title: The use of the tissue adhesive enbucrilate (histoacryl) in the treatment of symptomatic nephroptosis.
abstract: OBJECTIVE
  To evaluate the use of the tissue adhesive enbucrilate in the treatment of symptomatic nephroptosis.
  
  
  METHODS
  We performed adhesive nephropexy in 9 patients who presented with well-documented symptomatic nephroptosis that was demonstrated with intravenous pyelography and/or radionuclide renogram studies. The ptotic kidney was fixed on the psoas muscle using 0.5 ml of enbucrilate (Histoacryl).
  
  
  RESULTS
  Adhesive nephropexy was successful in all 9 patients. Average operative time was 37 min. Postoperative opioid analgesia duration and hospital stay were limited (mean 2 and 4.4 days, respectively). Most patients returned to normal activity within 2 weeks (mean 14.2 days). Mean follow-up was 25 months and showed postoperatively a good anatomical result in radiographic studies as well as significant pain alleviation (mean 1 vs. 7 preoperatively, on a 10-point scale, p < 0.005 Wilcoxon rank test).
  
  
  CONCLUSIONS
  The tissue adhesive enbucrilate seems to be a safe, efficient agent to obtain good results in a simple, quick approach in the surgical treatment of symptomatic nephroptosis.
authors.affiliation: Department of Urology, Patras University Hospital, Rio, Patras, Greece. kgyftop@slot.gr
authors.forename: Kostis I
authors.initials: KI
authors.lastname: Gyftopoulos
authors.forename: Eleftherios
authors.initials: E
authors.lastname: Fokaefs
authors.forename: G A
authors.initials: GA
authors.lastname: Barbalias
mesh_terms: D000328:Adult; D004659:Enbucrilate; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery*; D008297:Male; D014014:Tissue Adhesives
chemical_list: D014014:Tissue Adhesives; D004659:Enbucrilate