title: Percutaneous Cryoablation for Successful Treatment of a Persistent Urine Leak after Robotic-Assisted Partial Nephrectomy.
abstract: Urine leak after nephron-sparing surgery is a difficult and morbid situation that may delay recovery and necessitate additional hospitalization and intervention. The use of cryoablation to treat a 34-year-old woman with persistent urine leak after robotic-assisted partial nephrectomy is described. Surgery was performed to treat ureteral duplication that resulted in recurrent urinary tract infections and back pain. Cryoablation was performed with computed tomography guidance, targeting urine extravasation observed after the administration of intravenous contrast medium. Imaging performed after ablation confirmed resolution of the urine leak; renal function was preserved.
authors.affiliation: Division of Interventional Radiology, Stanford University Medical Center, H-3646, 300 Pasteur Drive, Stanford, CA 94305-5642. Electronic address: Thomasjward@gmail.com.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Ward
authors.affiliation: Division of Interventional Radiology, Stanford University Medical Center, H-3646, 300 Pasteur Drive, Stanford, CA 94305-5642.
authors.forename: Osmanuddin
authors.initials: O
authors.lastname: Ahmed
authors.affiliation: Division of Urology, Stanford University Medical Center, H-3646, 300 Pasteur Drive, Stanford, CA 94305-5642.
authors.forename: Benjamin I
authors.initials: BI
authors.lastname: Chung
authors.affiliation: Division of Interventional Radiology, Stanford University Medical Center, H-3646, 300 Pasteur Drive, Stanford, CA 94305-5642.
authors.forename: Daniel Y
authors.initials: DY
authors.lastname: Sze
authors.affiliation: Division of Interventional Radiology, Stanford University Medical Center, H-3646, 300 Pasteur Drive, Stanford, CA 94305-5642.
authors.forename: Gloria L
authors.initials: GL
authors.lastname: Hwang
mesh_terms: D000328:Adult; D003452:Cryosurgery / Q000379:methods*; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods; D059351:Organ Sparing Treatments / Q000009:adverse effects* / Q000379:methods; D065287:Robotic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome; D014555:Urination Disorders / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*