[Endoscopic and percutaneous treatment of purulent retention caused by obstructive calculi of the upper urinary tract. Observations apropos of 6 case reports].
On the basis of 6 cases of pyonephrosis due to renal stones successfully treated without surgery over a period of one year, the authors define their current therapeutic approach which consists of 2 phases: --1st phase: salvage of the kidney by ultrasound guided percutaneous nephrostomy under local anaesthesia. No hasty endoscopic procedures in an attempt to insert a ureteric catheter into the kidney; --2nd phase: elimination of the obstructing stone (on average, 8 days after the 1st phase), by percutaneous nephrolithotomy, descending ureteroscopy or ascending ureteroscopy.
Viville
C
C
Service d'Urologie, clinique Bethesda, Strasbourg.
Giron
J P
JP
D000328:Adult; D004322:Drainage; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011704:Pyelonephritis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014514:Ureteral Calculi / Q000150:complications* / Q000628:therapy; D014567:Urography
Le traitement endoscopique et percutané de la rétention purulente sur lithiase obstructive du haut appareil urinaire. Réflexions à propos de 6 observations.