title: Ureteric embolization: an alternative treatment strategy for urinary fistulae complicating advanced pelvic malignancy.
abstract: OBJECTIVE
  To report experience with a minimally invasive technique for palliation of urinary fistula/incontinence complicating advanced pelvic malignancy or its treatment.
  
  
  METHODS
  We used ureteric embolization with permanent nephrostomy drainage in eight renal units in five patients for palliation of symptoms. All procedures were done under local anaesthesia as day-case procedures. Nephrostomy tubes were changed at regular intervals on an outpatient basis. Embolization was repeated when required.
  
  
  RESULTS
  The follow-up was 2-84 months; four patients died from the underlying malignancy during the follow-up. All patients were continent and had effective palliation of their symptoms. Two patients required repeat embolization. There were no embolization-related complications.
  
  
  CONCLUSIONS
  Ureteric embolization is a safe and effective minimally invasive palliative treatment option in urinary fistulae or incontinence complicating advanced pelvic malignancy.
authors.affiliation: Department of Urology, Royal Hallamshire Hospital, Sheffield, UK. V.Natarajan@sth.nhs.uk
authors.forename: Vaithianathan
authors.initials: V
authors.lastname: Natarajan
authors.forename: Nigel R
authors.initials: NR
authors.lastname: Boucher
authors.forename: Pieter
authors.initials: P
authors.lastname: Meiring
authors.forename: Paul
authors.initials: P
authors.lastname: Spencer
authors.forename: Bo T
authors.initials: BT
authors.lastname: Parys
authors.forename: Neil E
authors.initials: NE
authors.lastname: Oakley
mesh_terms: D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000379:methods; D010166:Palliative Care / Q000379:methods; D010386:Pelvic Neoplasms / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome; D014548:Urinary Fistula / Q000209:etiology / Q000628:therapy*; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy*