title: Recurrent clot anuria following laparoscopic pyeloplasty in a solitary functioning kidney: managing with double guide wire technique.
abstract: Clot anuria in a solitary functioning kidney is an emergency situation. Haematuria with clot anuria in an early postoperative period represents a challenge, as treatment options are limited. Manipulation of the anastomotic site may lead to anastomotic disruption and urinoma while use of thrombolytic therapy poses the danger of increasing haematuria. We report a case of anuria due to clot retention in the upper tract following laparoscopic dismembered pyeloplasty in a solitary functioning kidney, managed successfully with double guide wire technique.
authors.affiliation: Department of Urology, PGIMER, Chandigarh, India.
authors.forename: Santosh
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Urology, PGIMER, Chandigarh, India.
authors.forename: Shivanshu
authors.initials: S
authors.lastname: Singh
authors.affiliation: Department of Urology, PGIMER, Chandigarh, India.
authors.forename: Kalpesh Mahesh
authors.initials: KM
authors.lastname: Parmar
authors.affiliation: Department of Urology, PGIMER, Chandigarh, India.
authors.forename: Nitin
authors.initials: N
authors.lastname: Garg
mesh_terms: D000328:Adult; D001002:Anuria / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery; D007682:Kidney Pelvis / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D013927:Thrombosis / Q000209:etiology / Q000601:surgery; D014513:Ureter / Q000473:pathology / Q000601:surgery*; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*; D018666:Ureteroscopy / Q000379:methods*; D053584:Urinoma / Q000209:etiology / Q000601:surgery; D014564:Urogenital Abnormalities / Q000601:surgery*