[Puncture of urinary tract for the diagnosis of its obstruction. Review of 60 cases].
We present the results of percutaneous translumbar puncture (PTP) performed in 60 patients diagnosed as having urinary tract obstruction in whom the urographic, ultrasonographic, arteriographic work up and placement of a ureteral catheter for ascending pyelography failed to determine the exact level or nature of the obstruction. We emphasize the fact that PTP revealed the site of obstruction or showed the urinary tract was normal in 86.6% of the cases. The level of obstruction was undetermined in 8.3%, and in 5% of the cases PTP could not be performed. In 75% of the cases, the diagnosis of the nature of the obstruction yielded by PTP was confirmed medically or surgically. This was unconfirmed in 11.6%. Minor complications, most of which were due to extravasation of the contrast medium, were observed in only 18.3%.
Salinas Sánchez
A S
AS
Guardiola Mas
A
A
Moreno Avilés
J
J
Server Falgas
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000379:methods*; D014517:Ureteral Obstruction / Q000175:diagnosis*
Punción de vías urinarias como medio diagnóstico de obstrucción de las mismas. Revisión de 60 casos.