectively analyzed. Results The intra-conduit NPS was used as a primarily conservative treatment for 13 patients who suffered from urinary fistula and presented with a large amount of abdominal/pelvic drainage without other significant morbidities. The median age was 60 years old (42-74 years), and 7 patients were male. The median duration between the IC operation and the presence of urinary fistula was 15 days (2-28 days), and elevated creatinine levels were detected in the abdominal/pelvic drainage with a median level of 2114 µmol/L (636-388 µmol/L). A significant decrease in abdominal/pelvic drainage was identified in 12 patients. The median time that the NPS was used was 9 days (7-11 days). The other patient did not show any improvements after 2 days of observation and then underwent open surgery. With ureteral stenting, 2 abdominal drainage tubes and the intra-conduit NPS were placed during operation, no urine leakage was observed in the abdominal/pelvic field, and the patient was cured in 9 days. With a median follow-up of 22 months, no fistula recurrence or hydronephrosis was detected. Conclusion The intra-conduit negative pressure system is a feasible and promising way to cure urinary fistula following ileal conduit urinary diversion. Because this procedure is a mini-invasive and simple approach, it might represent an alternative in selected patients.

show abstract

Ureteric embolization: an alternative treatment strategy for urinary fistulae complicating advanced pelvic malignancy

Cited by 7 publications

References 2 publications

Images – Urinary tract reconstruction following ureteral coil embolization for ureterovaginal fistula in a young female patient

Images – Urinary tract reconstruction following ureteral coil embolization for ureterovaginal fistula in a young female patient

Conservative treatment for urinary fistula following ileal conduit urinary diversion : a simple method

Conservative treatment for urinary fistula following ileal conduit urinary diversion : a simple method

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