Percutaneous balloon dilatation of stenotic calyceal diverticular infundibula in patients with recurrent urinary tract infections.

Hdl Handle:
http://hdl.handle.net/10147/207270
Title:
Percutaneous balloon dilatation of stenotic calyceal diverticular infundibula in patients with recurrent urinary tract infections.
Authors:
Keeling, Aoife N; Wang, Tim T; Lee, Michael J
Affiliation:
Department of Academic Radiology, Beaumont Hospital, Beaumont Road, Dublin 9,, Ireland.
Citation:
Eur J Radiol. 2011 Feb;77(2):335-9. Epub 2009 Sep 11.
Journal:
European journal of radiology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207270
DOI:
10.1016/j.ejrad.2009.08.006
PubMed ID:
19748197
Abstract:
AIM: Renal calyceal diverticula are usually detected as incidental findings on intravenous pyelograms (IVPs) and rarely manifest any clinical signs or symptoms. However, they can interfere with patient's quality of life in a number of instances causing pain, recurrent urinary tract infections (UTIs), abscess, systemic sepsis and calculus formation. The purpose of this study was to review the clinical indications, procedure technique and clinical outcome in all patients referred to Interventional Radiology for the percutaneous management of renal calyceal diverticula. MATERIALS AND METHODS: A retrospective review of all patients treated with percutaneous balloon dilatation of calyceal diverticular infundibula in the Interventional Radiology Department over a 10-year period was performed. Data collected included clinical details, laboratory indices, IVP and CT findings, procedure details and clinical outcome. RESULTS: A total of three patients were treated over the course of the study period. All patients were young females who presented as a result of recurrent urinary tract infections. The calyceal diverticula were diagnosed incidentally on routine IVPs, with CT eloquently confirming the plain film findings in two cases. Technical procedure success was achieved in all cases, avoiding surgical intervention. Clinical follow-up revealed no further UTIs following dilatation. CONCLUSION: Fluoroscopic guided percutaneous balloon dilatation of renal calyceal diverticular infundibula following direct diverticular puncture is a safe and well tolerated method to reduce UTI and potentially avoid future stone formation.
Language:
eng
MeSH:
Adult; Balloon Dilation/*methods; Constriction, Pathologic; Diverticulum/etiology/*radiography/*surgery; Female; Humans; Kidney Calices/*radiography/*surgery; Recurrence/prevention & control; Tomography, X-Ray Computed/methods; Treatment Outcome; Urinary Tract Infections/complications/*radiography/*surgery; Young Adult
ISSN:
1872-7727 (Electronic); 0720-048X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKeeling, Aoife Nen_GB
dc.contributor.authorWang, Tim Ten_GB
dc.contributor.authorLee, Michael Jen_GB
dc.date.accessioned2012-02-01T10:03:38Z-
dc.date.available2012-02-01T10:03:38Z-
dc.date.issued2012-02-01T10:03:38Z-
dc.identifier.citationEur J Radiol. 2011 Feb;77(2):335-9. Epub 2009 Sep 11.en_GB
dc.identifier.issn1872-7727 (Electronic)en_GB
dc.identifier.issn0720-048X (Linking)en_GB
dc.identifier.pmid19748197en_GB
dc.identifier.doi10.1016/j.ejrad.2009.08.006en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207270-
dc.description.abstractAIM: Renal calyceal diverticula are usually detected as incidental findings on intravenous pyelograms (IVPs) and rarely manifest any clinical signs or symptoms. However, they can interfere with patient's quality of life in a number of instances causing pain, recurrent urinary tract infections (UTIs), abscess, systemic sepsis and calculus formation. The purpose of this study was to review the clinical indications, procedure technique and clinical outcome in all patients referred to Interventional Radiology for the percutaneous management of renal calyceal diverticula. MATERIALS AND METHODS: A retrospective review of all patients treated with percutaneous balloon dilatation of calyceal diverticular infundibula in the Interventional Radiology Department over a 10-year period was performed. Data collected included clinical details, laboratory indices, IVP and CT findings, procedure details and clinical outcome. RESULTS: A total of three patients were treated over the course of the study period. All patients were young females who presented as a result of recurrent urinary tract infections. The calyceal diverticula were diagnosed incidentally on routine IVPs, with CT eloquently confirming the plain film findings in two cases. Technical procedure success was achieved in all cases, avoiding surgical intervention. Clinical follow-up revealed no further UTIs following dilatation. CONCLUSION: Fluoroscopic guided percutaneous balloon dilatation of renal calyceal diverticular infundibula following direct diverticular puncture is a safe and well tolerated method to reduce UTI and potentially avoid future stone formation.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshBalloon Dilation/*methodsen_GB
dc.subject.meshConstriction, Pathologicen_GB
dc.subject.meshDiverticulum/etiology/*radiography/*surgeryen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshKidney Calices/*radiography/*surgeryen_GB
dc.subject.meshRecurrence/prevention & controlen_GB
dc.subject.meshTomography, X-Ray Computed/methodsen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.subject.meshUrinary Tract Infections/complications/*radiography/*surgeryen_GB
dc.subject.meshYoung Adulten_GB
dc.titlePercutaneous balloon dilatation of stenotic calyceal diverticular infundibula in patients with recurrent urinary tract infections.en_GB
dc.contributor.departmentDepartment of Academic Radiology, Beaumont Hospital, Beaumont Road, Dublin 9,, Ireland.en_GB
dc.identifier.journalEuropean journal of radiologyen_GB
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.