title: [Conservative management of upper tract urinary fistulae using ureteral trans-vesico-parietal stent].
abstract: OBJECTIVE
  Ureteral stents and ureteral catheters externalized through the urethra are not ideal solutions to manage complicated upper urinary tract fistulae. We sought an effective method of drainage, minimally invasive, reproducible allowing a rapid patient's discharge.
  
  
  METHODS
  Between November 2013 and February 2015, an ureteral stent was exteriorized in trans-vesico-parietal by an endoscopic and percutaneous access in patients with complicated upper urinary tract fistulae. Monitoring of tolerance, complications and urinary fistula healing was performed.
  
  
  RESULTS
  Nine consecutive patients had an ureteral stent exteriorized in trans-vesico-parietal to manage complicated upper urinary tract fistulae. There was no failure in introducing the catheter, or postoperative complication. Catheters were left in place on average 36.1days (24-55). The patients were able to return home with the catheter in place in 77.8% of cases. The tolerance of the catheter was good. All fistulae were able to be treated conservatively at the end of the drainage period.
  
  
  CONCLUSIONS
  Trans-vesico-parietal ureteral catheters enable efficient and reproducible conservative treatment of upper tract urinary fistulae regardless of their cause.
  
  
  METHODS
  5.
authors.affiliation: Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address: thomas.leguilchet@aphp.fr.
authors.forename: T
authors.initials: T
authors.lastname: Le Guilchet
authors.affiliation: Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address: francois.audenet@aphp.fr.
authors.forename: F
authors.initials: F
authors.lastname: Audenet
authors.affiliation: Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address: sophie.hurel@aphp.fr.
authors.forename: S
authors.initials: S
authors.lastname: Hurel
authors.affiliation: Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address: aurelien.beaugerie@aphp.fr.
authors.forename: A
authors.initials: A
authors.lastname: Beaugerie
authors.affiliation: Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address: eric.fontaine@aphp.fr.
authors.forename: E
authors.initials: E
authors.lastname: Fontaine
authors.affiliation: Service d'urologie, CHU Grenoble-Alpes, 38700 La Tronche, France. Electronic address: NTerrier@chu-grenoble.fr.
authors.forename: N
authors.initials: N
authors.lastname: Terrier
authors.affiliation: Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address: marc-olivier.timsit@aphp.fr.
authors.forename: M O
authors.initials: MO
authors.lastname: Timsit
authors.affiliation: Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France. Electronic address: arnaud.mejean@aphp.fr.
authors.forename: A
authors.initials: A
authors.lastname: Mejean
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000072700:Conservative Treatment / Q000379:methods; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D014515:Ureteral Diseases / Q000628:therapy*; D001743:Urinary Bladder; D014548:Urinary Fistula / Q000628:therapy*
keywords: Complication chirurgicale; Fistule urinaire; Néphrectomie partielle; Partial nephrectomy; Renal transplantation; Renal trauma; Sonde urétérale; Surgical complications; Surgical technique; Technique chirurgicale; Transplantation rénale; Traumatisme du rein; Upper urinary tract; Ureteral catheter; Urinary fistula; Voie excrétrice urinaire supérieure