title: Percutaneous nephrostomy: its value in obstructive uropathy complicating carcinoma of cervix uterus.
abstract: Percutaneous nephrostomies (PCN) were performed in 25 patients with uterine cervical malignancy between November 1982 and December 1987 at the Christie Hospital and Holt Radium Institute. Group 1 consisted of eight patients with untreated disease; group 2 consisted of eight cases with recurrent tumour; and group 3 consisted of nine patients with obstructive uropathy related to previous treatment. Six patients in group 1 subsequently received radical radiotherapy, and two of them were alive and disease free (33%) ten months later. Further active treatment was only possible in two of the patients with recurrence and overall median survival was only 51 days. All patients in group 3 had normalization of their renal function post-nephrostomy and prior to definitive management of the obstruction. We conclude that the technique should be considered in patients who had no previous treatment and in patients with treatment-related complications. Its value in recurrent disease is limited.
authors: Department of Radiotherapy, Christie Hospital and Holt Radium Institute, Manchester, UK.
authors: S
authors: S
authors: Chan
authors: A C
authors: AC
authors: Robinson
authors: R J
authors: RJ
authors: Johnson
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011832:Radiation Injuries / Q000628:therapy; D011878:Radiotherapy / Q000009:adverse effects; D012189:Retrospective Studies; D014517:Ureteral Obstruction / Q000209:etiology / Q000628:therapy*; D002583:Uterine Cervical Neoplasms / Q000150:complications*