[Percutaneous nephropyelostomy--indications, complications, and various aspects of clinical use].
During almost 3 years in 100 patients the percutaneous nephropyelostomy was used as method of the supravesical discharge of urine 109 times. The X-ray-aimed puncture was performed on the basis of the fine needle puncture technique by means of a puncture set which we developed ourselves. When a urinary retention is present, the number of targets is great (96%), the rate of complications small. In 12 systematically exposed kidneys limited subcapsular haematomas were found, once a small perirenal haematoma. In one case a breaking off of the wire occurred. In 2 cases a septicaemia appeared, 4 punctures failed. Following the PNS 3 kidneys had to be exposed due to tamponage of the renal pelvis (2) and perforation of the renal pelvis, respectively. The percutaneous nephropyelostomy is a measure for the temporary or permanent supravesical discharge of the urine which is little stressing for the patient and simply to be performed. It represents a secure and effective alternative for the operative nephrostomy in patients with obstruction of the urinary tract of every genesis.
Urologische Klinik, Klinikums Berlin-Buch.
U
U
Thiel
L
L
Mansfeld
P
P
Saschowa
R
R
Ranft
C
C
Poehls
F
F
Boitz
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery; D007669:Kidney Calculi / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011183:Postoperative Complications / Q000209:etiology*; D014547:Urinary Diversion
Perkutane Nephropyelostomie--Indikationen, Komplikationen, Aspekte der klinischen Anwendung.