Abstract
High-output ureteral fistulae were managed percutaneously in 3 patients with pelvic malignancies. Urine flow was diverted by combining percutaneous nephrostomy catheter drainage with transrenal balloon occlusion of the affected ureter proximal to the site of extravasation. This technique can be used either alone as the definitive method of treatment or as the initial procedure to preserve renal function and reverse the inflammatory reaction prior to subsequent surgical repair; its primary application is in patients in whom antegrade or retrograde ureteral stenting is not feasible or possible.
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Gunther R, Marberger M, Klose K: Transrenal ureteral embolization.Radiology 132:317–319, 1979
Gunther R, Klose K, Alken P: Transrenal ureteral occlusion with a detachable balloon.Radiology 142:521–523, 1982
Lang EK: Diagnosis and management of ureteral fistulas by percutaneous nephrostomy and antegrade stent catheter.Radiology 138:311–317, 1981
Bettmann MA, Murray PD, Perlmutt LM, Whitmore WF III, Richie JP: Uretheroileal anastomotic leaks: percutaneous treatment.Radiology 148:95–100, 1983
Pfister RC, Newhouse JH: Interventional percutaneous pyeloureteral techniques. II. Percutaneous nephrostomy and other procedures.Radiol Clin North Am 17:351–363, 1979
Pfister RC, Yoder IC, Newhouse JH: A trocar-cannula unit for percutaneous procedures.Br J Urol Suppl 64–68, 1983
Pfister RC, Newhouse JH: Percutaneous nephrostomy: types of catheters for drainage, occlusion, dilatation and fiberoptics for endoscopy. In Athanasoulis CA, Pfister RC, Greene RE, Roberson GH (eds):Interventional Radiology. Philadelphia: W. B. Saunders, 1982, pp. 467–496
Kearney GP, Mahoney EM, Brown HP: Useful technique for long-term urinary drainage by inlying ureteral stent: six-year experience.Urology 14:126–134, 1979
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Papanicolaou, N., Pfister, R.C. & Yoder, I.C. Percutaneous occlusion of ureteral leaks and fistulae using nondetachable balloons. Urol Radiol 7, 28–31 (1985). https://doi.org/10.1007/BF02926845
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DOI: https://doi.org/10.1007/BF02926845