[Neoplastic ureteral obstruction: drainage by percutaneous nephrostomy or double J catheterization].
OBJECTIVE
Neoplasic obstruction of the ureter is observed in patients with pelvic or extra-pelvic cancer. Indications of upper urinary tract drainage need to be clarified.


METHODS
Percutaneous nephrostomy or double J catheter drainage was performed in 104 patients with ureteral obstruction due to pelvic cancer (bladder, prostate, uterus, ovary, rectum) or extra-pelvic cancer (usually breast and digestive cancers). Percutaneous nephrostomy or double J catheter was the first drainage procedure in 85 and 76 patients respectively.


RESULTS
Success rate in first intention drainage was 74.5% with the double J catheter. When this procedure was impossible, percutaneous nephrostomy was always performed. In 52 cases we attempted to convert the nephrostomy to double J catheter drainage. Success rate was 68.8%. The main complications observed were ineffective drainage (12.5%) and infection (10.5%).


CONCLUSIONS
These patients have a mean survival of 6.8 months despite the chemotherapy which is facilitated by the improved renal function.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004067:Digestive System Neoplasms / Q000150:complications / Q000401:mortality; D005260:Female; D005833:Genital Neoplasms, Female / Q000150:complications* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D011183:Postoperative Complications; D011471:Prostatic Neoplasms / Q000150:complications / Q000401:mortality; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000401:mortality; D014546:Urinary Catheterization / Q000379:methods*
Obstruction urétérale néoplasique: drainage par néphrostomie percutanée ou par sonde double J.