Transrenal ureteral embolization.
Transrenal closure of the ureter with butyl-2-cyanoacrylate using adjuvant balloon catheter occlusion was successfully performed for the palliative management of inoperable vesicovaginal and vesicosacral fistulas in 3 patients. Unilateral percutaneous nephrostomy provided supravesical urinary diversion as well as access for permanent embolization of the ureter. The contralateral kidney was nonfunctional in 2 patients. In the third, in addition to unilateral ureteral occlusion, the contralateral kidney was defunctionalized by embolization of the renal artery ("radiological nephrectomy") to avoid the need for bilateral nephrostomy drainage.
D000328:Adult; D000368:Aged; D003487:Cyanoacrylates / Q000627:therapeutic use*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007668:Kidney / Q000601:surgery; D007680:Kidney Neoplasms / Q000628:therapy; D008297:Male; D010166:Palliative Care; D012077:Renal Artery; D014513:Ureter; D001747:Urinary Bladder Fistula / Q000628:therapy; D014546:Urinary Catheterization; D014719:Vesicovaginal Fistula / Q000628:therapy*
D003487:Cyanoacrylates; D004659:Enbucrilate